• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Profile and measures of postoperative complications after lapraroscopy assisted gastrectomy for gastric cancer

Profile and measures of postoperative complications after lapraroscopy assisted gastrectomy for gastric cancer

Nobuhiro Kurita, PhD, Mitsuo Shimada, PhD, Takashi Iwata, PhD, Hirohiko Sato, PhD, Kozo Yoshikawa, PhD, Jun Higashijima, PhD, Tomohiko Miyatani, PhD, Hideya Kashihara, MD, Chie Takasu, MD, Noriko Matsumoto, MD

Department of Surgery, The University of Tokushima

INTRODUCTION: To investigate the profile and measures of postoperative complications after lapraroscopy assisted gastrectomy (LAG) for gastric cancer

PATIENTS AND METHODS

1 .Profile: The postoperative conplications of the 217 patients who underwent LAG for gastric cancer were studied according to operative factors (operative time, blood loss, VFA: visceral fat area, learning curve).

2. Delayed gastric emptying (DGE): The incidence of delay according to gastrojejunostomy in the 133 patients underwent standardized LAG with Roux-en-Y (R-Y) reconstruction: A group (n=81), A 60mm linear stapler was inserted along the greater curvature. B group (n=24), The remnant stomach and the jejunum was anastomosed by end-to-end hand-sewn. C group (n=5), A 60mm linear stapler was inserted for E-G junction. The entry hole was closed by hand-sewn in Group A and C.

3. Internal hernia: The incidence of internal hernia was evaluated before and after closure of the hernia hilus.

RESULTS

1. The incidence of postoperative complications was 16.1% (n=35). Major complications were DGE 6.9% (n=15: LADG+R-Yreconstruction), pancreatic fistula 3.6% (n=8), pacreatic The incidence of pancreatic fistula in VFA >100cm2 was significantly higher than that in VFA <100cm2. There were no corelations between major complications and operative factors. Other complication were wond infection 5, pneumonia 3, leakage of anastomisis 2, postoperativer bleeding 1, stenosis of anastomosis 1. In obese patinets, careful operation is needed to prevent pancreatic fistula.

2. The incidence of DGE was 11.3% (n=15), and 16.0% (n=13) in Group A, 4.2% (n=1) in Group B, 3.6% (n=1) in Group C, respectively. Gastrojejunstomy along grater curvature in Group A could cause bending of it and lead to DGE. Patients with DGE had longer operation time (330 vs 290 min), higher ratio of D2 dissection.

3. 6 patinets (3.0%) had inernal hernia after 10-48 months after LAG+R-Y. The hilus was Y limb : 3, Petersen : 2, esophageal hilus :1. The hilus was closed in recent 30 patients and there are no inernal hernia in these patients.

CONCLUSION: The postoperative complications can be more reduced by appropriate operative procedures.


Session: Poster Presentation

Program Number: P218

75

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals