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

研究成果: 雜誌貢獻文章

24 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)741-745
頁數5
期刊American Journal of Surgery
196
發行號5
DOIs
出版狀態已發佈 - 十一月 1 2008
對外發佈Yes

指紋

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

ASJC Scopus subject areas

  • Surgery

引用此文

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.

於: American Journal of Surgery, 卷 196, 編號 5, 01.11.2008, p. 741-745.

研究成果: 雜誌貢獻文章

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. 於: American Journal of Surgery. 2008 ; 卷 196, 編號 5. 頁 741-745.
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AU - Hsieh, Mao-Chih

AU - Lui, Wing Yiu

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N2 - 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.

AB - 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.

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KW - Intra-abdominal infection

KW - Risk factors

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