International consensus on a complications list after gastrectomy for cancer.
- Baiocchi GL Department of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, Brescia, Italy. gianluca.baiocchi@unibs.it.
- Giacopuzzi S Department of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.
- Marrelli D Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy.
- Reim D Surgical Department, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
- Piessen G Department of Digestive and Oncological Surgery, Univ. Lille, and Claude Huriez University Hospital, Lille, France.
- Matos da Costa P Faculdade Medicina, Universidade Lisboa, Lisbon, Portugal.
- Reynolds JV Department of Surgery, St. James's Hospital and Trinity College Dublin, Dublin, Ireland.
- Meyer HJ Generalsekretär, Deutsche Gesellschaft für Chirurgie, Berlin, Germany.
- Morgagni P GB Morgagni-L Pierantoni Surgical Department, Forlì, Italy.
- Gockel I Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
- Lara Santos L Experimental Pathology and Therapeutics Group and Surgical Oncology Department, Portuguese Institute of Oncology, Porto, Portugal.
- Jensen LS Department of Surgery, Aarhus University Hospital, Aarhus C, Denmark.
- Murphy T Department of Surgery, Mercy University Hospital, Cork City, Ireland.
- Preston SR Oesophageal Gastric Unit, Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK.
- Ter-Ovanesov M Oncological and Haematological RUPF, Moscow Municipal Oncological Hospital, Moscow, Russia.
- Fumagalli Romario U 2nd Division of General Surgery, Spedali Civili, Brescia, Italy.
- Degiuli M Department of Oncology, Head, Digestive and Surgical Oncology, University of Torino, and San Luigi University Hospital, Orbassano, Italy.
- Kielan W 2nd Department of General and Oncological Surgery, Wroclaw Medical University, Wrocław, Poland.
- Mönig S Division of Abdominal Surgery, University Hospital of Geneva, Geneva, Switzerland.
- Kołodziejczyk P Department of Surgery I, Jagiellonian University, Krakow, Poland.
- Polkowski W Department of Surgical Oncology, Medical University of Lublin, Lublin, Poland.
- Hardwick R Spire Cambridge Lea Hospital, Cambridge, UK.
- Pera M Department of Surgery, Section of Gastrointestinal Surgery, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, and Hospital Universitario del Mar Medical Research Institute (IMIM), Barcelona, Spain.
- Johansson J Department of Clinical Sciences, Surgery, Faculty of Medicine, Lund University, Lund, Sweden.
- Schneider PM Center for Visceral, Thoracic and Specialized Tumor Surgery, Hirslanden Medical Center, Zurich, Switzerland.
- de Steur WO Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
- Gisbertz SS Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
- Hartgrink H Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
- van Sandick JW Department of Surgery, Netherlands Cancer Institute, and Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
- Portolani N Department of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, Brescia, Italy.
- Hölscher AH German Center for Esophageal and Gastric Surgery, Agaplesion Markuskrankenhaus, Frankfurt, Germany.
- Botticini M IGIER, Università Bocconi, Milan, Italy.
- Roviello F Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy.
- Mariette C Department of Digestive and Oncological Surgery, Univ. Lille, and Claude Huriez University Hospital, Lille, France.
- Allum W Department of Surgery, Royal Marsden NHS Foundation Trust, London, UK.
- De Manzoni G Department of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.
- 2018-05-31
Published in:
- Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association. - 2019
Clavien–Dindo classification
Comprehensive Complications Index
Gastrectomy
Gastric cancer
International consensus
Perioperative complications
Consensus
Delphi Technique
Gastrectomy
Humans
Intraoperative Complications
Postoperative Complications
Stomach Neoplasms
English
BACKGROUND
Perioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus.
METHODS
The Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was reached regarding a set of standardized methods to define gastrectomy complications.
RESULTS
A standardized list of 27 defined complications (grouped into 3 intraoperative, 14 postoperative general, and 10 postoperative surgical complications) was created to provide a simple but accurate template for recording individual gastrectomy complications. A consensus was reached for both the list of complications that should be considered major adverse events after gastrectomy for cancer and their specific definitions. The study group also agreed that an assessment of each surgical case should be completed at patient discharge and 90 days postoperatively using a Complication Recording Sheet.
CONCLUSION
The list of defined complications (soon to be validated in an international multicenter study) and the ongoing development of an electronic datasheet app to record them provide the basic infrastructure to reach the ultimate goals of standardized international data collection, establishment of benchmark results, and fostering of quality-improvement projects.
Perioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus.
METHODS
The Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was reached regarding a set of standardized methods to define gastrectomy complications.
RESULTS
A standardized list of 27 defined complications (grouped into 3 intraoperative, 14 postoperative general, and 10 postoperative surgical complications) was created to provide a simple but accurate template for recording individual gastrectomy complications. A consensus was reached for both the list of complications that should be considered major adverse events after gastrectomy for cancer and their specific definitions. The study group also agreed that an assessment of each surgical case should be completed at patient discharge and 90 days postoperatively using a Complication Recording Sheet.
CONCLUSION
The list of defined complications (soon to be validated in an international multicenter study) and the ongoing development of an electronic datasheet app to record them provide the basic infrastructure to reach the ultimate goals of standardized international data collection, establishment of benchmark results, and fostering of quality-improvement projects.
- Language
-
- English
- Open access status
- bronze
- Identifiers
-
- DOI 10.1007/s10120-018-0839-5
- PMID 29846827
- Persistent URL
- https://sonar.ch/global/documents/229666
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