Significant Postoperative Complications Erode Survival in Remnant Gastric Cancer Patients

Severe complications after curative surgery for remnant gastric cancer affect long-term outcomes significantly. In a study of 126 patients, those with complications classified as Clavien-Dindo grade ≥ 3a exhibited markedly lower five-year overall survival (32% vs. 65.6%) and recurrence-free survival (33.6% vs. 64.3%). Key risk factors were identified: smoking, prolonged operative time, and blood transfusions, highlighting the need to address these to improve patient prognoses in this challenging cohort.