Complications leading reoperation after gastrectomy in patients with gastric cancer: frequency, type, and potential causes.

Abstract:

PURPOSE:Reoperations after gastrectomy for gastric cancer are performed for many types of complications. Unexpected reoperations may cause mental, physical, and financial problems for patients. The aim of the present study was to evaluate the causes of reoperations and to develop a strategic decision-making process for these reoperations. MATERIALS AND METHODS:From September 2002 through August 2010, 6,131 patients underwent open conventional gastrectomy operations at Samsung Medical Center. Of these, 129 patients (2.1%) required reoperation because of postoperative complications. We performed a retrospective analysis of the patients using an electronic medical record review. Statistical data were analyzed to compare age, sex, stage, type of gastrectomy, length of operation, size of tumor, and number of lymph node metastasis between patients who had been operated and those who had not. RESULTS:The variables of age, sex, tumor stage, type of gastrectomy, length of operation, and number of lymph node metastases did not differ between the 2 groups. However, the mean tumor size in the reoperation group was greater than that in the non-reoperation group (5.0±3.7 [standard deviation] versus 4.1±2.9, P=0.007). The leading cause of reoperation was surgical-site infection (n=49, 0.79%). Patients with intra-abdominal bleeding were operated on again in the shortest period after the initial gastrectomy (6.3±4.2 days). Patients with incisional hernia were not reoperated on until after 208.3±81.0 days, the longest postoperative period. CONCLUSIONS:Tumor size was the major variable leading to reoperation after gastrectomy for gastric cancer. The most common complication requiring the reoperation was a surgical site-related complication.

journal_name

J Gastric Cancer

authors

Yi HW,Kim SM,Kim SH,Shim JH,Choi MG,Lee JH,Noh JH,Sohn TS,Bae JM,Kim S

doi

10.5230/jgc.2013.13.4.242

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

242-6

issue

4

eissn

2093-582X

issn

2093-5641

journal_volume

13

pub_type

杂志文章
  • The Prognostic Significance of Compliance with Postoperative Adjuvant Chemotherapy in Patients with Stage III Gastric Cancer: an Observational Study.

    abstract:Purpose:Postoperative adjuvant chemotherapy is usually prescribed to improve the survival of patients with advanced gastric cancer who undergo curative surgery. This study was designed to determine the impact that the degree of compliance with chemotherapy has on the prognosis of patients with gastric cancer. Material...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2018.18.e4

    authors: Jang SH,Jung YJ,Kim MG,Kwon SJ

    更新日期:2018-03-01 00:00:00

  • Can Robotic Gastrectomy Surpass Laparoscopic Gastrectomy by Acquiring Long-Term Experience? A Propensity Score Analysis of a 7-Year Experience at a Single Institution.

    abstract:PURPOSE:It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparos...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2016.16.4.240

    authors: Hong SS,Son SY,Shin HJ,Cui LH,Hur H,Han SU

    更新日期:2016-12-01 00:00:00

  • Feasibility study of early oral intake after gastrectomy for gastric carcinoma.

    abstract:PURPOSE:Despite the compelling scientific and clinical data supporting the use of early oral nutrition after major gastrointestinal surgery, traditional bowel rest and intravenous nutrition for several postoperative days is still being used widely after gastric cancer surgery. MATERIALS AND METHODS:A phase II study wa...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2011.11.2.101

    authors: Jo DH,Jeong O,Sun JW,Jeong MR,Ryu SY,Park YK

    更新日期:2011-06-01 00:00:00

  • A rare presentation of metastasis of prostate adenocarcinoma to the stomach and rectum.

    abstract::Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old Africa...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2014.14.4.271

    authors: Soe AM,Bordia S,Xiao PQ,Lopez-Morra H,Tejada J,Atluri S,Krishnaiah M

    更新日期:2014-12-01 00:00:00

  • Enhanced Recovery after Surgery for Gastric Cancer Patients Improves Clinical Outcomes at a US Cancer Center.

