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Gastric Cancer
Published in: Gastric Cancer 3/2013

01-07-2013 | Original Article

Impact of perioperative hemoglobin levels on postoperative outcomes in gastric cancer surgery

Authors: Do-Hyun Jung, Hyuk-Joon Lee, Dong-Seok Han, Yun-Suhk Suh, Seong-Ho Kong, Kuhn-Uk Lee, Han-Kwang Yang

Published in: Gastric Cancer | Issue 3/2013

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Abstract

Background

The aim of this study was to evaluate the association of postoperative blood transfusion and anemia with postoperative outcomes in gastric cancer surgery.

Methods

We enrolled 588 patients who had undergone curative resection for gastric cancer. Input variables for risk assessment consisted of 3 categories: patient demographics, surgical and pathological factors, and anemia-related factors. Postoperative outcomes included 30-day morbidity and mortality. Univariate and multivariate analyses were performed to identify risk factors influencing postoperative complications.

Results

The rate of total complications was 19.0 %. Comorbidity, lowest hemoglobin (Hb) level from the operative day up to postoperative day 7 (LOW-Hb), the percentage of drop in Hb level on postoperative day 2 (POD2-Hb change), and postoperative transfusion were independent risk factors in the multivariate analysis, with LOW-Hb and postoperative transfusion found to be the most significant factors. When LOW-Hb was ≥9.0 g/dL, postoperative complications were higher in the transfused group than in the non-transfused group (60.0 vs. 14.2 %, respectively, p = 0.024), but when LOW-Hb was <9.0 g/dL, postoperative complications were not different between the 2 groups (44.6 vs. 37.5 %, p = 0.525).

Conclusion

The lowest postoperative Hb level and postoperative transfusion were the most significant risk factors for postoperative complications in gastric cancer surgery.
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Metadata
Title
Impact of perioperative hemoglobin levels on postoperative outcomes in gastric cancer surgery
Authors
Do-Hyun Jung
Hyuk-Joon Lee
Dong-Seok Han
Yun-Suhk Suh
Seong-Ho Kong
Kuhn-Uk Lee
Han-Kwang Yang
Publication date
01-07-2013
Publisher
Springer Japan
Published in
Gastric Cancer / Issue 3/2013
Print ISSN: 1436-3291
Electronic ISSN: 1436-3305
DOI
https://doi.org/10.1007/s10120-012-0196-8

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