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Table 2 Operative and postoperative outcomes in SFC patients (n = 90) operated on by ERC, LC, and SLC

From: Emergency surgery for splenic flexure cancer: results of the SFC Study Group database

Variables

ERC (n = 55)

LC (n = 18)

SLC (n = 17)

p value

Adjusted p value

Operative time (min) [mean (SD)]

212.71 (70.91)

206.11 (47.67)

215.06 (67.37)

0.986

0.415

Conversion to laparotomyb [n (%)]

0

1 (16.7)

1 (20)

0.531

0.102

Operative blood loss (mL) [mean (SD)]

202.18 (153.43)

213.89 (193.57)

194.12 (151.70)

0.951

0.994

Number of intraoperative transfused patients [n (%)]

4 (7.3)

4 (22.2)

3 (17.6)

0.183

0.077

Intraoperative complication [n (%)]

10 (18.2)

0

2 (11.8)

0.141

0.997

Patients with post-operative complication [n (%)]

39 (70.9)

8 (44.4)

8 (47.1)

0.057

0.064

Anastomotic leakagea [n (%)]

6 (13)

1 (8.3)

1 (8.3)

0.892

0.902

Postoperative ileus [n (%)]

9 (16.4)

2 (11.1)

1 (5.9)

0.514

0.393

Severe postoperative complications (Dindo-Clavien ≥III) [n (%)]

27 (49.1)

2 (11.1)

5 (29.4)

0.011

0.032*

Time to flatus [mean (SD)]

6.15 (5.08)

4.67 (2.08)

4.75 (3.09)

0.288

0.455

Return to regular diet [mean (SD)]

9.58 (6.24)

6.89 (3.37)

7.5 (6.5)

0.054

0.585

Hospital stay, days [mean (SD)]

17.62 (14.7)

14.40 (2.29)

17.75 (20.57)

0.735

0.465

Mortality at 90 days [n (%)]

8 (14.5)

1 (5.6)

1 (5.9)

0.430

0.677

Readmission within 60 days [n (%)]

4 (8.5)

1 (5.6)

0

0.477

0.987

Positive resection margin [n (%)]

1 (1.8)

0

0

0.725

1

Number of lymph nodes harvested [mean (SD)]

24.8 (12.97)

29.89 (11.53)

21.06 (6.89)

0.064

0.189

 • ≥12 lymph nodes [n (%)]

49 (89.1)

18 (100)

16 (94.1)

0.308

0.250

  1. Significant p values are indicated in bold
  2. ERC extended right colectomy, LC left colectomy, SLC segmental left colectomy, SFC splenic flexure cancer
  3. *Adjusted odds ratio and 95% confidence interval for pairwise comparisons:
  4. ERC vs. LC = 0.013; OR: 7.23 (95% CI: 1.51-34.66)
  5. ERC vs. SLC = 0.212; OR: 2.12 (95% CI: 0.65-6.91)
  6. LC vs. SLC = 0.334; OR: 0.24 (95% CI: 0.01-4.25)
  7. aCalculated for patients with primary anastomosis
  8. bCalculated for patients operated on by laparoscopy