    abstract:Purpose:Enhanced recovery after surgery (ERAS) protocols for gastric cancer patients have shown improved outcomes in Asia. However, data on gastric cancer ERAS (GC-ERAS) programs in the United States are sparse. The purpose of this study was to compare perioperative outcomes before and after implementation of an GC-ERA...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2018.18.e24

    authors: Desiderio J,Stewart CL,Sun V,Melstrom L,Warner S,Lee B,Schoellhammer HF,Trisal V,Paz B,Fong Y,Woo Y

    更新日期:2018-09-01 00:00:00

  • Providing Reliable Prognosis to Patients with Gastric Cancer in the Era of Neoadjuvant Therapies: Comparison of AJCC Staging Schemata.

    abstract:Purpose:Patients with gastric cancer who receive neoadjuvant therapy are staged before treatment (cStage) and after treatment (ypStage). We aimed to compare the prognostic reliability of cStage and ypStage, alone and in combination. Materials and Methods:Data for all patients who received neoadjuvant therapy followed ...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2020.20.e41

    authors: Kim G,Friedmann P,Solsky I,Muscarella P,McAuliffe J,In H

    更新日期:2020-12-01 00:00:00

  • Laparoscopic Whipple's Operation for Locally Advanced Gastric Cancer Invading the Pancreas and Duodenum: a Case Report.

    abstract::Few surgeons have adopted pancreaticoduodenectomy (PD) for the treatment of advanced gastric cancer (AGC) invading the pancreas or duodenum because it remains controversial whether its prognostic benefits outweigh the high morbidity rates in such advanced cases. However, recent technical advances have revived diverse ...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2019.19.e24

    authors: Lee CM,Yoon SY,Park S,Park SH

    更新日期:2019-12-01 00:00:00

  • Mixed adenoneuroendocrine gastric carcinoma: a case report and review of the literature.

    abstract::We present a rare case of a gastric mixed adenoneuroendocrine tumor and review the related English literature. A 77-year-old Caucasian woman was admitted to our department with nausea, anorexia, weight loss, and anemia. Esophagogastroduodenoscopy showed a large (>7 cm) ulcerative mass in the greater curvature of the s...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2014.14.1.63

    authors: Levi Sandri GB,Carboni F,Valle M,Visca P,Garofalo A

    更新日期:2014-03-01 00:00:00

  • Multiple Primary Malignancies in Patients with Multiple Early Gastric Cancer.

    abstract:PURPOSE:This study aimed to investigate the correlation between multiple early gastric cancer (MEGC) and multiple primary malignancies during the follow-up of patients with gastrectomy. MATERIALS AND METHODS:The number of primary tumors detected in other organs after gastrectomy for early gastric cancer (EGC) has been...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2017.17.e19

    authors: Kim DH,Kim SM,Choi MG,Sohn TS,Bae JM,Kim S

    更新日期:2017-06-01 00:00:00

  • Disadvantages of Complete No. 10 Lymph Node Dissection in Gastric Cancer and the Possibility of Spleen-Preserving Dissection: Review.

    abstract::Splenic hilar lymph node dissection has been the standard treatment for advanced proximal gastric cancer. Splenectomy is typically performed as part of this procedure. However, splenectomy has some disadvantages, such as increased risk of postoperative complications, especially pancreatic fistula. Moreover, patients w...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章,评审

    doi:10.5230/jgc.2020.20.e8

    authors: Toriumi T,Terashima M

    更新日期:2020-03-01 00:00:00

  • Erratum: Advantages of Distal Subtotal Gastrectomy Over Total Gastrectomy in the Quality of Life of Long-Term Gastric Cancer Survivors.

    abstract::[This corrects the article on p. 176 in vol. 20, PMID: 32596001.]. ...

