Table 2.
Short-term outcomes and complications
All patients | No CME | CME | P* | |
---|---|---|---|---|
No. of deaths | ||||
Within 30 days | 1 (0.1) | 1 (0.2) | 0 (0) | 1.000 |
Within 90 days | 13 (1.3) | 9 (1.8) | 4 (0.8) | 0.26 |
No. of intraoperative complications | 12 (1.2) | 6 (1.2) | 6 (1.2) | 1.000 |
Tumour laceration | 1 (0.1) | 1 (0.2) | 0 (0) | 1.000 |
Blood loss > 500 ml | 2 (0.2) | 0 (0) | 2 (0.4) | 0.499 |
Pancreatic injury | 0 (0) | 0 (0) | 0 (0) | 1.000 |
Intestinal injury | 6 (0.6) | 5 (1.0) | 1 (0.2) | 0.217 |
Ureteral injury | 1 (0.1) | 0 (0) | 1 (0.2) | 1.000 |
Anastomotic complications | 1 (0.1) | 0 (0) | 1 (0.2) | 1.000 |
Injury to SMV | 1 (0.1) | 0 (0) | 1 (0.2) | 1.000 |
No. of general postoperative complications | 181 (18.0) | 92 (18.1) | 89 (17.9) | 0.780 |
Pulmonary embolism | 3 (0.3) | 2 (0.4) | 1 (0.2) | 1.000 |
Pneumonia | 35 (3.5) | 21 (4.1) | 14 (2.8) | 0.305 |
Other pulmonary | 14 (1.4) | 6 (1.2) | 8 (1.6) | 0.601 |
Urinary tract infection | 25 (2.5) | 13 (2.6) | 12 (2.4) | 1.000 |
Fever | 13 (1.3) | 4 (0.8) | 9 (1.8) | 0.174 |
Cardiac | 29 (2.9) | 15 (3.0) | 14 (2.8) | 1.000 |
Multiple organ failure | 1 (0.1) | 0 (0) | 1 (0.2) | 0.449 |
Deep vein thrombosis | 1 (0.1) | 1 (0.2) | 0 (0) | 1.000 |
Renal | 15 (1.5) | 10 (2.0) | 5 (1.0) | 0.299 |
Other | 45 (4.5) | 20 (3.9) | 25 (5.0) | 0.449 |
No. of surgical postoperative complications | 249 (24.8) | 120 (23.6) | 129 (26.0) | 0.290 |
Bleeding | 7 (0.7) | 3 (0.6) | 4 (0.8) | 0.723 |
Wound abscess | 6 (0.6) | 3 (0.6) | 3 (0.6) | 1.000 |
Sepsis | 7 (0.7) | 5 (1.0) | 2 (0.4) | 0.452 |
Anastomotic leakage | 25 (2.5) | 8 (1.6) | 17 (3.4) | 0.071 |
Aseptic wound complication | 12 (1.2) | 5 (1.0) | 7 (1.4) | 0.575 |
Wound infection | 42 (4.2) | 23 (4.5) | 19 (3.8) | 0.690 |
Intra-abdominal abscess | 8 (0.8) | 4 (0.8) | 4 (0.8) | 1.000 |
Mechanical ileus | 5 (0.5) | 2 (0.4) | 3 (0.6) | 0.634 |
Peritonitis | 12 (1.2) | 5 (1.0) | 7 (1.4) | 0.575 |
Postoperative functional | 72 (7.2) | 38 (7.5) | 34 (6.9) | 0.807 |
Abdominal wall dehiscence | 19 (1.9) | 8 (1.6) | 11 (2.2) | 0.496 |
Other | 34 (3.4) | 16 (3.1) | 18 (3.6) | 0.730 |
No. of patients who had relaparotomies | 0.490 | |||
1 | 61 (6.1) | 30 (5.9) | 31 (6.1) | |
2 | 7 (0.7) | 3 (0.6) | 4 (0.8) | |
> 2 | 15 (1.5) | 5 (1.0) | 10 (2.0) | |
Not available | 20 (2.0) | 16 (3.1) | 4 (0.8) | |
No. of patients with complications | 289 (28.8) | 141 (27.8) | 148 (29.8) | 0.466 |
Clavien–Dindo grade I–IIIa | 202 (20.1) | 101 (19.9) | 101 (20.4) | 0.878 |
Clavien–Dindo grade IIIb–IV | 87 (8.7) | 40 (7.9) | 47 (9.5) | 0.435 |
Duration of hospital stay (days), mean(s.d.) | 14.6 (9.6) | 13.9 (11.4) | 13.1 (8.3) | 0.206† |
Values are n (%) unless otherwise indicated. Leakage refers to grade C (need for relaparotomy). No chronic anastomotic sinuses were reported. Two intraoperative complications (bleeding and superior mesenteric vein (SMV) injury) occurred in one patient in the CME group. CME, complete mesocolic excision. *χ2test, except †? test.