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Preoperative predictors of postoperative complications after gastric cancer resection
Risk management is becoming an increasingly important healthcare issue. Gastrectomy with lymphadenectomy is still the mainstay of treatment for localized gastric cancer, but it is sometimes associated with postoperative complications that compromise the patient’s quality of life, tolerability of adj...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Singapore
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949209/ https://www.ncbi.nlm.nih.gov/pubmed/31535226 http://dx.doi.org/10.1007/s00595-019-01877-8 |
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author | Kanda, Mitsuro |
author_facet | Kanda, Mitsuro |
author_sort | Kanda, Mitsuro |
collection | PubMed |
description | Risk management is becoming an increasingly important healthcare issue. Gastrectomy with lymphadenectomy is still the mainstay of treatment for localized gastric cancer, but it is sometimes associated with postoperative complications that compromise the patient’s quality of life, tolerability of adjuvant treatment, and prognosis. Parameters based exclusively on preoperative factors can identify patients most at risk of postoperative complications, whereby surgeons can provide the patient with precise informed consent information and optimal perioperative management. Ultimately, these predictive tools can also help minimize medical costs. In this context, many studies have identified factors that predict postoperative complications, including indicators based on body constitution, nutrition, inflammation, organ function and hypercoagulation. This review presents our current understanding and discusses some future perspectives of preoperatively identified factors predictive of complications after resection for gastric cancer. |
format | Online Article Text |
id | pubmed-6949209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-69492092020-01-23 Preoperative predictors of postoperative complications after gastric cancer resection Kanda, Mitsuro Surg Today Review Article Risk management is becoming an increasingly important healthcare issue. Gastrectomy with lymphadenectomy is still the mainstay of treatment for localized gastric cancer, but it is sometimes associated with postoperative complications that compromise the patient’s quality of life, tolerability of adjuvant treatment, and prognosis. Parameters based exclusively on preoperative factors can identify patients most at risk of postoperative complications, whereby surgeons can provide the patient with precise informed consent information and optimal perioperative management. Ultimately, these predictive tools can also help minimize medical costs. In this context, many studies have identified factors that predict postoperative complications, including indicators based on body constitution, nutrition, inflammation, organ function and hypercoagulation. This review presents our current understanding and discusses some future perspectives of preoperatively identified factors predictive of complications after resection for gastric cancer. Springer Singapore 2019-09-18 2020 /pmc/articles/PMC6949209/ /pubmed/31535226 http://dx.doi.org/10.1007/s00595-019-01877-8 Text en © The Author(s) 2019, corrected publication 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Review Article Kanda, Mitsuro Preoperative predictors of postoperative complications after gastric cancer resection |
title | Preoperative predictors of postoperative complications after gastric cancer resection |
title_full | Preoperative predictors of postoperative complications after gastric cancer resection |
title_fullStr | Preoperative predictors of postoperative complications after gastric cancer resection |
title_full_unstemmed | Preoperative predictors of postoperative complications after gastric cancer resection |
title_short | Preoperative predictors of postoperative complications after gastric cancer resection |
title_sort | preoperative predictors of postoperative complications after gastric cancer resection |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949209/ https://www.ncbi.nlm.nih.gov/pubmed/31535226 http://dx.doi.org/10.1007/s00595-019-01877-8 |
work_keys_str_mv | AT kandamitsuro preoperativepredictorsofpostoperativecomplicationsaftergastriccancerresection |