Postoperative Pancreatic Fistula and the Risk Factors of Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer

Background Laparoscopy-assisted distal gastrectomy (LADG) was introduced as minimally invasive surgery for early gastric cancer (EGC) in Japan. This study investigated postoperative pancreatic fistula (POPF) and associated risk factors of the procedure. Methods From January 2005 to December 2009, 79...

Full description

Saved in:
Bibliographic Details
Published in:Annals of surgical oncology 2012-01, Vol.19 (1), p.115-121
Main Authors: Jiang, Xiaohua, Hiki, Naoki, Nunobe, Souya, Kumagai, Koshi, Nohara, Kyoko, Sano, Takeshi, Yamaguchi, Toshiharu
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - surgery
Female
Follow-Up Studies
Gastrectomy - adverse effects
Gastrointestinal Oncology
Humans
Laparoscopy - adverse effects
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Oncology
Pancreatic Fistula - etiology
Pancreatic Fistula - surgery
Postoperative Complications
Postoperative Period
Prognosis
Risk Factors
Stomach Neoplasms - complications
Stomach Neoplasms - surgery
Surgery
Surgical Oncology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Laparoscopy-assisted distal gastrectomy (LADG) was introduced as minimally invasive surgery for early gastric cancer (EGC) in Japan. This study investigated postoperative pancreatic fistula (POPF) and associated risk factors of the procedure. Methods From January 2005 to December 2009, 798 patients with EGC diagnosed before surgery underwent LADG. Thirty-four patients developed postoperative pancreatic fistula (POPF group), whereas the other 764 patients did not experience POPF (NPOPF group). POPF was defined and graded according to the International Study Group on Pancreatic Fistula Definition (ISGPF). Patient characteristics and operative and postoperative outcomes were compared between the two groups. Risk factors associated with POPF were analyzed. Results POPF occurred in 34 (4.3%) patients; among them 3 developed grade C POPF, a complication that required aggressive clinical intervention, and only 1 underwent reoperation. Compared with the NPOPF group, the POPF group had higher percentage of male patients (88.2% vs. 60.5%, P  = 0.001), higher mean body mass index (24.8 ± 2.5 kg/m 2 vs. 22.5 ± 3.2 kg/m 2 , P  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-011-1893-y