Risk Factors | Raw Cohort | PSM Matched Cohort | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Univariate analysis | Multivariate analysis | Univariate analysis | Multivariate analysis | |||||||
HR(95%CI) | P value | HR(95%CI) | P value | HR(95%CI) | P value | HR(95%CI) | P value | |||
Surgery | ||||||||||
 LS | Reference |  | Reference |  | Reference |  | Reference |  | ||
 OP | 0.67(0.57,0.80) |  < .0001 | 0.74(0.61,0.90) | 0.002 | 0.66(0.51,0.85) | 0.001 | 0.58(0.45,0.75) |  < .0001 | ||
 Female | 1.08(0.91,1.27) | 0.378 |  |  | 0.83(0.64,1.07) | 0.147 |  |  | ||
 Age ≥ 60y | 1.11(0.94,1.32) | 0.228 |  |  | 1.10(0.85,1.43) | 0.465 |  |  | ||
BMI | ||||||||||
 18.5 | Reference |  |  |  | Reference |  |  |  | ||
 18.5 ~ 24 | 1.39(0.93,2.06) | 0.108 |  |  | 0.84(0.44,1.59) | 0.584 |  |  | ||
 > 24 | 1.07(0.89,1.29) | 0.480 |  |  | 1.14(0.86,1.52) | 0.360 |  |  | ||
ASA | ||||||||||
 I | Reference |  |  |  | Reference |  |  |  | ||
 II | 0.91(0.74,1.11) | 0.347 |  |  | 0.91(0.68,1.20) | 0.494 |  |  | ||
 III | 0.81(0.62,1.06) | 0.131 |  |  | 0.73(0.49,1.09) | 0.120 |  |  | ||
CA199, U/ml | ||||||||||
  ≤ 50 | Reference |  | Reference |  | Reference |  | Reference |  | ||
 50 ~ 400 | 0.57(0.46,0.72) |  < .0001 | 0.60(0.47,0.76) |  < .0001 | 0.67(0.48,0.95) | 0.025 | 0.455(0.315,0.658) |  < .0001 | ||
  ≥ 400 | 0.64(0.50,0.81) | 0.001 | 0.59(0.450,0.77) |  < .0001 | 0.75(0.50,1.11) | 0.144 | 0.424(0.279,0.645) |  < .0001 | ||
 Tumor size > 3 cm | 1.12(0.94,1.33) | 0.214 |  |  | 1.01(0.76,1.33) | 0.963 |  |  | ||
 Lymphnodes > 8 | 0.91(0.75,1.09) | 0.292 |  |  | 1.03(0.78,1.36) | 0.855 |  |  | ||
 Preoperative Tbil > 85.5 μmol/L | 0.85(0.73,1.01) | 0.057 |  |  | 0.77(0.58,1.02) | 0.064 |  |  | ||
 Preoperative AST > 40 μmol/L | 0.69(0.58,0.83) |  < .0001 |  |  | 0.83(0.62,1.11) | 0.208 |  |  | ||
 Preoperative ALT > 40 μmol/L | 0.59(0.48,0.71) |  < .0001 | 0.74(0.59,0.91) | 0.005 | 0.62(0.46,0.84) | 0.002 |  |  | ||
CA199, U/ml | ||||||||||
  ≤ 50 | Reference |  | Reference |  | Reference |  | Reference |  | ||
 50 ~ 400 | 0.57(0.46,0.72) |  < .0001 | 0.60(0.47,0.76) |  < .0001 | 0.67(0.48,0.95) | 0.025 | 0.46(0.32,0.66) |  < .0001 | ||
  ≥ 400 | 0.64(0.50,0.81) |  < .0001 | 0.59(0.45,0.77) |  < .0001 | 0.75(0.50,1.11) | 0.144 | 0.42(0.28,0.65) |  < .0001 | ||
Operating time, min | ||||||||||
 ≤ 200 | Reference |  |  |  | Reference |  |  |  | ||
 200 ~ 400 | 1.13(0.84,1.51) | 0.428 |  |  | 1.23(0.79,1.91) | 0.353 |  |  | ||
  ≥ 400 | 0.94(0.68,1.29) | 0.683 |  |  | 1.20(0.75,1.93) | 0.446 |  |  | ||
IBL, ml | ||||||||||
  ≤ 100 | Reference |  |  |  | Reference |  |  |  | ||
 100 ~ 500 | 0.75(0.62,0.92) | 0.004 | 0.95(0.77,1.17) | 0.625 | 0.90(0.66,1.23) | 0.523 |  |  | ||
  ≥ 500 | 0.49(0.39,0.61) |  < .0001 | 0.54(0.42,0.69) |  < .0001 | 0.66(0.47,0.91) | 0.013 |  |  | ||
Transfusion during surgery | ||||||||||
Hepatectomy | ||||||||||
 Bile duct only | Reference |  |  |  | Reference |  |  |  | ||
 Left hemihepatectomy | 1.16(0.97,1.39) | 0.100 | 1.26(1.02,1.55) | 0.029 | 1.02(0.77,1.35) | 0.909 |  |  | ||
