Copyright
©The Author(s) 2024.
World J Gastrointest Surg. Mar 27, 2024; 16(3): 777-789
Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.777
Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.777
Total (n = 46) | Minimally invasive (n = 34) | Open (n = 12) | P value | |
Short-term complications | ||||
Anastomotic leak | 7 (15.2) | 4 (11.8) | 3 (25.0) | 0.272 |
Intra-abdominal collection | 10 (21.7) | 4 (11.8) | 6 (50.0) | 0.006a |
Ileus | 19 (41.3) | 11 (32.4) | 8 (66.7) | 0.038a |
SSI | 10 (21.7) | 4 (11.8) | 6 (50.0) | 0.006a |
Pneumonia | 2 (5.9) | 2 (5.9) | 0 (0) | 0.390 |
Overall complications | 30 (65.2) | 20 (58.8) | 10 (83.3) | 0.125 |
Major morbidity | 11 (23.9) | 5 (14.7) | 6 (50.0) | 0.014a |
Length of stay, d | 12.0 (3.0-62.0) | 10.0 (3.0-42.0) | 30.0 (6.0-62.0) | < 0.001a |
30-d readmission | 11 (23.9) | 8 (23.5) | 3 (25.0) | 0.918 |
30-d mortality | 0 (0) | 0 (0) | 0 (0) | N/A |
Adjuvant chemotherapy | 31 (67.4) | 24 (70.6) | 7 (58.3) | 0.436 |
Follow-up, months | 32.2 (1.1-100.8) | 29.2 (1.1-100.8) | 36.2 (2.2-73.9) | 0.582 |
Overall survival | ||||
Median, months | 43.2 (41.5-N/A) | 43.1 (40.4-N/A) | 47.1 (14.5-N/A) | 0.257 |
1-year | 93.2 (80.3-97.8) | 93.9 (77.6-98.4) | 91.3 (52.4-98.7) | 0.774 |
3-year | 71.5 (54.1-83.3) | 71.1 (49.8-84.6) | 72.1 (35.9-90.1) | 0.473 |
5-year | 36.5 (18.2-55.0) | 32.1 (11.9-54.6) | 45.9 (13.6-73.8) | 0.446 |
Recurrence-free survival | ||||
Median, months | 43.2 (19.5-N/A) | 43.2 (15.4-N/A) | 47.1 (3.6-N/A) | 0.501 |
1-year | 77.3 (61.9-87.1) | 75.4 (56.8-86.9) | 82.6 (46.5-95.3) | 0.800 |
3-year | 60.8 (43.8-74.1) | 56.1 (36.0-72.2) | 72.9 (37.1-90.4) | 0.879 |
5-year | 37.1 (19.0-55.3) | 33.7 (13.1-55.8) | 17.2 (13.8-74.2) | 0.371 |
- Citation: Chan KS, Liu B, Tan MNA, How KY, Wong KY. Feasibility and safety of minimally invasive multivisceral resection for T4b rectal cancer: A 9-year review. World J Gastrointest Surg 2024; 16(3): 777-789
- URL: https://www.wjgnet.com/1948-9366/full/v16/i3/777.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i3.777