Table 2. Differences in pathology outcomes between consolidation chemotherapy (CCT) and neoadjuvant chemoradiotherapy (nCRT).
| nCRT (n = 61) | CCT (n = 83) | P value | |
|---|---|---|---|
| Interval time (weeks) | |||
| Median (range) | 5 (3–14) | 9 (2–16) | <0.001 |
| <6 | 37 60.6% | 9* 10.9% | |
| 6–10 | 20 32.7% | 51 61.4% | |
| >10 | 4 6.7% | 23 27.7% | |
| Approach | |||
| Laparoscopic | 18 29.6% | 40 48.1% | 0.02 |
| Open | 43 70.4% | 43 51.9% | |
| Operation mode** | |||
| APR | 31 50.8% | 34 40.9% | 0.16 |
| LAR | 20 32.7% | 40 48.1% | |
| Hartmann resection | 10 16.5% | 9 11% | |
| Operation time (min) | |||
| Median (range) | 215 (90–420) | 210 (120–480) | 0.53 |
| Estimtated blood loss (g) | |||
| Median (range) | 50 (20–100) | 50 (20–500) | 0.23 |
| ypStage | |||
| 0 | 3 4.9% | 16 19.4% | 0.008 |
| I | 12 19.7% | 25 30.1% | |
| II | 25 41% | 28 33.7% | |
| III | 21 34.4% | 14 16.8% | |
| ypTstage | |||
| 0 | 3 4.9% | 16 19.2% | 0.001 |
| 1 | 3 4.9% | 3 11% | |
| 2 | 11 18% | 29 27.7% | |
| 3 | 5 8.3% | 11 13.2% | |
| 4 | 39 63.9% | 24 28.9% | |
| ypNstage | |||
| 0 | 40 65.5% | 69 83.1% | 0.11 |
| 1 | 12 19.6% | 8 9.6% | |
| 2 | 9 5.9% | 6 7.3% | |
| pCR rate | 3 4.9% | 16 19.3% | 0.01 |
| DS rate (ypStage 0 + I) | 15 24.6% | 38 45.8% | 0.009 |
Notes:
Nine patients had only one cycle of the XELOX because they refused the second cycle of XELOX.
Patients with T4b tumors with adjacent organ invasion underwent combined resection.
APR, abdominoperineal resection; LAR, low anterior resection; pCR, pathologic complete response; DS, downstaging.