    journal_title:Journal of gastric cancer

    pub_type: 已发布勘误

    doi:10.5230/jgc.2020.20.e31

    authors: Kwon OK,Yu B,Park KB,Park JY,Lee SS,Chung HY

    更新日期:2020-09-01 00:00:00

  • Five-year survival of alpha-fetoprotein-producing gastric cancer with synchronous liver metastasis: a case report.

    abstract::Alpha-fetoprotein-Producing gastric cancer is associated with poor prognosis because of frequent liver and lymph node metastasis. We present a case with synchronous liver metastasis who survived for 5 years. A 69-year-old man with upper abdominal pain was referred to our hospital. Gastrointestinal endoscopy revealed a...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2013.13.1.58

    authors: Koneri K,Hirono Y,Fujimoto D,Sawai K,Morikawa M,Murakami M,Goi T,Iida A,Katayama K,Yamaguchi A

    更新日期:2013-03-01 00:00:00

  • At which stage of gastric cancer progression do levels of carcinoembryonic antigen and carbohydrate antigen 19-9 increase? Application in advanced gastric cancer treatment.

    abstract:PURPOSE:Since there are no proven tumor markers that reflect the course of gastric cancer, carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) are commonly used alternatives. However, the degree of progression that corresponds to an increase in these markers, and the values of these markers at differe...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2014.14.2.123

    authors: Han ES,Lee HH,Lee JS,Song KY,Park CH,Jeon HM

    更新日期:2014-06-01 00:00:00

  • Pylorus-Preserving Gastrectomy for Gastric Cancer.

    abstract::Pylorus-preserving gastrectomy (PPG) is a function-preserving surgery for the treatment of early gastric cancer (EGC), aiming to decrease the complication rate and improve postoperative quality of life. According to the Japanese gastric cancer treatment guidelines, PPG can be performed for cT1N0M0 gastric cancer locat...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章,评审

    doi:10.5230/jgc.2016.16.2.63

    authors: Oh SY,Lee HJ,Yang HK

    更新日期:2016-06-01 00:00:00

  • Perioperative Epirubicin, Oxaliplatin, and Capecitabine Chemotherapy in Locally Advanced Gastric Cancer: Safety and Feasibility in an Interim Survival Analysis.

    abstract:PURPOSE:Perioperative chemotherapy improves survival outcomes in locally advanced (LA) gastric cancer. MATERIALS AND METHODS:We retrospectively analyzed patients with LA gastric cancer who were offered perioperative chemotherapy consisting of epirubicin, oxaliplatin, and capecitabine (EOX) from May 2013 to December 20...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2017.17.e3

    authors: Ostwal V,Sahu A,Ramaswamy A,Sirohi B,Bose S,Talreja V,Goel M,Patkar S,Desouza A,Shrikhande SV

    更新日期:2017-03-01 00:00:00

  • Epstein-Barr Virus-Associated Gastric Carcinoma and Specific Features of the Accompanying Immune Response.

    abstract::Epstein-Barr virus-associated gastric carcinoma (EBVaGC) is one of the four subtypes of gastric carcinoma (GC), as defined by the novel classification recently proposed by The Cancer Genome Atlas. EBVaGC has several clinicopathological features such as longer survival and higher frequency of lymphoepithelioma-like car...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章,评审

    doi:10.5230/jgc.2016.16.1.1

    authors: Cho J,Kang MS,Kim KM

    更新日期:2016-03-01 00:00:00

  • Efficacy of single-dose antimicrobial prophylaxis for preventing surgical site infection in radical gastrectomy for gastric carcinoma.

    abstract:PURPOSE:Information regarding antimicrobial prophylaxis (AMP) for gastric cancer surgery is limited. The present study investigated the efficacy of single-dose AMP for the prevention of surgical site infection (SSI) in patients undergoing gastrectomy for gastric carcinoma. MATERIALS AND METHODS:Between 2011 and 2013, ...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2014.14.3.156

    authors: Han JH,Jeong O,Ryu SY,Jung MR,Park YK

    更新日期:2014-09-01 00:00:00

  • Bone metastasis in gastric cancer patients.

