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Published in: Updates in Surgery 2/2018

01-06-2018 | Original Article

Cutoff values of major surgical complications rates after gastrectomy

Authors: Gian Luca Baiocchi, Simone Giacopuzzi, Daniele Marrelli

Published in: Updates in Surgery | Issue 2/2018

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Abstract

Gastric cancer is one of the most frequent cancers worldwide, and surgical resection remains the mainstay of the therapeutic pathway. Gastrectomy for cancer is still performed in many hospitals, and centralization remains limited to a small number of health systems. Morbidity and mortality after surgery for gastric cancer are surprisingly high. However, while mortality is obviously defined, major morbidity definitions still present some critical points. The aim of this study is to underline the need for universally accepted definitions of major complications and to describe the research agenda of a multicenter, European-based, prospective project launched by the European Chapter of the International Gastric Cancer Association (IGCA), with the goal of providing a list of complications related to gastrectomy for cancer with their definitions.
Literature
1.
3.
go back to reference Pasquer A, Renaud F, Hec F, On behalf of the FREGAT Working Group—FRENCH et al (2016) Is centralization needed for esophageal and gastric cancer patients with low operative risk? A nationwide study. Ann Surg 264:823–830CrossRefPubMed Pasquer A, Renaud F, Hec F, On behalf of the FREGAT Working Group—FRENCH et al (2016) Is centralization needed for esophageal and gastric cancer patients with low operative risk? A nationwide study. Ann Surg 264:823–830CrossRefPubMed
5.
go back to reference Messager M, de Steur WO, van Sandick JW et al (2016) Variations among 5 European countries for curative treatment of resectable oesophageal and gastric cancer: a survey from the EURECCA Upper GI Group (EUropean REgistration of Cancer CAre). Eur J Surg Oncol 42:116–122CrossRefPubMed Messager M, de Steur WO, van Sandick JW et al (2016) Variations among 5 European countries for curative treatment of resectable oesophageal and gastric cancer: a survey from the EURECCA Upper GI Group (EUropean REgistration of Cancer CAre). Eur J Surg Oncol 42:116–122CrossRefPubMed
6.
go back to reference Cuschieri A, Fayers P, Fielding J et al (1996) Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial. Surgical Cooperative Group. Lancet 347:995–999CrossRefPubMed Cuschieri A, Fayers P, Fielding J et al (1996) Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial. Surgical Cooperative Group. Lancet 347:995–999CrossRefPubMed
7.
go back to reference Cunningham D, Allum WH, Stenning SP et al (2006) Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 355:11–20CrossRefPubMed Cunningham D, Allum WH, Stenning SP et al (2006) Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 355:11–20CrossRefPubMed
8.
go back to reference Sano T, Sasako M, Yamamoto S et al (2004) Gastric cancer surgery: morbidity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy—Japan Clinical Oncology Group study 9501. J Clin Oncol 22:2767–2773CrossRefPubMed Sano T, Sasako M, Yamamoto S et al (2004) Gastric cancer surgery: morbidity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy—Japan Clinical Oncology Group study 9501. J Clin Oncol 22:2767–2773CrossRefPubMed
9.
go back to reference Roviello F, Pedrazzani C, Marrelli D et al (2010) Super-extended (D3) lymphadenectomy in advanced gastric cancer. Eur J Surg Oncol 36:439–446CrossRefPubMed Roviello F, Pedrazzani C, Marrelli D et al (2010) Super-extended (D3) lymphadenectomy in advanced gastric cancer. Eur J Surg Oncol 36:439–446CrossRefPubMed
10.
go back to reference Bruce J, Russell EM, Mollison J et al (2001) The measurement and monitoring of surgical adverse events. Health Technol Assess 5:1–194CrossRefPubMed Bruce J, Russell EM, Mollison J et al (2001) The measurement and monitoring of surgical adverse events. Health Technol Assess 5:1–194CrossRefPubMed
11.
go back to reference Koch CG, Li L, Hixson E et al (2012) What are the real rates of postoperative complications: elucidating inconsistencies between administrative and clinical data sources. J Am Coll Surg 214:798–805CrossRefPubMed Koch CG, Li L, Hixson E et al (2012) What are the real rates of postoperative complications: elucidating inconsistencies between administrative and clinical data sources. J Am Coll Surg 214:798–805CrossRefPubMed
