@article{oai:shiga-med.repo.nii.ac.jp:00004224,
 author = {竹林, 克士 and 村田, 聡 and 貝田, 佐知子 and 山口, 剛 and 大竹, 玲子 and 三宅, 亨 and 植木, 智之 and 小島, 正継 and 飯田, 洋也 and 前平, 博充 and 森, 治樹 and 清水, 智治 and 谷, 眞至 and TAKEBAYASHI, Katsushi and MURATA, Satoshi and KAIDA, Sachiko and YAMAGUCHI, Tsuyoshi and OHTAKE, Reiko and MIYAKE, Toru and UEKI, Tomoyuki and KOJIMA, Masatsugu and IIDA, Hiroya and MAEHIRA, Hiromitsu and MORI, Haruki and SHIMIZU, Tomoharu and TANI, Masaji},
 journal = {American journal of surgery},
 month = {May},
 note = {pdf, Background:
This study aimed to evaluate the impact of postoperative intra-abdominal infectious complications (PICs) on survival after surgery for gastric cancer., Methods:
A total of 152 patients who underwent curative gastrectomy for gastric cancer were included. The effect of clinicopathological features and PICs on recurrence-free survival (RFS) and overall survival (OS) were investigated., Results:
The median age was 67 years. The pathological stage was stage I (61), II (40), and III (51). Thirty-two patients (21.1%) had PICs: 9, pancreatic fistula; 14, anastomotic leakage; and 17, intra-abdominal abscess. The five-year RFS and OS rates were significantly lower in patients with PICs than in those without PICs (63.4 vs. 85.6%; p < 0.01 and 56.4 vs. 80.3%; p < 0.01, respectively). In multivariate analysis, intraoperative blood loss was an independent prognostic factor for PICs., Conclusions:
Patients with PICs had worse clinical outcomes. Reducing intraoperative bleeding may improve the prognosis of gastric cancer., Journal Article},
 title = {Adverse impact of postoperative intra-abdominal infectious complications on cancer recurrence-related survival after curative gastric cancer surgery.},
 year = {2022}
}