Risk factors and management of anastomotic leakage after radical gastrectomy for gastric cancer.

CC Tsou, SS Lo, WL Fang, CW Wu, JH Chen… - Hepato …, 2011 - europepmc.org
CC Tsou, SS Lo, WL Fang, CW Wu, JH Chen, MC Hsieh, KH Shen
Hepato-gastroenterology, 2011europepmc.org
Results The overall complication rate was 18.7% and the incidence of anastomotic leakage
was 2.7%(n= 57). The anastomotic leakage-related mortality rate was 21.1%(n= 12). Older
age (> or= 65 years), longer operating time, more blood loss, and co-morbidities were the
precipitating factors. Adequate drainage was the treatment approach used for anastomotic
leakage. The incidence of anastomotic leakage was reduced during the later period of the
study (3.4% vs. 1.8%). Conclusion Only in an institute with a well-established training …
Results
The overall complication rate was 18.7% and the incidence of anastomotic leakage was 2.7%(n= 57). The anastomotic leakage-related mortality rate was 21.1%(n= 12). Older age (> or= 65 years), longer operating time, more blood loss, and co-morbidities were the precipitating factors. Adequate drainage was the treatment approach used for anastomotic leakage. The incidence of anastomotic leakage was reduced during the later period of the study (3.4% vs. 1.8%).
Conclusion
Only in an institute with a well-established training program and high volume of gastric cancer patients can we improve the surgical skills and accumulate the experiences with management of anastomotic leakage that make radical gastrectomy safer.
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