Reoperation for early postoperative complications after gastric cancer surgery in a Chinese hospital

World J Gastroenterol. 2010 Jan 7;16(1):98-103. doi: 10.3748/wjg.v16.i1.98.

Abstract

Aim: To investigate the occurrence of postoperative complications of gastric cancer surgery, and analyze the potential causes of reoperation for early postoperative complications.

Methods: A total of 1639 patients who underwent radical or palliative gastrectomies for gastric cancer were included in the study. The study endpoint was the analysis of postoperative complications in inpatients.

Results: About 31% of patients had early postoperative complications, and complications of infection occurred most frequently. Intra-abdominal hemorrhage and anastomotic leak were the main causes of reoperation, which accounted for about 2.2%. Mortality was 11.1% in the reoperation group, but was only 0.8% in other patients. The duration of postoperative stay in hospital was significantly longer and the total expenditure was markedly higher in the patients who underwent reoperation (P < 0.001). There was no significant association of any available factors in this study with the high rate of reoperation.

Conclusion: Reoperation significantly increases the mortality rate and raises the burden of the surgical unit. More prospective studies are required to explore the potential risk factors.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cause of Death
  • China / epidemiology
  • Female
  • Gastrectomy / adverse effects*
  • Gastrectomy / economics
  • Gastrectomy / mortality
  • Hospital Costs
  • Humans
  • Inpatients* / statistics & numerical data
  • Length of Stay
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Palliative Care
  • Reoperation
  • Stomach Neoplasms / economics
  • Stomach Neoplasms / mortality
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*
  • Surgery Department, Hospital* / economics
  • Surgery Department, Hospital* / statistics & numerical data
  • Time Factors
  • Treatment Outcome
  • Young Adult