Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data

This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed. A retrospective analysis was conducted using data from 12,244 pat...

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Bibliographic Details
Published in:Journal of gastric cancer 2023, 23(3), , pp.462-475
Main Authors: Jeong, Sang-Ho, Yoo, Moon-Won, Park, Miyeong, Seo, Kyung Won, Min, Jae-Seok
Format: Article
Language:English
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일반외과학
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Summary:This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed. A retrospective analysis was conducted using data from 12,244 patients from 64 Korean institutions. Complications were classified using the Clavien-Dindo classification (CDC). Univariate and multivariate analyses were performed to identify the risk factors for severe complications. Postoperative complications occurred in 14% of the patients, severe complications (CDC IIIa or higher) in 4.9%, and postoperative death in 0.2%. The study found that age, stage, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) score, hospital stay, approach methods, and extent of gastric resection showed statistically significant differences depending on hospital volumes (P
ISSN:2093-582X
2093-5641
DOI:10.5230/jgc.2023.23.e24