Postoperative Morbidity and Mortality After Gastrectomy for Gastric Cancer: Prospective Cohort Study

N/AUnknownNCT01919242

Yonsei University10,000 enrolled

Overview

Gastric cancer is still one of the main health care issue and gastrectomy with lymph node dissection is the only chance to be cure. Even though the development and standardization of gastric cancer surgery, the morbidity of gastric cancer surgery was reported around 20% with less than 1% of mortality in East. In contrast, around 40% of morbidity and 10% of mortality was reported in West. There has been several indexes which can define the complications after surgery, but adapting it into clinical practice is sometimes difficult due to the heterogeneous opinion between surgeons. Thus for clear defining the complications after surgery, consensus between many surgeons and prospective cohort study is necessary. The purpose of this study is collecting the complications data after gastric cancer surgery and defining it with every week meeting by at least 6 or more surgeons' discussion.

Study Type

OBSERVATIONAL

Enrollment

10,000

Conditions

Patients Who Underwent Gastrectomy With Lymph Node Dissection for Gastric Cancer

Interventions

gastrectomyPROCEDURE

Eligibility

Sex: ALLMin age: 20 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients who had histologically confirmed gastric cancer and are going to underwent gastrectomy * age over 20 years with agree to the study Exclusion Criteria: * withdrawal of their agreement * vulnerable subjects (ex. pregnancy, disabled to decide by him or herself, cannot understand the study such as mental retardation or foreigner)

Outcomes

Primary Outcomes

the type of complications and the incidence of it

the types of complication is classified into as follows: wound complications, intra-abdominal fluid collection or abscess, intra-luminal bleeding, intra-abdominal bleeding, intestinal obstruction, ileus, stricture of anastomosis, anastomosis leak, pancreatitis, pulmonary complications, urinary tract infection, renal dysfunction, hepatic dysfunction, cardiac dysfunction, endocrine dysfunction, miscellaneous complications. Each complication will be graded according to Clavian-Dindo classification. Re-admission or visiting emergency room will be checked and recorded.

Time frame: within 30 days after operation, any case of re-admission