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Comparative Analysis of Immediate Postoperative Complications Following Total Gastrectomy
1Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Polski Przeglad Chirurgiczny
|July 14, 2017
Summary
Total gastrectomy (TG) complications were analyzed. Roux-en-Y esophagojejunostomy showed fewer adverse outcomes than Omega-Braun TG, suggesting it is the safer technique for gastric cancer surgery.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Total gastrectomy (TG) is the standard for curative gastric cancer resection.
- TG disrupts alimentary tract continuity and carries significant postoperative risks.
Purpose of the Study:
- To report postoperative complication rates after TG.
- To analyze adverse outcomes associated with TG.
- To compare the safety of Roux-en-Y esophagojejunostomy versus Omega-Braun TG.
Main Methods:
- Retrospective observational study of 77 gastric carcinoma patients undergoing TG.
- Data collected from January 2010 to December 2012.
- Statistical analysis using GraphPad (p<0.05 significance).
Main Results:
- 47.5% of patients experienced 84 complications (25% local, 75% general).
- Reoperation was needed in 6.2% of cases, all after Roux-en-Y.
- Mortality rate was 2.5% (one after Roux-en-Y, one after Omega-Braun).
Conclusions:
- Roux-en-Y esophagojejunostomy was associated with a higher overall complication rate but fewer life-threatening events.
- Omega-Braun TG had fewer local complications but higher risks of hemodynamic instability and organ failure.
- Roux-en-Y esophagojejunostomy is considered the safer procedure, with manual anastomosis linked to increased mortality.
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