Early Post-Operative Complications and Prognosisof Gastric Cancer Surgery

Introduction: Gastrectomy remains the main curative approach for gastric cancer but is frequently associated with early postoperative complications (EPCs), impacting morbidity and mortality. Objective: To evaluate the incidence of EPCs after gastrectomy for gastric cancer and identify key predictive factors. Methods: A retrospective study was conducted at CHU Ibn Rochd, including 50 patients operated on between January 2020 and August 2023. Clinical and perioperative data were analyzed to determine risk factors. Results: EPCs occurred in 34 patients (68%). The most frequent were paralytic ileus (82%), postoperative hemorrhage (48%), pulmonary infections (24%), surgical site infections (16%), and digestive fistula (6%). Predictive factors included age >60 years (p < 0.01), hypoalbuminemia <28 g/L (p = 0.001), antropyloric tumors (p = 0.0002), and total gastrectomy with organ resection (p = 0.02). Mortality was 12%, mainly due to septic shock. Conclusion: EPCs are common after gastrectomy. Nutritional optimization and standardized perioperative care may reduce complications and improve outcomes.