Short-term postoperative outcomes of gastric adenocarcinoma patients treated with curative intent in low-volume centers

• DOI: 10.1186/s12957-022-02804-x
• Publication Date: 2022-10-17T10:02:45Z
• Authors: Francisco-Javier ...; Javier Escrig-Sos; Roberto Marti-Obiol; Carmen Zaragoza; Fernando Mingol; Miguel Oviedo; Nuria Peris; Joaquin Civera; Amparo Roig; ; Consol Sabater; Vicente Espert; Gonzalo Todoli; María-José Cases; Mario Mella; Fernando Lopez-Mozos; Silvia Carbonell; Marcos Bruna; Claudia Mulas; Ramon Trullenque; José-Antonio Barr...; Luis Gomez; Cristina Sancho; Javier Aguilo; Jose-Manuel Navarro; Antonio Compañ; Alicia Calero; Enrique Canelles; Erick Montilla; Rodolfo Rodriguez; Yannko Gonzalez; Alejandro Moya; Xavier Barber; Jose Puche; Francisco Asencio
• Keywords: Surgical oncology; Esophagectomy; Contraindication

Abstract Background Quality standards in postoperative outcomes have not yet been defined for gastric cancer surgery. Also, the effect of centralization surgery on improvement continues to be debated. Short-term carcinoma patients centers with low-volume annual gastrectomies were assessed. The age major morbidity and mortality was also analyzed. Methods Patients or gastroesophageal junction Siewert III type carcinomas who underwent surgical treatment curative intent between January 2013 December 2016 included. Data obtained from population-based registry Esophagogastric Carcinoma Registry Comunitat Valenciana (RECEG-CV). RECEG-CV gathers information demographic characteristics comorbidity, preoperative study neoadjuvant treatment, procedure, pathological study, outcomes, follow-up. Seventeen hospitals belonging public network participated this registry. Results 591 Postoperative occurred 154 (26.1%) patients. Overall 30-day in-hospital mortality, 90-day rates 8.6% 10.1% respectively. Failure-to-rescue 39% it significantly higher aged 75 years older comparison younger (55.3% vs 23.1% p < 0.001). In multivariable analysis, ≥ ( = 0.029), laparoscopic approach 0.005), total gastrectomy 0.005) associated morbidity. Age 0.027), pulmonary complications 0.001), cardiac leakage 0.003), hemorrhage 0.013) mortality. Conclusions Centralization adenocarcinoma caseload should considered improve short-term centers. had a increased risk failure-to-rescue.