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Table 5 Late postoperative outcome

From: Long term outcome of anastomotic leakage in patients undergoing low anterior resection for rectal cancer

N (%)

Overall Population

Symptomatic AL (SAL)

Asymptomatic AL (AAL)

Without AL (WAL)

P

200 (100)

29 (14.5)

10 (5.0)

161 (80.5)

Oncological results

 Adjuvant chemotherapy, n (%)

52 (26.0)

7 (24.1)

1 (10.0)

44 (27.3)

0.465

Recurrence, n (%)

 Local

10 (5.0)

2 (6.9)

0

8 (5.0)

 

 Distance

34 (17.0)

3 (10.3)

0

31 (19.3)

0.170

 Total patients with recurrence

39 (19.5)

4 (13.8)

0

35 (21.7)

 

Time to recurrence (month), median ± IQR

10.7 (8.8–18.8)

7.0 (6.0–8.1)

0

11.8 (9.6–19.8)

0.173

Median of follow up (months) ± IQR

38.5 (17.2–65.6)

34.5 (17.1–66.5)

55.7 (28.8–61.9)

38.1 (16.7–65.5)

 

Overall survival at 3 years

95.5%

82.9%

100%

94.7%

0.527

Overall survival at 5 years

91.5%

77%

100%

88.3%

Disease free survival at 3 years

81.5%

86.6%

100%

76%

0.480

Disease free survival at 5 years

80.5%

84%

100%

70%

Functional results

Permanent stoma, n (%)

31 (15.5)

13 (44.8)

3 (30.0)

15 (9.3)

< 0.001

 Ileostomy

18 (9.0)

7 (24.1)

1 (10.0)

11 (6.8)

 

 Colostomy

13 (6.5)

6 (20.7)

2 (20.0)

4 (2.5)

 

Other late complications, n (%)

    

< 0.001

 Stenosis

24

6

1

17

 

 Hernia

16

5

4

7

 

 Occlusion

3

1

0

2

 

Mean of quality of life assessments

 LARS Score

26,2 ± 12,8

34,3 ± 4,0

28,8 ± 14,9

25,1 ± 13,0

0.522

 Wexner Score

7,3 ± 4,8

10,3 ± 0,6

11,4 ± 3,8

6,4 ± 4,7

0.049

 IIEF5

10,0 ± 8,9

18,0 ± 1,4

2,3 ± 2,3

10,4 ± 9,2

0.187

 SF36

98,8 ± 10,5

105,0 ± 7,9

99,2 ± 5,4

98,2 ± 11,2

0.446

 EORTC QLQ-C30

53,9 ± 11,4

49,3 ± 3,2

62,4 ± 14,5

53,0 ± 11,0

0.077

 EuroQol

69,0 ± 18,9

75,0 ± 5,0

59,0 ± 18,2

69,9 ± 19,6

0.111

 FIQL

86,8 ± 20,6

81,3 ± 3,5

74,2 ± 22,0

89,2 ± 20,8

0.136

 EORTC QLQ-MY20

28,7 ± 7,0

28,3 ± 1,5

31,0 ± 7,1

28,4 ± 7,4

0.685

  1. AL Anastomotic leak, SAL symptomatic AL, AAL asymptomatic AL and WAL without AL, IQR interquartile range)