KẾT QUẢ SỚM PHẪU THUẬT CẮT DẠ DÀY CẤP CỨU

Abstract

Background: Emergency gastric resection is a major surgical procedure that is relatively uncommon and associated with a high mortality rate. The Objective of this study is to evaluate the early outcome of emergency gastrectomy and some risk factor that were associated with worse perioperative results. Methods: Retrospective case series study of patients undergoing emergency gastrectomy at Nhan dan Gia Dinh Hospital from January 2021 to June 2024. Results: 45 patients underwent emergency gastrectomy. Mean age was 67.8 ± 11.7, Male:female 1.25:1. The indications for the surgery included perforation 23 (51.1%), bleeding 22 (48.9%). Partial gastrectomy was performed in 40 (88.9%), wedge gastrectomy was 4 (6.2%), subtotal gastrectomy was 1 (2.2%). The length of postoperative hospital stay was 13.7 ± 14.5 day. Malignancy was the underlying pathology in 13 (28.9 %) patients.  The mortality rate was 28.9% (n=13). The most postoperative complication was pneumonia in 19 (42.2%). Postoperative complications of pneumonia and acute kidney injury, non-malignant postoperative pathology was associated with postoperative mortality. Conclusion: Emergency gastrectomy has a high complication and mortality. Respiratory complications and acute kidney injury are related to poor surgical outcomes. The decision‐making for the choice of surgery is based on intraoperative gastric injury, the patient's condition, the emergency surgeon's expertise, and the current state of the facilities.