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Gulhane Med J. 2003; 45(2): 182-188


RISK FACTORS FOR EARLY COMPLICATIONS FOLLOWING TOTAL GASTRECTOMY FOR GASTRIC CANCERS

Dr. Cengizhan YİĞİTLER, Dr. Bülent GÜLEÇ, Dr. Taner YİĞİT, Dr. Ahmet YEŞİLTAŞ, Dr. Müjdat BALKAN, Dr. Orhan KOZAK, Dr. İsmail ARSLAN, Dr. Mesut PEKCAN.

Abstract
'In order to identify the risk factors for early complications following total gastrectomy for gastric cancer, we retrospectively revised the medical records of 74 patients during last 8 years. Any pulmonary complications requiring an intervention, anastomotic leakage, intraabdominal abscess, ascites, and hemorrhage were defined as major complication. We determined the risk factors related to the early morbidity by comparing the patients' age, gender, ASA status; operative characteristics such as operating time, reconstruction type of esophagojejunostomy, concomitant organ resection, and transfusion requirement, using a logistic regression analysis. Overall complication rate was 39% (29 patients). Of these, 41 % were major such as anastomotic leakage in 5 patients, which was fatal in one patient, hemorrhage in one and pulmonary complications necessitating an invasive procedure in remaining 6 patients. ASA score>2, intraoperative transfusion, extra organ resection, type of reconstruction, preoperative albumin level

Key words: Total Gastrectomy, Gastric Cancer, Complication, Morbidity, Postoperative Outcome, Transfusion



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