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Park Ji-Ho Lee Hyuk-Joon Oh Seung-Young Park Shin-Hoo Berlth Felix Son Young-Gil Kim Tae Han Huh Yeon-Ju Yang Jun-Young Lee Kyung-Goo Suh Yun-Suhk Kong Seong-Ho Yang Han-Kwang 《World journal of surgery》2020,44(5):1569-1577
World Journal of Surgery - Scarce data are available on the characteristics of postoperative organ failure (POF) and mortality after gastrectomy. We aimed to describe the causes of organ failure... 相似文献
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Kyung-Goo Lee Hyuk-Joon Lee Jun-Young Yang Seung-Young Oh Slava Bard Yun-Suhk Suh Seong-Ho Kong Han-Kwang Yang 《Journal of gastrointestinal surgery》2014,18(7):1269-1277
Background
Most studies about complication after gastric cancer surgery have been performed without consideration of the severity of each complication. The purposes of this study were to prospectively analyze all postgastrectomy complications according to severity using Clavien–Dindo classification and to identify risk factors related to postoperative complications.Methods
Complication data were collected prospectively through weekly conferences with all gastric adenocarcinoma patients who underwent gastrectomy between March 2011 and February 2012 at Seoul National University Hospital. Complications were categorized according to the Clavien–Dindo classification.Results
Out of the 881 patients who underwent gastrectomy, there were 254 events in 197 patients (22.4 %). The numbers of grade I, II, IIIa, IIIb, IVa, and V complications according to the Clavien–Dindo classification were 71 (8.1 %), 58 (6.6 %), 108 (12.3 %), 8 (0.9 %), 5 (0.6 %), and 4 (0.5 %), respectively. Extended gastrectomy (odds ratio [OR], 3.92; 95 % confidence interval [CI], 1.96–7.82, p?<?0.001), total gastrectomy (OR, 1.97; 95 % CI, 1.24–3.14, p?=?0.004), and age of 60 years or more (OR, 1.66; 95 % CI, 1.15–2.38, p?=?0.007) were found to be significant independent risk factors for overall complications of gastrectomy. These three factors were also risk factors for the complications of grade IIIa or over and local and systemic complications. In addition, ASA 3 or 4 and moderate or severe malnutrition as well as those three factors were risk factors for systemic complications.Conclusion
Age and the extent of gastrectomy were revealed as the prognostic factors for overall complications and the complications of grade IIIa or over according to the Clavien–Dindo classification following gastrectomy for gastric cancer. 相似文献
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