Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria

Background: Extended gastrectomy allows a complete tumor excision in patients with advanced gastric cancer. Aim: To compare the surgical results of extended (ER) and non-extended gastrectomy (NER) among patients with gastric cancer, and determine factors associated with complications and mortality....

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Autores principales:	BUTTE,JEAN M, KERRIGAN,NICOLÁS, WAUGH,ENRIQUE, MENESES,MANUEL, PARAD,HUGO, VISSCHER,ALVARO, BECKER,FEDERICO, DE LA FUENTE,HERNÁN
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Gastrectomy Stomach neoplasms Survival rate
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300003
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spelling	oai:scielo:S0034-988720100013000032011-02-07Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoriaBUTTE,JEAN MKERRIGAN,NICOLÁSWAUGH,ENRIQUEMENESES,MANUELPARAD,HUGOVISSCHER,ALVAROBECKER,FEDERICODE LA FUENTE,HERNÁN Gastrectomy Stomach neoplasms Survival rate Background: Extended gastrectomy allows a complete tumor excision in patients with advanced gastric cancer. Aim: To compare the surgical results of extended (ER) and non-extended gastrectomy (NER) among patients with gastric cancer, and determine factors associated with complications and mortality. Material and Methods: Review of medical records of patients with gastric cancer who underwent complete resection between 2002 and 2008 in an oncological hospital. Demographics, patient-related and therapeutic features were compared between groups, and independent factors were established with multivariate analysis. Results: Seventy four patients, (44 men, median age 62 years) underwent an ER and 103 patients, (56 men, median age 61 years) a NER. Specifically, ER included splenectomy alone in 27 patients, splenectomy associated with other procedure in 24, partial esophagectomy in 18, distal pancreatectomy in 13, hemicolectomy in 8, total esophagectomy in 7, partial hepatectomy in 4, and adrenalectomy in 1. Postoperative complications were observed in 19 patients treated with an ER (26%) and in 11 patients treated with a NER (11%), p < 0.05. Serious complications were higher in patients who underwent an ER compared with NER (6 patients (8%) vs. 4 (4%), respectively) p < 0.05. In the same way, mortality was higher in patients treated with ER when it was compared with NER (4 patients (5%) vs two (2%), respectively), p < 0.05. ER and serum albumin levels were independent factors associated to a higher risk of mortality and rate of complications. Conclusions: ER was associated with a higher rate of general and severe complications, and mortality.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.12 20102010-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300003es10.4067/S0034-98872010001300003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrectomy Stomach neoplasms Survival rate
spellingShingle	Gastrectomy Stomach neoplasms Survival rate BUTTE,JEAN M KERRIGAN,NICOLÁS WAUGH,ENRIQUE MENESES,MANUEL PARAD,HUGO VISSCHER,ALVARO BECKER,FEDERICO DE LA FUENTE,HERNÁN Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
description	Background: Extended gastrectomy allows a complete tumor excision in patients with advanced gastric cancer. Aim: To compare the surgical results of extended (ER) and non-extended gastrectomy (NER) among patients with gastric cancer, and determine factors associated with complications and mortality. Material and Methods: Review of medical records of patients with gastric cancer who underwent complete resection between 2002 and 2008 in an oncological hospital. Demographics, patient-related and therapeutic features were compared between groups, and independent factors were established with multivariate analysis. Results: Seventy four patients, (44 men, median age 62 years) underwent an ER and 103 patients, (56 men, median age 61 years) a NER. Specifically, ER included splenectomy alone in 27 patients, splenectomy associated with other procedure in 24, partial esophagectomy in 18, distal pancreatectomy in 13, hemicolectomy in 8, total esophagectomy in 7, partial hepatectomy in 4, and adrenalectomy in 1. Postoperative complications were observed in 19 patients treated with an ER (26%) and in 11 patients treated with a NER (11%), p < 0.05. Serious complications were higher in patients who underwent an ER compared with NER (6 patients (8%) vs. 4 (4%), respectively) p < 0.05. In the same way, mortality was higher in patients treated with ER when it was compared with NER (4 patients (5%) vs two (2%), respectively), p < 0.05. ER and serum albumin levels were independent factors associated to a higher risk of mortality and rate of complications. Conclusions: ER was associated with a higher rate of general and severe complications, and mortality.
author	BUTTE,JEAN M KERRIGAN,NICOLÁS WAUGH,ENRIQUE MENESES,MANUEL PARAD,HUGO VISSCHER,ALVARO BECKER,FEDERICO DE LA FUENTE,HERNÁN
author_facet	BUTTE,JEAN M KERRIGAN,NICOLÁS WAUGH,ENRIQUE MENESES,MANUEL PARAD,HUGO VISSCHER,ALVARO BECKER,FEDERICO DE LA FUENTE,HERNÁN
author_sort	BUTTE,JEAN M
title	Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
title_short	Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
title_full	Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
title_fullStr	Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
title_full_unstemmed	Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria
title_sort	gastrectomía extendida en cáncer gástrico: evaluación de la morbilidad y mortalidad postoperatoria
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300003
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Gastrectomía extendida en cáncer gástrico: Evaluación de la morbilidad y mortalidad postoperatoria

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