A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Postoperative Delayed Emptying after Total, Subtotal, or Distal Gastrectomy for Gastric Cancer : a Population-based Study
Tekijät: 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
Kustantaja: Springer Nature
Julkaisuvuosi: 2024
Journal: Journal of Gastrointestinal Surgery
Tietokannassa oleva lehden nimi: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Lehden akronyymi: J Gastrointest Surg
Vuosikerta: 28
Numero: 7
Aloitussivu: 1083
Lopetussivu: 1088
ISSN: 1091-255X
eISSN: 1873-4626
DOI: https://doi.org/10.1016/j.gassur.2024.04.026
Verkko-osoite: https://doi.org/10.1016/j.gassur.2024.04.026
Rinnakkaistallenteen osoite: 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.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
