A1 Refereed original research article in a scientific journal
Postoperative Delayed Emptying after Total, Subtotal, or Distal Gastrectomy for Gastric Cancer : a Population-based Study
Authors: Junttila Anna, Helminen Olli, Helmiö Mika, Huhta Heikki, Jalkanen Aapo, Kallio Raija, Koivukangas Vesa, Kokkola Arto, Laine Simo, Lietzen Elina, Louhimo Johanna, Meriläinen Sanna, Pohjanen Vesa-Matti, Rantanen Tuomo, Ristimäki Ari, Räsänen Jari V., Saarnio Juha, Sihvo Eero, Toikkanen Vesa, Tyrväinen Tuula, Valtola Antti, Kauppila Joonas H.; on behalf of the FINEGO group
Publisher: Springer Nature
Publication year: 2024
Journal: Journal of Gastrointestinal Surgery
Journal name in source: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Journal acronym: J Gastrointest Surg
Volume: 28
Issue: 7
First page : 1083
Last page: 1088
ISSN: 1091-255X
eISSN: 1873-4626
DOI: https://doi.org/10.1016/j.gassur.2024.04.026
Web address : https://doi.org/10.1016/j.gassur.2024.04.026
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/393476628
Background: To examine the rate of delayed emptying and other 90-day postoperative complications after total, subtotal, and distal gastrectomy for gastric adenocarcinoma in a population-based setting.
Methods: This study included all patients undergoing total, subtotal, or distal gastrectomy for gastric cancer in Finland in 2005-2016, with follow-up until December 31, 2019. Logistic regression provided odds ratios with 95% confidence intervals of 90-day mortality. Results were adjusted for age, sex, year of surgery, comorbidities, pathological stage, surgical approach, and neoadjuvant therapy.
Results: A total of 2,058 patients underwent total (n=1,227), subtotal (n=450), or distal (n=381) gastrectomy. The rate of delayed emptying was 1.7% vs. 1.3% vs. 2.1% in the whole cohort and 1.6% vs. 1.8% vs. 3.5% in the subgroup analysis of R0 resections, respectively. Resection type was not associated to the risk of delayed emptying. Subtotal gastrectomy was associated with lower risk of major complications and re-operations and distal gastrectomy was associated with lower risk of anastomotic leak.
Conclusions: The extent of resection did not affect delayed emptying while less postoperative complications were seen after subtotal or distal gastrectomy compared to total gastrectomy.
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