Background/aim: Gastric cancer surgery is still characterised by high morbidity and mortality. However, in 2018 an online platform, GASTRODATA has been proposed in Europe to standardize the recording of gastric surgery complications. The aim of the study was to present a single center experience regarding incidence and grading of acute postoperative complications in a population of patients treated surgically for gastric cancer on the basis of the gastrodata online platform. Patients and methods: The present study was a single center, observational, retrospective trial held in the General Surgery Unit of the Sant'Andrea Hospital of Rome. The study included 181 consecutive patients who underwent gastric surgical resection for cancer from May 2004 to December 2020 with curative R0 purpose. Results: Thirty-three percent of patients reported at least one complication, while seventeen percent of the whole population reported a complication classified as at least grade 3 on the Clavien Dindo Classification. The most frequent complications were disorders of the respiratory system (13.3%), followed by bleeding (7.6%) and wound infections (6.2%). Deaths accounted for 3.7% of the population. Conclusion: A list of defined complications of gastrectomy, if systematically adopted in the Literature, could lead to a reduction in the wide variation of proposals for treatment and assessment. Objectively evaluating the impact of complications on outcomes can lead to quality improvement project proposals.

Complication of Gastric Cancer Surgery: A Single Centre Experience / Goglia, Marta; Pepe, Sara; Pace, Marco; Fattori, Ludovica; Minervini, Andrea; Giulitti, Diego; Sirimarco, Dario; Gallo, Gaetano; Nigri, Giuseppe; Ramacciato, Giovanni; Aurello, Paolo. - In: IN VIVO. - ISSN 0258-851X. - 37:5(2023), pp. 2166-2172. [10.21873/invivo.13315]

Complication of Gastric Cancer Surgery: A Single Centre Experience

Marta Goglia;Sara Pepe;Marco Pace
;
Ludovica Fattori;Andrea Minervini;Diego Giulitti;Dario Sirimarco;Gaetano Gallo;Giuseppe Nigri;Giovanni Ramacciato;Paolo Aurello
2023

Abstract

Background/aim: Gastric cancer surgery is still characterised by high morbidity and mortality. However, in 2018 an online platform, GASTRODATA has been proposed in Europe to standardize the recording of gastric surgery complications. The aim of the study was to present a single center experience regarding incidence and grading of acute postoperative complications in a population of patients treated surgically for gastric cancer on the basis of the gastrodata online platform. Patients and methods: The present study was a single center, observational, retrospective trial held in the General Surgery Unit of the Sant'Andrea Hospital of Rome. The study included 181 consecutive patients who underwent gastric surgical resection for cancer from May 2004 to December 2020 with curative R0 purpose. Results: Thirty-three percent of patients reported at least one complication, while seventeen percent of the whole population reported a complication classified as at least grade 3 on the Clavien Dindo Classification. The most frequent complications were disorders of the respiratory system (13.3%), followed by bleeding (7.6%) and wound infections (6.2%). Deaths accounted for 3.7% of the population. Conclusion: A list of defined complications of gastrectomy, if systematically adopted in the Literature, could lead to a reduction in the wide variation of proposals for treatment and assessment. Objectively evaluating the impact of complications on outcomes can lead to quality improvement project proposals.
2023
GASTRODATA registry; gastric surgery; stomach neoplasms; surgical complications
01 Pubblicazione su rivista::01a Articolo in rivista
Complication of Gastric Cancer Surgery: A Single Centre Experience / Goglia, Marta; Pepe, Sara; Pace, Marco; Fattori, Ludovica; Minervini, Andrea; Giulitti, Diego; Sirimarco, Dario; Gallo, Gaetano; Nigri, Giuseppe; Ramacciato, Giovanni; Aurello, Paolo. - In: IN VIVO. - ISSN 0258-851X. - 37:5(2023), pp. 2166-2172. [10.21873/invivo.13315]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1688711
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