Table 2:
Early morbidity (1 month) in patients treated by local excision and total mesorectal excision following radiochemotherapy for rectal cancer
Morbidity | Local excision(n = 81) | TME † (n = 61) | cTME ‡ (n = 28) | P |
---|---|---|---|---|
Surgical morbidity | ||||
Rectal bleeding | 8 (10) | 0 (0) | 0 (0) | |
Pelvic pain | 4 (5) | 1 (2) | 0 (0) | |
Pelvic abscess | 4 (5) | 2 (3) | 4 (14)§ | |
Rectovaginal fistula | 1 (1) | 1 (2) | 0 (0) | |
Anastomotic leakage | 0 (0) | 4 (7) | 2 (7) | |
Colonic ischaemia | 0 (0) | 4 (7) | 0 (0) | |
Bowel obstruction | 0 (0) | 5 (8) | 3 (11)§ | |
Stoma complication | 0 (0) | 3 (5) | 0 (0) | |
Parietal abscess | 0 (0) | 3 (5) | 2 (7)§ | |
Perineal abscess | 0 (0) | 0 (0) | 2 (7)§ | |
Total number of complications | 17 (NA) | 23 (NA) | 13 (NA) | |
Number of patients with complications | 16 (20) | 22 (36) | 12 (43) | 0.025 |
Medical morbidity | ||||
Urinary infection | 3 (4) | 2 (3) | 2 (7)§ | |
Urinary retention | 1 (1) | 5 (8) | 4 (14)§ | |
Prostatitis | 1 (1) | 0 (0) | 1 (4) | |
Cardiac complication | 1 (1) | 1 (2) | 0 (0) | |
Pneumonia | 1 (1) | 0 (0) | 2 (7)§ | |
Anaemia | 1 (1) | 0 (0) | 0 (0) | |
Dehydration | 0 (0) | 4 (7) | 0 (0) | |
Pleural effusion | 0 (0) | 1 (2) | 0 (0) | |
Total number of complications | 8 (NA) | 13 (NA) | 9 (NA) | |
Number of patients with complications | 8 (10) | 11 (18) | 6 (21) | 0.217 |
Hospital stay (days)* | 3 (2–4) | 10 (7–13) | 16 (11–33) | <0.001 |
Values in parentheses are percentages unless indicated otherwise;
*values are median (i.q.r.).
All low anterior resection (LAR).
Only morbidity of completion total mesorectal excision (cTME) itself: 23 LARs and 5 abdominoperineal resections (APRs).
One patient with APR. TME, total mesorectal excision.