The primary composite endpoint is the cumulative incidence of reoperation and/or percutaneous drainage placement by the 30th postoperative day.

Secondary endpoints are as follows:

Incidence, severity, and time to diagnosis of anastomotic and duodenal leak

Length of hospital stay

Overall 30 days morbidity or in hospital if longer than 30 days

Overall 90 days mortality

30 days readmission rate

Length of hospital stay is considered from the day of operation until discharge at home or at other facilities, or death. Postoperative complications, including anastomotic and duodenal leak, are classified according to the International Consensus on a Complications List After Gastrectomy for Cancer [23] and stratified by severity using the Clavien-Dindo classification [24].

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