TABLE 2.
Morbidity in patients undergoing extensive cytoreductive surgery
| Comparison group (n = 222) |
Extensive CRS (n = 60) |
p value |
|
|---|---|---|---|
| Intraoperative complications | 3 (1.4 %) | 1 (1.7 %) | 1.0 |
| Overall morbidity | 130 (58.6 %) | 42 (70 %) | 0.1 |
| Grade 3–4 morbidity | 51 (23.0 %) | 19 (31.7 %) | 0.2 |
| 60-day mortality | 2 (0.9 %) | 1 (1.7 %) | 0.1 |
| Specific complications, grade ≥3 | |||
| Delayed gastric emptying | 35 (15.8 %) | 4 (6.7 %) | 0.09 |
| Surgical site infection, superficial |
30 (13.5 %) | 9 (15.0 %) | 0.8 |
| Surgical site infection, deep | 19 (8.6 %) | 6 (10 %) | 0.8 |
| Pulmonary insufficiency | 15 (6.8 %) | 6 (10.0 %) | 0.4 |
| Ileus >21 days | 11 (5.0 %) | 5 (8.3 %) | 0.3 |
| Sepsis | 5 (2.2 %) | 2 (3.3 %) | 0.6 |
| Anastomotic leak | 4 (1.8 %) | 2 (3.3 %) | 0.6 |
| Thromboembolic event | 4 (1.8 %) | 0 (0 %) | 0.6 |
| Renal insufficiency | 2 (0.9 %) | 1 (1.7 %) | 0.1 |
| Enterocutaneous fistula | 1 (0.5 %) | 0 (0 %) | 1.0 |
| Pancreatic leak | 1 (0.5 %) | 0 (0 %) | 1.0 |
| Biliary leak | 1 (0.5 %) | 0 (0 %) | 1.0 |
| Cardiac event | 1 (0.5 %) | 3 (5.0 %) | 0.03 |
| Hemorrhage | 0 (0 %) | 3 (5.0 %) | 0.009 |
| ICU length of stay, days, median (IQR) |
2 (1–4) | 3 (2–4) | 0.006 |
| Time to regular diet, days, median (IQR) |
7 (6–10) | 9.5 (8–12) | 0.0006 |
| Reoperation | 7 (3.2 %) | 5 (8.3 %) | 0.1 |
| Hospital length of stay, median (IQR) |
11.5 (9–15) | 14.5 (12–18) | 0.0008 |
| Hospital readmission | 29 (13.1 %) | 10 (16.7 %) | 0.5 |
IQR interquartile range