Risk factors and management of intra-abdominal infection after extended radical gastrectomy

Chih Hsien Lo, Jen Hao Chen, Chew Wun Wu, Su Shun Lo, Mao-Chih Hsieh, Wing Yiu Lui

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: This study elucidated risk factors and management for intra-abdominal infection after extended radical gastrectomy. Methods: From 1988 to 2004, 2,076 patients with gastric cancer underwent extended radical gastrectomy at Taipei Veterans General Hospital. Risk factors for intra-abdominal infection were determined by analyzing clinicopathological factors, operative procedure, combined organ resection, operative time, blood loss, and associated disease(s). Management modalities were summarized. Results: The overall complication rate was 18.7%. Eighty (3.9%) patients were found to have intra-abdominal infections. Age, prolonged operation time, and combined organ resection were the precipitating factors. These patients were categorized into 3 groups: intra-abdominal abscess with adequate drainage, intra-abdominal abscess without anastomotic leakage, and intra-abdominal abscess because of leakage. Adequate drainage was the primary treatment. Mortality rate was 22.5% (18), and the most common cause of mortality was intra-abdominal abscess caused by leakage. Conclusions: Although expert surgical skills can minimize the incidence of intra-abdominal infection, management also requires experience and training.

Original languageEnglish
Pages (from-to)741-745
Number of pages5
JournalAmerican Journal of Surgery
Volume196
Issue number5
DOIs
Publication statusPublished - Nov 1 2008
Externally publishedYes

Fingerprint

Intraabdominal Infections
Abdominal Abscess
Risk Management
Gastrectomy
Drainage
Veterans Hospitals
Precipitating Factors
Anastomotic Leak
Mortality
Operative Surgical Procedures
Operative Time
General Hospitals
Stomach Neoplasms
Incidence

Keywords

  • Complications
  • Extended radical gastrectomy
  • Gastric cancer
  • Intra-abdominal infection
  • Risk factors

ASJC Scopus subject areas

  • Surgery

Cite this

Risk factors and management of intra-abdominal infection after extended radical gastrectomy. / Lo, Chih Hsien; Chen, Jen Hao; Wu, Chew Wun; Lo, Su Shun; Hsieh, Mao-Chih; Lui, Wing Yiu.

In: American Journal of Surgery, Vol. 196, No. 5, 01.11.2008, p. 741-745.

Research output: Contribution to journalArticle

Lo, Chih Hsien ; Chen, Jen Hao ; Wu, Chew Wun ; Lo, Su Shun ; Hsieh, Mao-Chih ; Lui, Wing Yiu. / Risk factors and management of intra-abdominal infection after extended radical gastrectomy. In: American Journal of Surgery. 2008 ; Vol. 196, No. 5. pp. 741-745.
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