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Table 2 Surgical procedures and outcomes based on type of diaphragm surgery

From: Diaphragmatic Surgery and Related Complications In Primary Cytoreduction for Advanced Ovarian, Tubal, and Peritoneal Carcinoma

  Cohort
(n = 150)
DP
(n = 124)
DFTR
(n = 26)
P
Laterality of diaphragm lesions (%)
 Right 95 (63.3%) 78 (62.9%) 17 (65.4%) 0.811
 Left 1 (0.7%) 1 (0.8%) 0
 Bilateral 54 (36.0%) 45 (36.3%) 9 (34.6%)
Perforation into pleural cavity (%) 65 (43.3%) 39 (31.5%) 26 (100%) <0.001
TDDE (%) 34 (22.7%) 21 (16.9%) 13 (50.0%) <0.001
Pleural nodule biopsy performed (%) 21 (14.0%) 15 (12.1%) 6 (23.1%) 0.248
Prophylactic chest tube placement (%) 8 (5.3%) 5 (4.0%) 3 (11.5%) 0.285
Mesh utilization in diaphragm repair (%) 4 (2.7%) 0 4 (15.4%) <0.001
Extended procedures performed (%)
 Small bowel resection 5 (3.3%) 5 (4.0%) 0 0.660
 Large bowel resection 48 (32.0%) 37 (29.8%) 11 (42.3%) 0.215
 Splenectomy 18 (12.0%) 14 (11.3%) 4 (15.4%) 0.801
 Partial pancreatectomy 5 (3.3%) 4 (3.2%) 1 (3.8%) 1.000
 Partial hepatic resection 4 (2.7%) 4 (3.2%) 0 0.796
 Resection of porta hepatis tumor 4 (2.7%) 3 (2.4%) 1 (3.8%) 1.000
 Cholecystectomy 1 (0.7%) 1 (0.8%) 0 1.000
 Stomia 15 (10.0%) 12 (9.7%) 3 (11.5%) 1.000
 Resection of the tumor on the liver surface 23 (15.3%) 20 (16.1%) 3 (11.5%) 0.771
 Resection of the tumor on the stomach surface 13 (8.7%) 10 8.1(%) 3 (11.5%) 0.850
 Resection of the tumor in the gallbladder fossa 6 (4.0%) 6 (4.8%) 0 0.552
Residual disease (%)
 Complete cytoreduction 53 (35.3%) 42 (33.9%) 11 (42.3%) 0.649
 Residual disease ≤1 cm 73 (48.7%) 61 (49.2%) 12 (46.2%)
Median operation time (range), minutes 180 (60–330) 180 (60–330) 195 (90–270) 0.576
Median EBL (range), mL 900 (100–5300) 900 (100–5300) 1000 (200–2200) 0.802
Intraoperative blood transfusion (%) 132 (88%) 109 (87.9%) 23 (88.5%) 0.937
Median transfusion amount (range), units 4.0 (1.0–15.0) 4.5 (1–15) 4 (2–13) 0.286
Planned intensive care unit stay (%) 46 (30.7%) 39 (30.6%) 8 (30.8%) 0.649
Median time interval from surgery to chemotherapy (range), days 14 (6–40) 14 (6–40) 14 (6–34) 0.272
  1. Note: Values in bold are statistically significant.
  2. Abbreviations: DP diaphragm peritonectomy, DFTR diaphragm full-thickness resection, TDDE trans-diaphragmatic thoracic exploration, EBL estimated blood loss