Korean J Clin Oncol.  2017 Dec;13(2):113-117. 10.14216/kjco.17017.

High rates of complications in advanced stage gastric cancer after laparoscopic gastrectomy

• Jeong SH
• Park JH
• Choi SK
• Hong SC
• Jung EJ
• Ju YT
• Jeong CY
• Park M
• Ha WS
• Lee YJ

• KMID: 2405651
• DOI: http://doi.org/10.14216/kjco.17017

Abstract

PURPOSE
The inclusion criteria for laparoscopic gastrectomy have recently been expanded, and this has led to an increase in the number of publications describing the laparoscopic treatment of advanced gastric cancer. The aim of this study was to evaluate morbidity in advanced stage gastric cancer (ASGC; tumor, node, metastasis [TNM] stage II-III) compared with that in early stage gastric cancer (ESGC; TNM stage I) in patients undergoing laparoscopic assisted distal gastrectomy (LADG).
METHODS
The clinical data of 448 consecutive patients who underwent LADG with R0 resection for gastric cancer at the Gyeongsang National University Hospital were retrospectively analyzed.
RESULTS
The morbidity and mortality rates for radical distal gastrectomy were 20.3% (91/448) and 0.2% (1/448), respectively. Wound problems were the most common complication (4.7%, n=21), followed by leakage (4.5%, n=20), and postoperative bleeding (3.8%, n=17). We found ASGC had higher frequencies of postoperative ileus (0.8% vs. 5.4%), wound problems (3.1% vs. 10.9%), and pulmonary complications (4% vs. 7%) than ESGC in the LADG (P < 0.05).
CONCLUSION
Among patients who underwent LADG, ASGC patients had higher rates of postoperative ileus and wound and pulmonary complications than ESGC patients. ASGC patients should be closely monitored for these complications after LADG.

Keyword

Stomach neoplasm; Gastrectomy; Laparoscopy; Postoperative complication; Ileus

MeSH Terms

Gastrectomy*
Hemorrhage
Humans
Ileus
Laparoscopy
Mortality
Neoplasm Metastasis
Postoperative Complications
Retrospective Studies
Stomach Neoplasms*
Wounds and Injuries