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Related Experiment Video

Updated: Jul 15, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

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Published on: December 27, 2024

Postoperative Complications and Long-Term Cardiovascular Risk After Gastrectomy for Gastric Cancer.

Kyungduk Hurh1,2, Junhyun Kwon1, Ji-Hyeon Park3

  • 1Department of Preventive Medicine, Gachon University College of Medicine, Namdong-gu, Incheon, South Korea.

Annals of Surgical Oncology
|July 14, 2026
PubMed
Summary

Postoperative complications after gastrectomy increase the long-term risk of cardiovascular disease (CVD). Patients experiencing complications require closer cardiovascular monitoring and management.

Keywords:
Cardiovascular diseaseCohort studyGastrectomyGastric cancerPostoperative complicationSurvivorship

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Last Updated: Jul 15, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

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Published on: December 27, 2024

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

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Published on: October 31, 2025

Area of Science:

  • Oncology
  • Cardiology
  • Public Health

Background:

  • Long-term outcomes after gastric cancer surgery are crucial as survival rates improve.
  • Cardiovascular disease (CVD) is a significant non-cancer outcome following gastrectomy.
  • The link between postoperative complications and long-term CVD risk is not well-established.

Purpose of the Study:

  • To investigate the association between postoperative complications and the incidence of long-term cardiovascular disease (CVD) after gastrectomy for gastric cancer.
  • To identify specific types of complications that may increase CVD risk.
  • To inform clinical practice regarding post-gastrectomy care.

Main Methods:

  • Nationwide population-based cohort study using the Korea National Health Insurance Service database.
  • Included adults without prior CVD who underwent gastrectomy for gastric cancer (2006-2019).
  • Postoperative complications within 30 days were identified and classified; incident CVD was the primary outcome, analyzed using Cox proportional hazards models.

Main Results:

  • Among 3850 patients, 21.4% had postoperative complications, and 162 developed CVD.
  • Postoperative complications were linked to a higher CVD risk (HR 1.63; 95% CI 1.15-2.30), even after adjustments.
  • Pulmonary complications demonstrated the strongest association with CVD, particularly heart failure.

Conclusions:

  • Postoperative complications following gastrectomy are significantly associated with an elevated long-term risk of cardiovascular disease (CVD).
  • These findings underscore the importance of enhanced cardiovascular surveillance and proactive risk management for patients who experience postoperative complications after gastrectomy.
  • Pulmonary complications warrant particular attention in post-gastrectomy CVD risk assessment.