Table 4.
Comparison between perioperative outcomes of MILR in Child’s A vs B cirrhosis
| Entire unmatched cohort | 1:1 PSM (nearest neighbour) | 1:1 CEM | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| All (N = 2363) | Childs A (N=2118) | Childs B (N = 245) | P-value | Childs A (N = 215) | Childs B (N = 215) | P-value (paried) | Childs A (N = 191) | Childs B (N = 191) | P-value (paired) | |
| Open conversion, n (%) | 138 (5.8) | 127 (6.0) | 11 (4.5) | 0.419 | 10 (4.7) | 8 (3.7) | 0.803 | 10 (5.2) | 9 (4.7) | 1.000 |
| Median operating time (IQR), min | 190.00 [135.00, 250.00] | 190.00 [134.00, 250.00] | 201.50 [144.00, 260.00] | 0.164 | 200.00 [143.00, 269.50] | 194.00 [143.00, 260.00] | 0.469 | 200.00 [145.00, 258.00] | 200.50 [149.25, 260.00] | 0.737 |
| Median blood loss (IQR), ml | 150.00 [50.00, 300.00] | 150.00 [50.00, 300.00] | 150.00 [50.00, 350.00] | 0.078 | 200.00 [52.50, 400.00] | 150.00 [60.00, 350.00] | 0.738 | 150.00 [100.00, 350.00] | 180.00 [84.50, 400.00] | 0.482 |
| Blood loss > 500 mls, n (%) | 270 (11.9) | 232 (11.4) | 38 (15.9) | 0.056 | 26 (12.4) | 32 (15.2) | 0.568 | 26 (13.9) | 32 (17.2) | 0.451 |
| Intraoperative blood transfusion, n (%) | 200 (8.5) | 157 (7.4) | 43 (17.6) | <0.001 | 29 (13.5) | 37 (17.2) | 0.332 | 15 (7.9) | 37 (19.4) | 0.002 |
| Pringle maneuver applied, n (%) | 1045 (44.8) | 942 (45.1) | 103 (42.9) | 0.571 | 93 (44.3) | 97 (46.2) | 0.766 | 94 (50.3) | 82 (43.6) | 0.213 |
| Median postoperative stay, d (IQR), mean (SD) | 6.00 [4.00, 8.00], 7.05 (7.60) | 5.00 [4.00, 7.00], 6.74 (7.47) | 7.00 [5.00, 13.00], 9.66 (8.21) | <0.001 | 6.00 [4.00, 10.00], 9.07 (18.02) | 7.00 [5.00, 13.00], 9.53 (7.11) | 0.001 | 6.00 [4.00, 8.00], 7.09 (6.42) | 8.00 [5.00, 13.00], 9.70 (7.67) | <0.001 |
| Postoperative morbidity, n (%) | 408 (17.3) | 349 (16.5) | 59 (24.1) | 0.004 | 40 (18.6) | 50 (23.3) | 0.282 | 37 (19.4) | 45 (23.6) | 0.374 |
| Major morbidity (Clavien-Dindo grade> 2), n (%) | 100 (4.2) | 75 (3.6) | 25 (10.2) | <0.001 | 7 (3.3) | 20 (9.3) | 0.012 | 4 (2.1) | 18 (9.4) | 0.006 |
| Reoperation, n (%) | 12 (0.5) | 10 (0.5) | 2 (0.8) | 0.358 | 0 (0.0) | 2 (0.9) | 0.480 | 0 (0.0) | 0 (0.0) | NA |
| 30-day readmission, n (%) | 50 (2.1) | 45 (2.1) | 5 (2.0) | 1.000 | 4 (1.9) | 4 (1.9) | 1.000 | 7 (3.7) | 3 (1.6) | 0.343 |
| 30-day mortality, n (%) | 10 (0.4) | 6 (0.3) | 4 (1.6) | 0.014 | 1 (0.5) | 3 (1.4) | 0.617 | 0 (0.0) | 2 (1.0) | 0.480 |
| In-hospital mortality, n (%) | 14 (0.6) | 12 (0.6) | 2 (0.8) | 0.650 | 1 (0.5) | 1 (0.5) | 1.000 | 0 (0.0) | 2 (1.0) | 0.480 |
| 90-day mortality, n (%) | 16 (0.7) | 11 (0.5) | 5 (2.0) | 0.019 | 2 (0.9) | 3 (1.4) | 1.000 | 0 (0.0) | 2 (1.0) | 0.480 |