Short Term Surgical Complications in operable Gastric Cancer According to Clavien–Dindo Classification System

Abstract

Background: Gastric cancer is the fifth most common cause of cancer-related death in Bangladesh. Curative resection remains the main modality of its successful treatment but the rate of postoperative complications is still high. This study was aimed to classify the short-term surgical complications in operable gastric cancer according to Clavien- Dindo (C-D) classification system. Methodology: Following convenience sampling, 32 patients of operable gastric cancer who underwent gastrectomy in the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University, from July 2019 to June 2020 were observed for their postoperative complication rate, type, and grade by C–D classification system. Data were analyzed with SPSS version 23. Result: Out of the 32 patients 12 (37.50%) patients developed complications. C-D classification Grade I, II, IIIa, IIIb, IVa and IVb complications were observed in 7(21.9%), 2 (6.25%), 0 (0%), 2 (6.25%), 1 (3.12%) and 0 (0%) cases respectively. Thirty days mortality was 6.30%. Conclusion: The Clavien-Dindo classification system is an easy and useful tool to evaluate and compare complications following gastric cancer surgery.