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. 2022 Apr 19:10.1111/codi.16129. Online ahead of print. doi: 10.1111/codi.16129

TABLE 2.

Surgical treatment of colon tumours in Sweden 2016–2020

2016 2017 2018 2019 2020 p‐value for difference 2019–2020

All surgical treatments

n (%)

3984 3785 3874 4016 3964 N.A.
Appendectomy 17 (0.43) 9 (0.24) 18 (0.46) 8 (0.20) 8 (0.20) 0.29
Polypectomy/local resection 157 (3.9) 154 (4.1) 123 (3.2) 113 (2.8) 124 (3.1)
Stent 40 (1.0) 30 (0.79) 24 (0.62) 29 (0.72) 28 (0.71)
Laparotomy/laparoscopy without resection 139 (3.5) 93 (2.5) 97 (2.5) 91 (2.3) 109 (2.8)
Other operation 50 (1.3) 6 (0.16) 2 (0.05) 1 (0.02) 6 (0.15)
Resection surgery 3579 (90) 3491 (92) 3610 (93) 3774 (94) 3688 (93)
Type of treatment missing 2 (0.05) 2 (0.05 0 (0) 0 (0) 1 (0.03
Total number of ostomy constructions a 734 (18) 692 (18) 691 (18) 745 (19) 800 (20) 0.07
All resection surgery 3579 3491 3610 3774 3688 N.A.
Acute resection surgery b 544 (15) 500 (14) 508 (14) 511 (14) 515 (14) 0.46
Type of resection surgery c
Ileocecal resection 37 (1.0) 23 (0.66) 26 (0.72) 23 (0.61) 24 (0.65) 1.0
Right‐sided hemicolectomy 1982 (55) 1838 (53) 1962 (54) 2111 (56) 2039 (55)
Transverse colon resection 58 (1.6) 57 (1.6) 60 (1.7) 54 (1.4) 54 (1.5)
Left‐sided resection 334 (9.3) 367 (11) 370 (10) 378 (10) 359 (9.7)
Sigmoid sesection 756 (21) 748 (21) 725 (20) 747 (20) 757 (21)
Hartmann resection 109 (3.0) 126 (3.6) 89 (2.5) 117 (3.1) 120 (3.3)
Anterior resection 121 (3.4) 133 (3.8) 147 (4.1) 135 (3.6) 134 (3.6)
Colectomy 178 (5.0) 189 (5.4) 222 (6.2) 196 (5.2) 191 (5.2)
Abdominoperineal resection 4 (0.11) 10 (0.29) 9 (0.25) 13 (0.34) 10 (0.27)
Elective resection surgery 3033 2990 3102 3263 3171
Diverting stoma preoperatively 135 (4.4) 124 (4.2) 149 (4.8) 142 (4.4) 193 (6.1) 0.0020
Preoperative chemotherapy 92 (3.0) 96 (3.2) 86 (2.8) 113 (3.5) 161 (5.1) 0.0016
Laparoscopic surgery 1168 (39) 1279 (43) 1499 (48) 1771 (54) 1845 (58) 0.0017
Number of days from diagnosis to surgery d median (IQR) 32 (22–43) 32 (22–46) 33 (24–44) 33 (24–44) 29 (22–41) <0.0001
Days of hospital stay c median (IQR) 6 (4–10) 6 (4–9) 6 (4–9) 5 (3–8) 5 (3–8) 0.17
30‐day outcomes
Surgical complication 409 (13) 382 (13) 427 (14) 407 (12) 364 (11) 0.23
Treated in intensive care 152 (5.0) 141 (4.7) 134 (4.3) 108 (3.3) 97 (3.1) 0.57
Reoperation 229 (7.6) 223 (7.5) 245 (7.9) 234 (7.2) 201 (6.3) 0.20
Readmission 256 (8.4) 203 (6.8) 254 (8.2) 297 (9.1) 264 (8.3) 0.29
Death 41 (1.4) 50 (1.7) 40 (1.3) 44 (1.4) 34 (1.1) 0.36

Abbreviation: N.A, not applicable.

a

All stomas created, including stoma as the only procedure and permanent and diverting stoma at resection surgery.

b

Information on acute or elective surgery missing in two patients in 2016, one patient in 2017 and two patients in 2020.

c

All resection surgery (acute and elective).

d

Restricted to patients diagnosed the same year.