 Right hemihepatectomy | 0.57(0.43,0.75) |  < .0001 | 0.78(0.57,1.05) | 0.104 | 0.72(0.49,1.07) | 0.102 |  |  | ||
 Left Segmentectomy | 0.73(0.32,1.64) | 0.444 | 1.06(0.45,2.47) | 0.895 | 0.81(0.25,2.55) | 0.712 |  |  | ||
 Right Segmentectomy | 0.73(0.34,1.54) | 0.403 | 0.88(0.38,2.02) | 0.761 | 0.64(0.26,1.58) | 0.336 |  |  | ||
 Bile duct and part of hepatectomy | 0.67(0.41,1.08) | 0.098 | 0.78(0.45,1.37) | 0.390 | 0.86(0.47,1.56) | 0.618 |  |  | ||
 Conversion to laparotomy | 0.80(0.50,1.28) | 0.351 |  |  | 0.79(0.43,1.44) | 0.440 |  |  | ||
Vascular resection | ||||||||||
 None | Reference |  |  |  | Reference |  |  |  | ||
 Hepatic artery | 0.74(0.52,1.06) | 0.101 |  |  | 0.79(0.48,1.29) | 0.342 |  |  | ||
 Portal vein | 0.71(0.46,1.10) | 0.127 |  |  | 0.54(0.24,1.22) | 0.138 |  |  | ||
 Hepatic artery & Portal vein | 0.44(0.32,0.61) |  < .0001 |  |  | 0.49(0.29,0.81) | 0.006 |  |  | ||
 Vascular reconstruction | 0.74(0.50,1.11) | 0.141 |  |  | 0.58(0.30,1.12) | 0.105 |  |  | ||
Digestive reconstruction | ||||||||||
 Choledochojejunostomy | Reference |  |  |  | Reference |  |  |  | ||
 Hepaticojejunostomy | 0.69(0.58,0.82) |  < .0001 | 0.808(0.662,0.986) | 0.035 | 0.75(0.58,0.98) | 0.034 |  |  | ||
 Biliary plasty | 0.93(0.79,1.10) | 0.377 |  |  | 1.02(0.80,1.308) | 0.868 |  |  | ||
TNM | ||||||||||
 I(T1N0M0) | Reference |  | Reference |  | Reference |  |  |  | ||
 II(T2a/2bN0M0) | 0.94(0.73,1.21) | 0.636 | 1.04(0.80,1.36) | 0.777 | 0.97(0.67,1.39) | 0.851 |  |  | ||
 IIIA(T3N0M0) | 0.82(0.59,1.14) | 0.238 | 0.95(0.66,1.36) | 0.761 | 0.88(0.511,1.53) | 0.655 |  |  | ||
 IIIB(T4N0M0) | 1.43(1.01,2.03) | 0.047 | 2.40(1.62,3.55) |  < .0001 | 1.29(0.72,2.31) | 0.388 |  |  | ||
 IVA(T, N2M0) | 0.80(0.60,1.06) | 0.119 | 1.13(0.83,1.54) | 0.444 | 0.82(0.53,1.24) | 0.343 |  |  | ||
 IVB(T,N,M1) | 0.95(0.65,1.38) | 0.788 | 1.09(0.74,1.62) | 0.665 | 0.83(0.47,1.48) | 0.534 |  |  | ||
 Abdominal abscess | 0.44(0.33,0.59) |  < .0001 | 0.46(0.34,0.62) |  < .0001 | 0.47(0.31,0.70) | 0.0002 | 0.41(0.27,0.63) |  < .0001 | ||
 Hemorrhage | 0.44(0.29,0.67) |  < .0001 | 0.39(0.26,0.61) |  < .0001 | 0.50(0.28,0.92) | 0.027 | 0.33(0.18,0.63) | 0.0007 | ||
 Biliary fistula | 0.49(0.35,0.68) |  < .0001 | 0.50(0.36,0.71) |  < .0001 | 0.64(0.39,1.04) | 0.074 | 0.54(0.33,0.89) | 0.016 | ||
 Heart failure | 0.46(0.25,0.86) | 0.016 | 0.26(0.13,0.51) |  < .0001 | 0.39(0.14,1.05) | 0.061 | 0.18(0.07,0.50) | 0.001 | ||
 Incision infection | 0.31(0.17,0.54) |  < .0001 | 0.37(0.21,0.66) | 0.001 | 0.39(0.19,0.80) | 0.009 |  |  | ||
 Pneumonia | 0.49(0.35,0.69) |  < .0001 | 0.49(0.34,0.71) |  < .0001 | 0.67(0.41,1.09) | 0.105 |  |  | ||
 ARDS | 0.36(0.17,0.75) | 0.007 |  |  | 0.45(0.17,1.20) | 0.109 |  |  | ||
 Liver failure | 0.37(0.18,0.79) | 0.010 |  |  | 0.38(0.12,1.17) | 0.092 |  |  | ||
 Reoperation | 0.25(0.10,0.61) | 0.002 |  |  | 0.21(0.07,0.65) | 0.007 | 0.308(0.10,0.98) | 0.046 | ||
 Renal failure | 0.28(0.12,0.69) | 0.005 |  |  | 0.29(0.09,0.90) | 0.032 |  |  |