Risk factors for early postoperative morbidity and mortality in patients underwent radical surgery for gastric carcinoma: A single center experience

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dc.authorid0000-0003-2357-5387
dc.contributor.authorVural, Selahattin
dc.contributor.authorCivil, Osman
dc.contributor.authorKement, Metin
dc.contributor.authorAltuntaş, Yunus Emre
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorGezen, Fazlı Cem
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorGündoğan, Ersin
dc.contributor.authorÖncel, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:56Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:56Z
dc.date.issued2013
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000328492600014
dc.descriptionPubMed ID: 24075931
dc.description.abstractBackground: Aim of this study is to analyze the incidence and risk factors for early postoperative morbidity and mortality that occur after gastric carcinoma surgery. Materials and methods: All consecutive patients with gastric adenocarcinoma resected with curative intent between 2005 and 2011 were included to a retrospective analysis. Patient, disease and operation related parameters were questioned as risk factors for postoperative morbidity and mortality. Results: A total of 160 patients (103 [64.8%] male and the average age was 62.4 +/- 11.5) were abstracted. Early postoperative morbidity, operation related morbidity and mortality were observed in 46 (28.7%), 31 (19.4%) and 19 (11.9%) cases, respectively. No other factors but ASA score was found to be a risk factor for overall morbidity (p = 0.021 and 0.033 in univariate and multivariate analyses, respectively). The incidence of anastomotic leak was increasing in patients who received a D2 dissection in univariate analysis (p = 0.039), but not in multivariate calculation. There were no factors effecting surgical site infection risk. Although univariate analysis revealed that age over 70 (p = 0.008), ASA score (p = 0.018), operation time (p = 0.032), D2 dissection (p = 0.026) and type of anastomosis (p = 0.023) were effecting the risk for early mortality, multivariate analysis showed that age was the only risk factor (p = 0.005). Conclusion: Current study has revealed that early morbidity and mortality are not rare after gastric cancer surgery with curative intent. Since multivariate analyses have revealed that ASA score and older age may be only risk factors for postoperative morbidity and 30-day mortality, respectively; it may be logical to consider these factors during the preoperative decision making in patients with gastric cancer.
dc.identifier.citationVural, S., Civil, O., Kement, M., Altuntaş, Y. E., Okkabaz, N., Gezen, Fazlı C. ... Öncel, M. (2013). Risk factors for early postoperative morbidity and mortality in patients underwent radical surgery for gastric carcinoma: A single center experience. International Journal Of Surgery, 11(10), 1103-1109. https://dx.doi.org/10.1016/j.ijsu.2013.09.008
dc.identifier.doi10.1016/j.ijsu.2013.09.008
dc.identifier.endpage1109
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.issue10
dc.identifier.scopusqualityQ2
dc.identifier.startpage1103
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijsu.2013.09.008
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2854
dc.identifier.volume11
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bv
dc.relation.ispartofInternational Journal Of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGastric Carcinoma
dc.subjectD2 Dissection
dc.subjectPostoperative Complication
dc.subjectMortality
dc.titleRisk factors for early postoperative morbidity and mortality in patients underwent radical surgery for gastric carcinoma: A single center experience
dc.typeArticle

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