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Table 3 Perioperative surgical complications 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

All complications

 Ipsilateral pleural effusion (%)

50 (33.3%)

32 (25.8%)

18 (69.2%)

<0.001

 Ipsilateral pneumothorax (%)

11 (7.3%)

8 (6.5%)

3 (11.5%)

0.623

 Pulmonary embolism (%)

2 (1.3%)

2 (1.6%)

0

1.000

 Pneumonia (%)

23 (15.3%)

20 (16.1%)

3 (11.5%)

0.771

 Right hepatic vein rupture

1 (0.6%)

0

1 (3.8%)

1.000

 Sub-diaphragmatic abscess

1 (0.6%)

1 (0.8%)

0

1.000

 Postoperative bleeding (%)

1 (0.6%)

1 (0.8%)

0

1.000

 Bowel obstruction (%)

10 (6.7%)

9 (7.3%)

1 (3.8%)

0.825

 Pancreatic leak

1 (0.6%)

1 (0.8%)

0

1.000

 Intestinal perforation

1 (0.6%)

1 (0.8%)

0

1.000

 Heart arrhythmia

1 (0.6%)

1 (0.8%)

0

1.000

 Wound infection/dehiscence

5 (3.3%)

3 (2.4%)

2 (7.7%)

0.447

 Vaginal cuff infection

1 (0.6%)

1 (0.8%)

0

1.000

 Urinary tract infection

1 (0.8%)

1 (0.8%)

0

1.000

MSKCC grading

 Grade 1–2 (%)

82 (54.7%)

66 (53.2%)

16 (61.5%)

0.010

 Grade 3–5 (%)

27 (18.0%)

15 (12.1%)

12 (46.2%)

Grade 3–5 complicationsa

 Symptomatic pleural effusion requiring drainage

21 (14.0%)

11 (8.9%)

10 (38.5%)

<0.001

 Symptomatic pneumothorax requiring thoracostomy tube

1 (0.6%)

0

1 (3.8%)

1.000

 Right hepatic vein rupture requiring intra-operative repair and transfusion

1 (0.6%)

0

1 (3.8%)

1.000

 Bleeding requiring return to operating room

1 (0.6%)

1 (0.8%)

0

1.000

 Pancreatic leak requiring drainage

1 (0.6%)

1 (0.8%)

0

1.000

 Intestinal perforation requiring return to the operating room

1 (0.6%)

1 (0.8%)

0

1.000

 Wound dehiscence requiring delayed repair

1 (0.6%)

1 (0.8%)

0

1.000

  1. Abbreviations: DP diaphragm peritonectomy, DFTR diaphragm full-thickness resection, MSKCC Memorial Sloan Kettering Cancer Center
  2. Note:
  3. 1. Percentages are not additive as multiple procedures might be performed on the same patient.
  4. 2. Values in bold are statistically significant.
  5. aSevere complications leading to invasive radiologic intervention/re-operation/unplanned ICU admission (grade 3), chronic disability (grade 4), or death (grade 5).