Back to Search
Start Over
Intraoperative blood loss does not independently affect the survival outcome of gastric cancer patients who underwent curative resection.
- Source :
-
Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico [Clin Transl Oncol] 2019 Sep; Vol. 21 (9), pp. 1197-1206. Date of Electronic Publication: 2019 Jan 28. - Publication Year :
- 2019
-
Abstract
- Background: Whether intraoperative blood loss (IBL) was independently associated with poor prognosis of gastric cancer (GC) patients remains controversial. In the present study, we evaluated the impact of IBL on the disease-free survival (DFS) of GC patients.<br />Methods: A total of 1669 patients who underwent curative gastrectomy for GC were reviewed retrospectively. All patients were classified as IBL < 400 mL and IBL ≥ 400 mL group according to the amount of IBL. The prognostic difference between two patient groups was compared and clinicopathologic factors associated with the prognosis of GC patients were analyzed.<br />Results: The 5-year DFS rate of the patients with IBL < 400 mL and those with IBL ≥ 400 mL was 52.1% and 41.5%, respectively (P < 0.001). The 5-year DFS rate of the patients who did and did not receive intraoperative blood transfusion was 36.9% and 53.2%, respectively (P < 0.001). However, the similar survival outcomes were not observed in the subgroup analysis based on the TNM stage. The multivariate analysis indicated that IBL (HR 1.021, 95% CI 0.875-1.191, P > 0.05) and intraoperative blood transfusion (HR 1.111, 95% CI 0.943-1.309, P > 0.05) were not independent prognostic factors for GC patients. In addition, the patients with IBL ≥ 400 mL had a higher risk of postoperative complications than those with IBL < 400 mL, especially for intraabdominal infection and wound infection. The tumor located in upper 1/3 stomach, total gastrectomy, combined organ resection and advanced tumor stage (stage III) were independent risk factors for intraoperative massive hemorrhage.<br />Conclusion: Intraoperative blood loss was significantly associated with tumor-related and surgery-related factors. Intraoperative blood loss itself could not independently affect survival outcome of GC patients after curative gastrectomy.
- Subjects :
- Adult
Aged
Aged, 80 and over
Blood Loss, Surgical prevention & control
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prognosis
Retrospective Studies
Risk Factors
Stomach Neoplasms pathology
Stomach Neoplasms surgery
Survival Rate
Young Adult
Blood Loss, Surgical mortality
Blood Transfusion methods
Gastrectomy mortality
Intraoperative Complications mortality
Stomach Neoplasms mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1699-3055
- Volume :
- 21
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
- Publication Type :
- Academic Journal
- Accession number :
- 30689183
- Full Text :
- https://doi.org/10.1007/s12094-019-02046-6