Table 3. Operative comfort between colorectal and non-colorectal specialists.
Question | Variables | Colorectal (%) | Non-colorectal (%) | P value |
---|---|---|---|---|
Would you consider performing a right hemicolectomy with the following? | Segmental hepatectomy (ies) | 91.7 | 85.0 | 0.18 |
Hepatic lobectomy | 66.7 | 75.0 | 0.17 | |
Extended hepatic lobectomy | 54.2 | 30.0 | ≤0.01* | |
Would you consider performing a left hemicolectomy with the following? | Segmental hepatectomy (ies) | 87.5 | 85.0 | 0.33 |
Hepatic lobectomy | 58.3 | 55.0 | 0.34 | |
Extended hepatic lobectomy | 37.5 | 15.0 | ≤0.01* | |
Would you consider performing a low anterior resection with the following? | Segmental hepatectomy (ies) | 62.5 | 70.0 | 0.21 |
Hepatic lobectomy | 45.8 | 20.0 | ≤0.01* | |
Extended hepatic lobectomy | 25.0 | 5.0 | ≤0.01* | |
Would you consider performing an abdominoperineal resection with the following? | Segmental hepatectomy (ies) | 58.3 | 65.0 | 0.24 |
Hepatic lobectomy | 50.0 | 30.0 | 0.01* | |
Extended hepatic lobectomy | 20.8 | 10.0 | 0.03* | |
If there is a role for concurrent resection, how often do you protect your anastomosis with a diverting stoma? | Never | 0.0 | 0.0 | N/A |
Rarely | 38.1 | 14.3 | ≤0.01* | |
Occasionally | 52.4 | 57.1 | 0.66 | |
Often | 4.8 | 28.6 | 0.02* | |
Always | 4.8 | 0.0 | N/A | |
Would you consider performing stage I of a planned 2-stage hepatectomy in the context of a concurrent colorectal primary resection if your preferred tenets to the above answers are maintained? | – | 94.4 | 83.3 | 0.21 |
In a patient with symptomatic colorectal primary and synchronous hepatic metastases, is there any role for (select all that apply)? | Neoadjuvant chemotherapy | 62.5 | 50.0 | 0.18 |
Preoperative colorectal stenting | 54.2 | 63.6 | 0.27 | |
Concurrent colorectal and hepatic resections | 62.5 | 63.6 | 0.66 |
SH, segmental hepatectomy; HL, hepatic lobectomy; EHL, extended hepatic lobectomy; N/A, non-applicable.