    abstract:PURPOSE:Bone metastasis from stomach cancer occurs only rarely and it is known to have a very poor prognosis. This study examined the clinical characteristics and prognosis of patients who were diagnosed with stomach cancer and bone metastasis. MATERIALS AND METHODS:The subjects were 19 patients who were diagnosed wit...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2011.11.1.38

    authors: Ahn JB,Ha TK,Kwon SJ

    更新日期:2011-03-01 00:00:00

  • Biomarkers for Evaluating the Inflammation Status in Patients with Cancer.

    abstract::Inflammation can be a causative factor for carcinogenesis or can result from a consequence of cancer progression. Moreover, cancer therapeutic interventions can also induce an inflammatory response. Various inflammatory parameters are used to assess the inflammatory status during cancer treatment. It is important to s...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章,评审

    doi:10.5230/jgc.2019.19.e29

    authors: Guner A,Kim HI

    更新日期:2019-09-01 00:00:00

  • Chronic Gastric Volvulus with Laparoscopic Gastropexy after Endoscopic Reduction: A Case Report.

    abstract::Gastric volvulus is an uncommon clinical entity. There are three types of gastric volvulus; organoaxial, mesenteroaxial and combined type. This condition can lead to a closed-loop obstruction or strangulation. Traditional surgical therapy for gastric volvulus is based on an open approach. Here we report a successful c...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2015.15.2.147

    authors: Lee HY,Park JH,Kim SG

    更新日期:2015-06-01 00:00:00

  • Frozen Section Biopsy to Evaluation of Obscure Lateral Resection Margins during Gastric Endoscopic Submucosal Dissection for Early Gastric Cancer.

    abstract:PURPOSE:To determine the diagnostic utility of a frozen section biopsy in patients undergoing endoscopic submucosal dissection (ESD) for early gastric neoplasms with obscure margins even with chromoendoscopy using acetic acid and indigo carmine (AI chromoendoscopy). MATERIALS AND METHODS:The lateral spread of early ga...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2011.11.3.155

    authors: Kang EJ,Cho JY,Lee TH,Jin SY,Cho WY,Bok JH,Kim HG,Kim JO,Lee JS,Lee IH

    更新日期:2011-09-01 00:00:00

  • Ewing's Sarcoma of the Stomach; Rare Case of Ewing's Sarcoma and Suggestion of New Treatment Strategy.

    abstract::Ewing's sarcoma is a neoplasm of the undifferenciated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. We present a case of gastric Ewing's sarcoma; a 35-year-old female who had no symptoms. While she was at a routine medical checkup, a protruding mass in her gastr...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2012.12.4.258

    authors: Kim HS,Kim S,Min YD,Kee KH,Hong R

    更新日期:2012-12-01 00:00:00

  • Laparoscopic total gastrectomy in a gastric cancer patient with intestinal malrotation.

    abstract::As the incidence of early gastric cancer increases, laparoscopic surgery has become one of the treatments of choice for gastric cancer. With the increase of laparoscopic surgery, the chance of discovering aberrant anatomy during the operation also increases. We present a case of laparoscopic total gastrectomy in gastr...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2013.13.3.188

    authors: Lee J,Lim JS,Cho I,Kwon IG,Choi YY,Noh SH,Hyung WJ

    更新日期:2013-09-01 00:00:00

  • Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess.

    abstract::Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purpose...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2015.15.3.214

    authors: Cho J,Park I,Lee D,Sung K,Baek J,Lee J

    更新日期:2015-09-01 00:00:00

  • Lessons learned from a comparative analysis of surgical outcomes of and learning curves for laparoscopy-assisted distal gastrectomy.

