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Impact of chronic kidney disease stage on morbidity after gastrectomy for gastric cancer
- Source :
- Annals of Gastroenterological Surgery, Vol 5, Iss 4, Pp 519-527 (2021)
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Abstract Aim The outcomes of gastrectomy for gastric cancer in patients at each severity of chronic kidney disease (CKD) remain unknown. Methods We retrospectively analyzed the outcomes of 560 patients who underwent distal or total gastrectomy for gastric cancer between 2009 and 2018. We classified the patients into four groups based on estimated glomerular filtration rate: stage 1/2 (normal to mild, n = 375), stage 3a (mild to moderate, n = 122), stage 3b (moderate to severe, n = 43), and stage 4/5 (severe to endāstage, n = 20) CKD. The relationship between CKD stage and the incidence of postoperative morbidity was analyzed. Results CKD was a predictor of overall morbidity independent of age, gender, American Society of Anesthesiologists Performance Status, pulmonary comorbidity, extent of lymphadenectomy, and operation time in a multivariate analysis. The incidences of overall and severe morbidity were significantly increased with CKD progression (both P
Details
- Language :
- English
- ISSN :
- 24750328
- Volume :
- 5
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Annals of Gastroenterological Surgery
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.b6c1e83100ad40099a9e659a6907bc8f
- Document Type :
- article
- Full Text :
- https://doi.org/10.1002/ags3.12441