Table 2.
Results of postoperative surveillance
|
Stapled n = 24 |
Hand-sewn n = 29 |
P value | |
|---|---|---|---|
| Median follow-up period after surgery, months (range) | 198.7 (13–447.8) | 149.0 (7.9–539.5) | 0.163 |
| Follow up status | 0.017 | ||
| End of follow-up*, cases (%) | 1 (4.2) | 4 (13.8) | |
| Lost to follow-up, cases (%) | 3 (12.5) | 5 (17.2) | |
| Followed up, cases (%) | 11 (45.8) | 19 (65.5) | |
| Dead, cases (%) | 9 (37.5) | 1 (3.4) | |
| Temporary drop-out from surveillance, cases (%) | 2 (8.3) | 2 (6.9) | 1.000 |
| Adenoma in the remnant rectum or ATZ, cases (%) | 11 (45.8) | 3 (10.3) | 0.005 |
| FAP-related malignancies | |||
| Metachronous remnant rectal cancer, cases (%) | 7 (29.2) | 0 (0) | 0.002 |
| Gastric cancer, cases (%) | 4 (16.7) | 1 (4.2) | 0.164 |
| Duodenal cancer, cases (%) | 2 (8.3) | 2 (6.9) | 1.000 |
| Thyroid cancer, cases (%) | 0 (0) | 1 (4.2) | 1.000 |
| Pouch cancer, cases (%) | 0 (0) | 2 (6.9) | 0.495 |
| Desmoid tumor, cases (%) | 6 (25) | 8 (17.6) | 1.000 |
| Malignancies not related to FAP | |||
| Lung cancer | 0 (0) | 2 (6.9) | 0.495 |
| Uterine cancer | 1 (4.2) | 0 (0) | 0.453 |
| Cause of death, cases (%) | |||
| FAP-related malignancies, cases (%) | 6 (25) | 1 (3.4) | 0.038 |
| Metachronous rectal cancer, cases (%) | 4 (16.7) | 0 (0) | 0.036 |
| Preoperative colorectal cancer, cases (%) | 1 (4.2) | 1 (3.4) | 1.000 |
| Others, cases (%) | 3 (12.5) | 0 (0) | 0.106 |
ATZ anal transitional zone, FAP familial adenomatous polyposis
*Patients who are over 75 years of age or wish to end surveillance