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Is Laparoscopy-assisted Radical Gastrectomy Safe in Patients with Child-Pugh Class A Cirrhosis?
Journal of Gastric Cancer ; : 207-213, 2013.
Artigo em Inglês | WPRIM | ID: wpr-196048
ABSTRACT

PURPOSE:

We investigated early postoperative morbidity and mortality in patients with liver cirrhosis who had undergone radical gastrectomy for gastric cancer. MATERIALS AND

METHODS:

We retrospectively reviewed the medical records of 41 patients who underwent radical gastrectomy at the Chonnam National University Hwasun Hospital (Hwasun-gun, Korea) between August 2004 and June 2009. There were few patients with Child-Pugh class B or C; therefore, we restricted patient selection to those with Child-Pugh class A.

RESULTS:

Postoperative complications were observed in 22 (53.7%) patients. The most common complications were ascites (46.3%), postoperative hemorrhage (22.0%) and wound infection (12.2%). Intra-abdominal abscess developed in one (2.4%) patient who had undergone open gastrectomy. Massive ascites occurred in 4 (9.8%) patients. Of the patients who underwent open gastrectomy, nine (21.9%) patients required blood transfusions as a result of postoperative hemorrhage. However, most of these patients had advanced gastric cancer. In contrast, most patients who underwent laparoscopic gastrectomy had early stage gastric cancer, and when the confounding effect from the different stages between the two groups was corrected statistically, no statistically significant difference was found. There was also no significant difference between open and laparoscopic gastrectomy in the occurrence rate of other postoperative complications such as ascites, wound infection, and intra-abdominal abscess. No postoperative mortality occurred.

CONCLUSIONS:

Laparoscopic gastrectomy is a feasible surgical procedure for patients with moderate hepatic dysfunction.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Ascite / Neoplasias Gástricas / Infecção dos Ferimentos / Transfusão de Sangue / Fibrose / Prontuários Médicos / Estudos Retrospectivos / Mortalidade / Seleção de Pacientes Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Journal of Gastric Cancer Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Ascite / Neoplasias Gástricas / Infecção dos Ferimentos / Transfusão de Sangue / Fibrose / Prontuários Médicos / Estudos Retrospectivos / Mortalidade / Seleção de Pacientes Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Journal of Gastric Cancer Ano de publicação: 2013 Tipo de documento: Artigo