BACKGROUND/AIMS: Surgical technique and postoperative care for @entity356 have significantly improved in recent years. However, whether postoperative morbidity or mortality rates after gastrectomy for @entity356 were reduced or not in recent years was unclear. In this study, we analyzed the chronological changes of postoperative morbidity and mortality rates, and we analyzed risk factors for postoperative morbidity and mortality in @entity1 undergoing gastrectomy for @entity189 of the stomach. METHODOLOGY: A total of 887 @entity1 with @entity356 were gastrectomized in our hospital between January 1985 and December 1996. The @entity1 were divided into three groups on the basis of chronology. The first group included @entity1 treated over the period 1985 to 1988 (n = 324); the second group, 1989 to 1992 (n = 300); and the third group, 1993 to 1996 (n = 263). Postoperative morbidity rates and mortality rates were compared among the three groups. Also, significant risk factors affecting postoperative morbidity and in-hospital mortality were analyzed by the multiple logistic regression analysis. RESULTS: @entity260 were detected in 95 @entity1 (10.7%) and in-hospital mortality rate was 2.4% (21/887). Postoperative morbidity rates were 10.5%, 11%, and 10.6% in the first, second, and third groups, respectively and postoperative mortality rates were 2.5%, 2%, and 2.7%, respectively. These postoperative morbidity and mortality rates were not different between the groups (P = 0.979 and P = 0.866). The most common postoperative complication was @entity834 (56/95, 58.9%). Significant risk factors affecting in-hospital mortality were Stage IV (P = 0.006) and noncurative gastric resection (P = 0.004). However, the extent of lymph node dissection, combined resection, or the existence of preoperative complications were not significant risk factors of in-hospital mortality by multiple logistic regression analysis. CONCLUSIONS: These results indicate that @entity1 with far-advanced @entity356 might have a high risk of postoperative mortality. In noncurative operations for @entity1 with advanced @entity356 , unnecessary lymph node dissection or combined resection should be avoided.

Postoperative morbidity and mortality after gastrectomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leakage'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomas'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity356 :: (MESH:D013274,Disease) :: ['gastric carcinoma']
