2018 Volume 33 Issue 2 Pages 747-752
Aim: To investigate the factors related to post-operative complications after gastrectomy for gastric cancer.
Subjects and Methods: From September 2014 to June 2015, 104 patients who underwent elective gastrectomy for gastric cancer at our hospital were retrospectively investigated. Multivariate regression analysis was performed to correlate variables with post-operative complications. P < 0.05 was defined as being statistically significant in multiple regression analysis.
Results: A total of 82 patients underwent distal gastrectomy and 22 underwent total gastrectomy. Post-operative complications (≧Clavien-Dindo Classification grade Ⅱ) occurred in 20 out of 104 patients (19.2%). There was a statistically significant correlation between complications and lymph node metastasis (P=0.032), visceral fat volume (P=0.046), body mass index (BMI) ≧25 kg/m2 (P=0.002), sarcopenic obesity (P=0.004), diminished grip strength (P=0.047), and neutrophil count (P=0.026) in univariate analysis. Multivariate analysis confirmed statistically significant correlations between complications and gender (P=0.041), age (P=0.032), chronic renal disease (P=0.014), BMI ≧25 kg/m2 (P=0.006), sarcopenic obesity (P=0.021), and diminished grip strength (P=0.005).
Conclusion: A thorough preoperative examination that includes the estimated glomerular filtration rate, BMI, grip strength, visceral fat volume, and skeletal muscle mass is useful in predicting complications after gastrectomy.
