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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Jemal A, Bray F, Center MM et al (2011) Global cancer statistics. CA Cancer J Clin 61:69–90
Hartgrink HH, Jansen EP, van Grieken NC et al (2009) Gastric cancer. Lancet 374:477–490
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 264:823–830
http://www.agenas.it Accessed 7 Nov 2016
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 42:116–122
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 347:995–999
Cunningham D, Allum WH, Stenning SP et al (2006) Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 355:11–20
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 22:2767–2773
Roviello F, Pedrazzani C, Marrelli D et al (2010) Super-extended (D3) lymphadenectomy in advanced gastric cancer. Eur J Surg Oncol 36:439–446
Bruce J, Russell EM, Mollison J et al (2001) The measurement and monitoring of surgical adverse events. Health Technol Assess 5:1–194
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 214:798–805
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
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 20:135–139
Wu Z, Li Z, Ji J (2017) Recognition of postoperative complication after surgery for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 20:121–124
Cancer Therapy Evaluation Program NCI. Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0; 2009
Clavien PA, Sanabria JR, Strasberg SM (1992) Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 111:518–526
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 240:205–213
Slankamenac K, Graf R, Barkun J et al (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258:1–7
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 265:1045–1050
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 262:286–294
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 46:668–685
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest and source of funding
For all authors, none was declared.
Research involving human participants and/or animals
The current study does not involve human participants or animals. Hence, no Institutional Review Board’s prior approval was required.
Informed consent
The current study does not involve human participants. No informed consent was therefore necessary.
Additional information
The article is part of topical collection on Gastric Cancer Surgery.
Rights and permissions
About this article
Cite this article
Baiocchi, G.L., Giacopuzzi, S. & Marrelli, D. Cutoff values of major surgical complications rates after gastrectomy. Updates Surg 70, 251–255 (2018). https://doi.org/10.1007/s13304-018-0530-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13304-018-0530-8