Postoperative course: Morbidity, mortality, and treatment of complications

Giovanni De Manzoni, Luca Cozzaglio, Simone Giacopuzzi, Antonella Ardito

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Over the last two decades, better assessment of operative risk as well as better surgical technique and perioperative management have led to a large reduction in postoperative mortality in Western countries. At present, in Western specialized centers postoperative mortality ranges from 2% to 5% with 3.9% reported by the GIRCG (Italian Research Group for Gastric Cancer) network. These figures, although representing a noteworthy surgical achievement, still lag behind values reported by Japanese series (0.8-2.7%) probably because in Western countries the patients are older and have more advanced cancer as well as a higher number of associated diseases. Postoperative complications are usually directly related to the type of surgery: total or subtotal gastrectomy, combined resection of neighboring organs, and type of node dissection (D1, D2, D3). This chapter analyzes the incidence, etiopathogenesis, diagnosis, treatment, and prognosis of the most frequent complications in gastric cancer surgery.

Original languageEnglish
Title of host publicationSurgery in the Multimodal Management of Gastric Cancer
PublisherSpringer-Verlag Italia s.r.l.
Pages113-124
Number of pages12
Volume9788847023185
ISBN (Print)9788847023185, 8847023173, 9788847023178
DOIs
Publication statusPublished - Nov 1 2012

Keywords

  • Anastomotic leakage
  • Duodenal stump leakage
  • Endoscopy
  • Esophageal stent
  • gastrectomy
  • Gastric cancer surgery
  • Lymphadenectomy
  • Morbidity
  • Mortality
  • Pancreatectomy
  • Pancreatic fistula
  • Splenectomy
  • Subtotal
  • Total gastrectomy

ASJC Scopus subject areas

  • Medicine(all)

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