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Table 2 Surgical outcomes and early complications

From: Long-term oncological outcomes of low anterior resection for rectal cancer with and without preservation of the left colic artery: a retrospective cohort study

 

HL

(n = 295)

LL

(n = 221)

P value

Surgical approach [n (%)]

  

0.425

 Laparoscopic surgery

250 (84.7)

192 (86.9)

 

 Open surgery

40 (13.6)

23 (10.4)

 

 Laparoscopic conversed to open surgery

5 (1.7)

6 (2.7)

 

Surgical resection

  

0.454

 PME

89 (30.2)

60 (27.1)

 

 TME

206 (69.8)

161 (72.9)

 

Operating time: minutes

211.7 ± 44.5

224.7 ± 32.7

0.039

Operative bleeding: ml

70.0 ± 23.5

76.0 ± 39.4

0.252

Splenic flexure mobilization [n (%)]

18 (6.1)

29 (13.1)

0.006

Postoperative mortality [n (%)]

4 (1.4)

2 (0.9)

0.884 a

Postoperative complication morbidity b [n (%)]

  

0.788

 Mild c

78 (26.4)

64 (29.0)

 

 Severe d

35 (11.9)

27 (12.2)

 

Anastomotic level from anal verge: cm

5.6 ± 2.1

5.9 ± 2.0

0.418

Protective ileostomies [n (%)]

71 (24.1)

66 (29.9)

0.140

Anastomotic bleeding [n (%)]

16 (5.4)

13 (5.9)

0.823

Anastomotic stenosis [n (%)]

7 (2.4)

5 (2.3)

0.934

Anastomotic leakage e [n (%)]

  

0.202

 Grade B

32 (10.8)

14 (6.3)

 

 Grade C

7 (2.4)

5 (2.3)

 

Reoperation

7 (2.4)

4 (1.8)

0.691 a

Postoperative hospital stay: days

6.4 ± 2.4

7.1 ± 4.1

0.155

  1. Abbreviations: HL High ligation, LL Low ligation, PME Partial mesorectal excision, TME Total mesorectal excision
  2. a Using Fisher’s Exact Probability Tests
  3. b Within 30 days of discharge
  4. c Clavien-Dindo classification ≤ II was considered as mild complication,
  5. d Clavien-Dindo classification≥ III was considered as Severe complication
  6. e According to International Study Group of Rectal Cancer, ISREC