What Causes In-Hospital Mortality of Surgical Patients with Cancer of the Stomach?

H. Rohde Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

E. Rau Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

B. Gebbensleben Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

H. Stutzer Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

R. Küster Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

B. Salzberger Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

P. Ahrens Dept. of Surgery, Krankenhaus der Augustinerinnen, University of Cologne, Cologne, FRG; Dept. of Biostatistics, University of Cologne, Cologne, FRG

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Abstract

To learn more about causes of in-hospital mortality, we analyzed data on 1423 patients who underwent any of 6 surgical procedures at 22 departments of surgery between 1982 and 1984. Patients with cancers of the whole stomach had the highest mortality rate, and those with cancers of the middle third the lowest. The deeper the tumor invasion through the stomach wall, the higher the mortality. Total gastrectomy was performed most frequently. In-hospital mortality for total gastrectomy was lower (10.4%) than for gastroenterostomy (23.3%), proximal resection (18.3%), or other procedures for palliation (16.2%) and as high as explorative laparotomy (9.6%). Purely surgical complications were the cause of death in 5.6–20.2% of those who died in the hospital, whereas cardiac, pulmonary, or kidney complication caused 51.8% of the deaths during hospital stay.

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What Causes In-Hospital Mortality of Surgical Patients with Cancer of the Stomach?

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What Causes In-Hospital Mortality of Surgical Patients with Cancer of the Stomach?

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