Risk factors for postoperative pneumonia after gastrectomy for gastric cancer
Abstract
Purpose The number of elderly patients undergoing gastrectomy for gastric cancer is increasing. Yet, although elderly patients are at high risk of postoperative pneumonia, no study has sufficiently investigated which clinicopathological factors are significant risk factors for the development of this complication after gastrectomy with lymph node dissection.Methods We reviewed the medical records of 750 patients who underwent gastrectomy between January 2010 and May 2012, to establish the incidence of postoperative pneumonia (Clavien-Dindo grade II or higher). Univariate and multivariate analyses were performed to identify the risk factors for postoperative pneumonia.Results Thirty-two patients (4.3 %) suffered postoperative pneumonia, diagnosed as grades I, II, IIIa, and IVa, in 2 (0.3 %), 28 (3.7 %), 1 (0.2 %), and 1 (0.2 %) patient(s), respectively. Univariate analysis revealed that age (≥75 years), sex (male), diabetes mellitus (DM), a history of smoking, and impairment of respiratory function were significantly associated with postoperative pneumonia. Multivariate analysis revealed that age, impaired postoperative respiratory function, DM, and blood transfusion were independent risk factors for postoperative pneumonia.Conclusions Age, impaired postoperative respiratory function, DM, and blood transfusion were identified as independent risk factors for postoperative pneumonia after gastrectomy.
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The reported incidence of postoperative pneumonia after gastric cancer surgery is 1.1-12.32%.
“Postoperative pneumonia is the most common complication after gastric resection, occurring in 1.1–12.32% of the patients 2, 3, 4, 5, 6, 7.”
From Prognostic significance of postoperative pneumonia after curative resection for patients with gastric cancer (2017) · cites this paper as [7]
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Self-citation
- Authors
- Miki, Y., Makuuchi, R., Tokunaga, M., Tanizawa, Y., Bando, E., Kawamura, T., & Terashima, M.
- Affiliations
- Shizuoka Cancer Center (JP)
- Corresponding author
- Terashima, Masanori
- ORCID
- Venue
- Surgery Today
- Published
- 2015-06-16
- Volume
- 46
- Issue
- 5
- Pages
- 552-556
- ISSN
- 0047-1909 (ISSN-L)
- 0941-1291
- 1436-2813
- OpenAlex
- W643576957
- Cited by
- 77
- References
- 18
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 12 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 9 · 2016: 4
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Surgery Today (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gastric Cancer Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- postoperative pneumonia, gastrectomy, gastric cancer, risk factors, elderly patients, diabetes mellitus, blood transfusion, smoking, lymph node dissection, Clavien-Dindo classification
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Analysis of Variance, Blood Transfusion, Diabetes Mellitus, Female, Gastrectomy, Humans, Male, Middle Aged, Pneumonia, Postoperative Complications, Respiration Disorders, Risk Factors, Stomach Neoplasms, Endoplasmic Reticulum, Smooth, Young Adult
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