Observation of Early Outcome and Complications among Gastric Cancer Surgery Patients
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Date
2024-09
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Journal ISSN
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Publisher
Society for Health Care & Research Development
Abstract
Background Gastric cancer remains a significant public health challenge in Bangladesh, with a high prevalence of habitual risk factors and late-stage diagnoses. This study aims to evaluate the early outcomes and postoperative complications among gastric cancer surgery patients in a resource-limited setting. Material & Methods: This prospective, cross-sectional observational study was conducted from July 2017 to March 2019 at the Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Dhaka. Forty patients with biopsy-proven operable gastric carcinoma were selected using purposive nonrandomized sampling. Data were collected through clinical evaluations, structured interviews, and case record forms, focusing on demographic characteristics, habitual risk factors, tumor-related features, types of surgery, duration of surgery, hospital stay, and postoperative complications. Statistical analyses were performed using SPSS-22. Results: The mean age of participants was 65.16 � 10.28 years, with a male predominance (70%). Smoking (70%) and beetle leaf consumption (90%) were prevalent habitual risk factors. Distal stomach cancer was more common (65%), with a mean tumor size of 5.00 � 2.00 cm. Lower radical gastrectomy was performed in 65% of cases. Most surgeries (60%) were completed within 1 to 1.5 hours. Hospital stay durations varied, with 45% staying 11-15 days. Postoperative complications were noted in 52.50% of patients, including wound infections (20%) and urinary tract infections (15%). Conclusions: This study highlights the critical need for improved early detection, risk factor mitigation, and postoperative care in gastric cancer management within Bangladesh. These findings provide a foundation for future research and clinical strategies aimed at enhancing patient outcomes in similar resource-limited settings.
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Keywords
Gastric cancer, postoperative complications, Bangladesh, early outcomes, surgical oncology.
Citation
Shoaib Tanvir Hasan, Biswas Girin Chandra, Parveen Lt Col Shahajadi Shanjida, Prova Mahnaz Tabassum, Haque Md Ekramul, Fatema Kaselia, Rahman Sonia, Hossen Md. Nahid. Observation of Early Outcome and Complications among Gastric Cancer Surgery Patients. Annals of International Medical and Dental Research. 2024 Sep; 10(5): 111-120