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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Early outcome following emergency gastrectomy.
Ker Kan Tan1, Terence J L Quek, Ningyan Wong
1Department of Surgery, National University Health System, Singapore 119228. kerkan@gmail.com
Annals of the Academy of Medicine, Singapore
|November 10, 2012
Summary
Emergency gastrectomy carries high risks. High American Society of Anesthesiologists (ASA) scores and perforations are linked to worse outcomes, while duodenal stump leaks increase mortality risk.
Area of Science:
- Surgical Gastroenterology
- Emergency Medicine
- Oncology
Background:
- Emergency gastrectomy is associated with significant morbidity and mortality.
- Identifying factors influencing perioperative outcomes is crucial for improving patient care.
Purpose of the Study:
- To review the outcomes of emergency gastrectomy.
- To identify factors associated with worse perioperative outcomes in emergency gastrectomy patients.
Main Methods:
- Retrospective review of 85 patients undergoing emergency gastrectomy (October 2003 - April 2009).
- Complications were graded using the Clavien-Dindo classification.
- Analysis of indications, patient demographics, surgical procedures, and outcomes.
Main Results:
- Perioperative mortality rate was 21.2%, with 31.8% experiencing severe complications.
- High American Society of Anesthesiologists (ASA) score (≥3) and perforation were independent predictors of worse perioperative complications.
- Duodenal stump leak was the sole independent predictor of mortality.
Conclusions:
- Emergency gastrectomy is a high-risk procedure with substantial morbidity and mortality.
- High ASA scores and perforations are associated with poorer outcomes.
- Duodenal stump leak significantly increases the risk of mortality following emergency gastrectomy.
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