    abstract:PURPOSE:Before expanding our indications for laparoscopic gastrectomy to advanced gastric cancer and adopting reduced port laparoscopic gastrectomy, we analyzed and audited the outcomes of laparoscopy-assisted distal gastrectomy (LADG) for adenocarcinoma; this was done during the adoptive period at our institution thro...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2015.15.1.29

    authors: Moon JS,Park MS,Kim JH,Jang YJ,Park SS,Mok YJ,Kim SJ,Kim CS,Park SH

    更新日期:2015-03-01 00:00:00

  • ATM Signaling Pathway Is Implicated in the SMYD3-mediated Proliferation and Migration of Gastric Cancer Cells.

    abstract:Purpose:We previously found that the histone methyltransferase suppressor of variegation, enhancer of zeste, trithorax and myeloid-nervy-deformed epidermal autoregulatory factor-1 domain-containing protein 3 (SMYD3) is a potential independent predictive factor or prognostic factor for overall survival in gastric cancer...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2017.17.e33

    authors: Wang L,Wang QT,Liu YP,Dong QQ,Hu HJ,Miao Z,Li S,Liu Y,Zhou H,Zhang TC,Ma WJ,Luo XG

    更新日期:2017-12-01 00:00:00

  • The Fibrinogen to Mean Platelet Volume Ratio Can Predict Overall Survival of Patients with Non-Metastatic Gastric Cancer.

    abstract:Purpose:Fibrinogen and platelets have been reported to play important roles in tumorigenesis and cancer progression. The aim of this research was to investigate the combination of functions of fibrinogen, platelets, and mean platelet volume (MPV) in predicting the survival of patients with gastric cancer (GC). Materia...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2018.18.e36

    authors: Song S,Cong X,Li F,Xue Y

    更新日期:2018-12-01 00:00:00

  • Prospective Multicenter Feasibility Study of Laparoscopic Sentinel Basin Dissection after Endoscopic Submucosal Dissection for Early Gastric Cancer: SENORITA 2 Trial Protocol.

    abstract:Purpose:Although standard radical gastrectomy is recommended after noncurative resection of endoscopic submucosal dissection (ESD) for early gastric cancer in most cases, residual tumor and lymph node metastasis have not been identified after surgery. The aim of this study is to evaluate the feasibility of sentinel nod...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2019.19.e12

    authors: Eom BW,Yoon HM,Min JS,Cho I,Park JH,Jung MR,Hur H,Kim YW,Park YK,Nam BH,Ryu KW,Sentinel Node Oriented Tailored Approach (SENORITA) Study Group.

    更新日期:2019-06-01 00:00:00

  • Multiregion Comprehensive Genomic Profiling of a Gastric Mixed Neuroendocrine-Nonneuroendocrine Neoplasm with Trilineage Differentiation.

    abstract::Mixed neuroendocrine-nonneuroendocrine neoplasms (MiNENs) are a group of rare tumors previously known as mixed adenoneuroendocrine carcinomas (MANECs). The neuroendocrine component is high-grade and may consist of small-cell carcinoma or large-cell neuroendocrine carcinoma. The nonneuroendocrine component may consist ...

    journal_title:Journal of gastric cancer

    pub_type:

    doi:10.5230/jgc.2018.18.e16

    authors: Farooq F,Zarrabi K,Sweeney K,Kim J,Bandovic J,Patel C,Choi M

    更新日期:2018-06-01 00:00:00

  • Advantages of ypTNM Staging in Post-surgical Prognosis for Initially Unresectable or Stage IV Gastric Cancers.

    abstract:Purpose:For unresectable or initially metastatic gastric cancer, conversion surgery (CVS), after systemic chemotherapy, has received attention as a treatment strategy. This study evaluated the prognostic value of ypTNM stage and the oncologic outcomes in patients receiving CVS. Materials and Methods:A retrospective re...

    journal_title:Journal of gastric cancer

    pub_type: 杂志文章

    doi:10.5230/jgc.2020.20.e20

    authors: Jeong GS,Lee IS,Park YS,Kim BS,Yoo MW,Yook JH,Kim BS

    更新日期:2020-09-01 00:00:00