Table 3.
Comparison of outcomes obtained with elective surgery after SEMS placement vs. urgent surgery.
| Outcomes | Total (n = 106) |
Elective surgery after SEMS placement (n = 35) |
Urgent surgery (n = 71) |
p |
|---|---|---|---|---|
| Clinical success, n (%) | 84 (79.2) | 28 (80.0) | 55 (77.5) | 0.766 |
| Type of surgery, n (%) | 0.006 | |||
| Hartmann's procedure | 34 (32.1) | 5 (14.3) | 29 (40.8) | |
| Segmentectomy | 72 (67.9) | 30 (85.7) | 42 (59.2) | 0.038 |
| Primary anastomosis | 72 (82.8) | 30 (93.8) | 42 (76.4) | |
| Colostomy rate, n (%) | 48 (45.3) | 9 (25.7) | 39 (54.9) | 0.004 |
| Postoperative complications, n (%)a | 45 (42.5) | 12 (34.3) | 33 (46.5) | 0.232 |
| Early complication, n (%) | 38 (82.6) | 9 (75.0) | 29 (85.3) | 0.412 |
| Late complication, n (%) | 15 (32.6) | 3 (25.0) | 12 (35.3) | 0.513 |
| Overall complications, n (%) | 53 (50.0) | 16 (45.7) | 37 (52.1) | 0.536 |
| Reinterventions, n (%) | 23 (21.7) | 7 (20.0) | 16 (22.5) | 0.766 |
| Emergent surgery | 21 (87.5) | 5 (62.5) | 16 (100) | 0.028 |
| Elective surgery | 4 (16.7) | 2 (25.0) | 2 (12.5) | 0.578 |
| Hospital stay (days), mean ± SD (range) | 23.37 ± 26.05 (1–179) | 25.9 ± 20.3 (1–91) | 22.2± 28.4 (2–179) | 0.034 |
| Mortality, n (%) | ||||
| 30-day mortality | 8 (18.2) | 1 (10.0) | 7 (20.6) | 0.659 |
| Overall mortality | 44 (47.8) | 10 (31.3) | 34 (56.7) | 0.020 |
a
More than one patient had more than one complication.