Table 2. Outcomes in different type of L-PAO according to Toyonaga’s classification.
Type 1 | Type 2 | Type 3 | Type 3a | Overall | P value 1 | |
Effectiveness outcomes n/N (%) | ||||||
En Bloc resection rate | 3 /3 (100 %) | 7 /7(100 %) | 11 /11 100 %) | 11 /11(100 %) | 32 /32(100 %) | NA |
R0 resection rate | 3 /3(100 %) | 6 /7(85.7 %) | 9 /11(81.8 %) | 11 /11(100 %) | 29 /32(90.6 %) | 0.266 |
Curative resection | 3 /3(100 %) | 6 /7(85.7 %) | 9 /11(81.8 %) | 11 /11(100 %) | 29 /32(90.6 %) | 0.266 |
Adverse events n/N (%) | ||||||
Per-operative perforation | 1 /3(33.3 %) | 3 /7(42.9 %) | 6 /11(54.5 %) 2 3 | 1 /11(9.1 %) | 11 /32(34.4 %) | 0.123 |
Delayed perforation with peritonitis | 0 | 0 | 1 /11(9.1 %) | 0 | 1 /32(3.6 %) | 0.344 |
Acute appendicitis | 0 | 0 | 1 /11(9.1 %) 4 | 0 | 1 /28(3.6 %) | 0.344 |
Additional surgery | 0 | 0 | 3 /11(27.3 %) 5 6 | 0 | 3 /32(9.4 %) 5 6 | 0.033 |
Comparison between Type 3 without prior appendectomy and others, using Fisher’s exact test
One patient developed delayed local peritonitis, resolved with just antibiotics
One patient developed postoperative peritonitis requiring additional surgery
One patient with per-operative perforation developed peritonitis and postoperative appendicitis
One patient had R1 resection with a synchronous invasive adenocarcinoma in the descending colon and underwent additional surgery, Postoperative complication-related surgery rate is 6.3 % (2 cases).
Postoperative complication related surgery rate is 6.3% (2 cases).