Revista chilena de cirugía
versión On-line ISSN 0718-4026
CSENDES J, Attila et al. Complications and mortality of total and subtotal gastrectomy for gastric cancer. Rev Chil Cir [online]. 2011, vol.63, n.6, pp.585-590. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262011000600007.
Background: Surgery for gastric cancer may have high rates of complications and mortality. Aim: To analyze operative mortality of total and subtotal gastrectomy in the period 2004-2010. Material and Methods: Prospective study 345 patients with gastric cancer, mean age 62 years, 64% males, subjected to a total or subtotal R0, R1 or R2 gastrectomy. All patients were assessed in the postoperative period and all complications were recorded. Results: Total and subtotal gastrectomies were performed in 224 and 69 patients respectively. Postoperative complications consisted in anastomotic leaks, duodenal stump leaks, hemoperi-toneum, pulmonary infections and intestinal obstruction. Mortality of total gastrectomy R1 or R2 was 2.1% whereas palliative gastrectomy, to improve quality of life, had 15% mortality. Subtotal gastrectomy had 1.4% mortality. Conclusions: There has been a reduction in operative mortality of gastrectomy for gastric cancer, however the rate of complications has not changed.
Palabras clave : Gastric cancer; mortality; gastrectomy.