Table 2.
Correlation between anastomotic leakage and clinicopathological factors in patients who underwent simultaneous resection for SCLM
Leakage (−) (n = 63) | Leakage (+) (n = 18) | Univariate analysis p value | Multivariate analysis p value, RR (95%CI) | ||
---|---|---|---|---|---|
Patient characteristics | |||||
Median age (range) (years) | 59 (40–85) | 59 (41–73) | 0.81 | ||
Male/female | 33/30 | 12/6 | 0.42 | ||
BMI (mean ± SD) | 21.9 ± 2.9 | 22.5 ± 2.2 | 0.44 | ||
Preoperative comorbidity | |||||
Absent | 44 | 12 | 0.78 | ||
Present | 19 | 6 | |||
Primary colorectal tumor | |||||
Site | Colon | 42 | 6 | 0.01 | N.S. |
Rectum | 21 | 12 | |||
Stenosis | Absent | 56 | 0 | 0.34 | |
Present | 7 | 18 | |||
Tumor size, mm | 52.0 | 58.0 | 0.25 | ||
pT stage | pT3 | 41 | 9 | 0.25 | |
pT4 | 22 | 9 | |||
pN stage | pN0 | 17 | 2 | 0.22 | |
pN+ | 46 | 16 | |||
Histology | Well, mod | 60 | 15 | 0.12 | |
Poor | 3 | 3 | |||
Liver metastasis | |||||
Distribution | Unilobar | 38 | 9 | 0.43 | |
Bilobar | 25 | 9 | |||
Number of tumors (range) | 2.3 (1–8) | 2.6 (1–8) | 0.57 | ||
Tumor size, mm | 47 | 33 | 0.06 | ||
Operative factors | |||||
Lateral lymph node dissection | |||||
Absent | 55 | 10 | <0.01 | N.S. | |
Present | 8 | 8 | |||
Diverting stoma | |||||
Absent | 48 | 11 | 0.24 | ||
Present | 15 | 7 | |||
Liver resection | |||||
Partial Hx, segmentectomy | 51 | 16 | 0.72 | ||
≥Lobectomy | 12 | 2 | |||
Timing of anastomosis | |||||
Colectomy → anastomosis → Hx | 20 | 4 | 0.20 | ||
Colectomy → Hx → anastomosis | 7 | 5 | |||
Hx → colectomy → anastomosis | 36 | 9 | |||
Pringle maneuver | |||||
Absent | 10 | 1 | 0.44 | ||
Present | 53 | 17 | |||
Operation time | |||||
<8 h | 53 | 8 | <0.01 | <0.01, 6.63 (2.09–20.9) | |
≥8 h | 10 | 10 | |||
Blood loss, g (range) | 1,345 (162–6,000) | 2,487 (430–6,560) | 0.02 | N.S. | |
Transfusion | |||||
Absent | 39 | 9 | 0.37 | ||
Present | 24 | 9 | |||
Blood transfusion, ml | 343 | 1,212 | 0.05 |
RR relative risk, CI confidence interval, Hx hepatectomy, N.S. non-significant (p > 0.05)