Predictive factors associated mortality after gastrectomy

topal, uğur; Yalav, Orcun

doi:10.5455/annalsmedres.2019.11.692

Predictive factors associated mortality after gastrectomy

Orçun YALAV, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Uğur TOPAL (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Annals of Medical Research

7 0

Yıl: 2020 Cilt: 27 Sayı: 1 Sayfa Aralığı: 326 - 333 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.11.692 İndeks Tarihi: 13-10-2020

Predictive factors associated mortality after gastrectomy

Öz:

Aim: In this study, we aimed to identify the risk factors associated with postoperative mortality after gastrectomy.Surgical resectionis the only potentially curative method for gastric cancer and is associated with severe morbidity and mortality.Material and Methods: Patients who underwent gastrectomy for gastric cancer in a single center between September 2015 andSeptember 2018 were evaluated retrospectively. The relationship between postoperative mortality and clinical variables of thepatients, tumor characteristics and 10 variables related to intraoperative characteristics were analyzed.Results: 133 patients were included in our study. Postoperative mortality occurred in 10 patients. Our postoperative mortality ratewas 7.5%. Male sex (HR = 0.664, 95% CI =0.460–0.961, p=0.030), tumor localization (linitis plastica (HR = 3.594, 95% CI =1.375–9.390, p=0.009), tumor stage 3C (HR =1.713, 95% CI =0.906–3.239, p=0.0032) total gastrectomy (HR = 1.918 95% CI =1.042–3.532,p=0.036), conventional (open) surgery (HR = 2.807 95% CI =1.546–5.096, p= 0.001), operation duration >240 min (HR = 1.758, 95 % CI=1.064–2.906, p= 0.028), was independently associated with an increased risk of postoperative mortality. Age >60 (p=0.463), bodymass index (p=0.414), ASA score >3 p=0.862, intraoperative blood loss >300 (p=0.083) and additional organ resection (p=0.649)were not independent risk factors for mortality.Conclusion: Anastomotic leakage was associated with male sex, obesity, and tumor localization. Anastomotic leakage is relatedwith poor survival. Determining the risk factors after gastrectomy guides us in the management of patients at risk for postoperativemortality

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yalav O, topal u (2020). Predictive factors associated mortality after gastrectomy. , 326 - 333. 10.5455/annalsmedres.2019.11.692
Chicago	Yalav Orcun,topal uğur Predictive factors associated mortality after gastrectomy. (2020): 326 - 333. 10.5455/annalsmedres.2019.11.692
MLA	Yalav Orcun,topal uğur Predictive factors associated mortality after gastrectomy. , 2020, ss.326 - 333. 10.5455/annalsmedres.2019.11.692
AMA	Yalav O,topal u Predictive factors associated mortality after gastrectomy. . 2020; 326 - 333. 10.5455/annalsmedres.2019.11.692
Vancouver	Yalav O,topal u Predictive factors associated mortality after gastrectomy. . 2020; 326 - 333. 10.5455/annalsmedres.2019.11.692
IEEE	Yalav O,topal u "Predictive factors associated mortality after gastrectomy." , ss.326 - 333, 2020. 10.5455/annalsmedres.2019.11.692
ISNAD	Yalav, Orcun - topal, uğur. "Predictive factors associated mortality after gastrectomy". (2020), 326-333. https://doi.org/10.5455/annalsmedres.2019.11.692

APA	Yalav O, topal u (2020). Predictive factors associated mortality after gastrectomy. Annals of Medical Research, 27(1), 326 - 333. 10.5455/annalsmedres.2019.11.692
Chicago	Yalav Orcun,topal uğur Predictive factors associated mortality after gastrectomy. Annals of Medical Research 27, no.1 (2020): 326 - 333. 10.5455/annalsmedres.2019.11.692
MLA	Yalav Orcun,topal uğur Predictive factors associated mortality after gastrectomy. Annals of Medical Research, vol.27, no.1, 2020, ss.326 - 333. 10.5455/annalsmedres.2019.11.692
AMA	Yalav O,topal u Predictive factors associated mortality after gastrectomy. Annals of Medical Research. 2020; 27(1): 326 - 333. 10.5455/annalsmedres.2019.11.692
Vancouver	Yalav O,topal u Predictive factors associated mortality after gastrectomy. Annals of Medical Research. 2020; 27(1): 326 - 333. 10.5455/annalsmedres.2019.11.692
IEEE	Yalav O,topal u "Predictive factors associated mortality after gastrectomy." Annals of Medical Research, 27, ss.326 - 333, 2020. 10.5455/annalsmedres.2019.11.692
ISNAD	Yalav, Orcun - topal, uğur. "Predictive factors associated mortality after gastrectomy". Annals of Medical Research 27/1 (2020), 326-333. https://doi.org/10.5455/annalsmedres.2019.11.692