12.
go back to reference Baiocchi GL, Giacopuzzi S, Marrelli D, Bencivenga M, Morgagni P, Rosa F, Berselli M, Orsenigo E, Cananzi F, Tiberio G, Rausei S, Cozzaglio L, Degiuli M, Di Leo A, Fumagalli U, Portolani N, Rosati R, Roviello F, De Manzoni G, Italian Research Group for Gastric Cancer (GIRCG) (2017) Complications after gastrectomy for cancer: Italian perspective. Updates Surg. https://doi.org/10.1007/s13304-017-0478-0.pmid:28710718 CrossRefPubMed Baiocchi GL, Giacopuzzi S, Marrelli D, Bencivenga M, Morgagni P, Rosa F, Berselli M, Orsenigo E, Cananzi F, Tiberio G, Rausei S, Cozzaglio L, Degiuli M, Di Leo A, Fumagalli U, Portolani N, Rosati R, Roviello F, De Manzoni G, Italian Research Group for Gastric Cancer (GIRCG) (2017) Complications after gastrectomy for cancer: Italian perspective. Updates Surg. https://​doi.​org/​10.​1007/​s13304-017-0478-0.​pmid:​28710718 CrossRefPubMed
13.
go back to reference Wu Z, Wang Q, Shi J et al (2017) Diagnostic criteria and risk assessment of complications after gastric cancer surgery in western countries. Zhonghua Wei Chang Wai Ke Za Zhi 20:135–139PubMed Wu Z, Wang Q, Shi J et al (2017) Diagnostic criteria and risk assessment of complications after gastric cancer surgery in western countries. Zhonghua Wei Chang Wai Ke Za Zhi 20:135–139PubMed
14.
go back to reference Wu Z, Li Z, Ji J (2017) Recognition of postoperative complication after surgery for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 20:121–124PubMed Wu Z, Li Z, Ji J (2017) Recognition of postoperative complication after surgery for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 20:121–124PubMed
15.
go back to reference Cancer Therapy Evaluation Program NCI. Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0; 2009 Cancer Therapy Evaluation Program NCI. Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0; 2009
16.
go back to reference Clavien PA, Sanabria JR, Strasberg SM (1992) Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 111:518–526PubMed Clavien PA, Sanabria JR, Strasberg SM (1992) Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 111:518–526PubMed
17.
go back to reference Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213CrossRefPubMedPubMedCentral Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213CrossRefPubMedPubMedCentral
18.
go back to reference Slankamenac K, Graf R, Barkun J et al (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258:1–7CrossRefPubMed Slankamenac K, Graf R, Barkun J et al (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258:1–7CrossRefPubMed
19.
go back to reference Clavien PA, Vetter D, Staiger R, Slankamenac K, Mehra T, Graf R, Puhan MA (2017) The comprehensive complication index (CCI®): added value and clinical perspectives 3 years down the line. Ann Surg 265:1045–1050CrossRefPubMed Clavien PA, Vetter D, Staiger R, Slankamenac K, Mehra T, Graf R, Puhan MA (2017) The comprehensive complication index (CCI®): added value and clinical perspectives 3 years down the line. Ann Surg 265:1045–1050CrossRefPubMed
20.
go back to reference Low DE, Alderson D, Cecconello I et al (2015) International consensus on standardization of data collection for complications associated with esophagectomy: esophagectomy complications consensus group (ECCG). Ann Surg 262:286–294CrossRefPubMed Low DE, Alderson D, Cecconello I et al (2015) International consensus on standardization of data collection for complications associated with esophagectomy: esophagectomy complications consensus group (ECCG). Ann Surg 262:286–294CrossRefPubMed
21.
go back to reference Katayama H, Kurokawa Y, Nakamura K et al (2016) Extended Clavien–Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today 46:668–685CrossRefPubMed Katayama H, Kurokawa Y, Nakamura K et al (2016) Extended Clavien–Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today 46:668–685CrossRefPubMed
Metadata
Title
Cutoff values of major surgical complications rates after gastrectomy
Authors
Gian Luca Baiocchi
Simone Giacopuzzi
Daniele Marrelli
Publication date
01-06-2018
Publisher
Springer International Publishing
Published in
Updates in Surgery / Issue 2/2018
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-018-0530-8

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