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©The Author(s) 2024.
World J Gastrointest Surg. Mar 27, 2024; 16(3): 807-815
Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.807
Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.807
Table 1 Clinical characteristics, n (%)
Characteristics | No. (n = 102) |
Age, yr | 57.7 ± 12.7 |
Sex | |
Male | 61 (59.8) |
Female | 41 (40.2) |
BMI, kg/m2 | 22.4 ± 3.2 |
Smoking | 42 (41.2) |
Drinking | 36 (35.3) |
Hypertension | 21 (20.6) |
T2DM | 9 (8.8) |
Pre-operative hemoglobin, g/L | 129.6 ± 17.4 |
Pre-operative albumin, g/L | 42.4 ± 4.4 |
Interval from transverse colostomy to reversal, month | 7.3 ± 4.5 |
Methods of anastomosis | |
End-to-end anastomosis | 25 (24.5) |
End-to-side anastomosis | 27 (26.5) |
Side-to side anastomosis | 50 (49.0) |
Operation time | 132.8 ± 64.0 |
Blood loss | 43.8 ± 46.7 |
Hospital stay | 9.4 ± 9.7 |
Complications | 30 (29.4) |
Table 2 The causes of transverse colostomy, n (%)
Characteristics | No. (n = 102) |
CRC related causes | 70 (68.6) |
Perforation of CRC | 1 (1.0) |
Obstruction of CRC | 4 (3.9) |
Anastomotic leakage after CRC surgery | 33 (32.4) |
Prophylactic transverse colostomy after CRC surgery | 30 (29.4) |
Rectovaginal fistula after CRC surgery | 1 (1.0) |
Anastomotic bleeding after CRC surgery | 1 (1.0) |
Other related causes | 32 (31.4) |
Colorectal benign tumors | 3 (2.9) |
Perforation because of trauma | 16 (15.7) |
Rectovesical fistula | 6 (5.9) |
Obstruction | 7 (6.8) |
Table 3 Complications of the included patients, n (%)
Characteristics | No. (n = 30) |
Grade I-II complications | 26 (86.7) |
Pulmonary infection | 4 (13.3) |
Abdominal infection | 3 (10.0) |
Incision infection | 14 (46.7) |
Anastomotic leakage | 1 (3.3) |
Ileus | 2 (6.7) |
Bleeding | 2 (6.7) |
≥ Grade III complications | 4 (13.3) |
Anastomotic leakage | 2 (6.7) |
Ileus | 2 (6.7) |
Table 4 Comparison between the complication group and the no complication group, n (%)
Characteristics | Complications (n = 30) | No complications (n = 72) | P value |
Age, yr | 58.3 ± 11.3 | 57.5 ± 13.3 | 0.756 |
Sex | 0.677 | ||
Male | 17 (56.7) | 44 (61.1) | |
Female | 13 (43.3) | 28 (38.9) | |
BMI, kg/m2 | 22.3 ± 2.9 | 22.4 ± 3.3 | 0.85 |
Smoking | 12 (40.0) | 30 (41.7) | 0.876 |
Drinking | 13 (43.3) | 23 (31.9) | 0.273 |
Hypertension | 6 (20.0) | 15 (20.8) | 0.924 |
T2DM | 2 (6.7) | 7 (9.7) | 1 |
Pre-operative hemoglobin, g/L | 126.9 ± 20.0 | 130.7 ± 16.2 | 0.322 |
Pre-operative albumin, g/L | 41.5 ± 4.1 | 42.8 ± 4.5 | 0.174 |
Interval from transverse colostomy to reversal, month | 7.8 ± 6.2 | 7.1 ± 3.6 | 0.452 |
Methods of anastomosis | 0.633 | ||
End-to-end anastomosis | 8 (26.7) | 27 (37.5) | |
End-to-side anastomosis | 6 (20.0) | 21 (29.7) | |
Side-to side anastomosis | 16 (53.3) | 24 (33.3) | |
Operation time | 133.0 ± 57.3 | 132.7 ± 67.0 | 0.979 |
Blood loss | 47.4 ± 54.9 | 42.3 ± 43.1 | 0.617 |
Hospital stay | 15.4 ± 16.0 | 6.9 ± 2.7 | < 0.01a |
Table 5 Univariate logistic regression analysis of overall complications and incision infection
Risk factors | Univariate analysis of overall complications | Univariate analysis of incision infection | ||
OR (95%CI) | P value | OR (95%CI) | P value | |
Age, yr | 1.005 (0.972-1.040) | 0.754 | 0.977 (0.935-1.021) | 0.296 |
Sex (male/female) | 1.202 (0.507-2.850) | 0.677 | 0.802 (0.248-2.593) | 0.713 |
BMI, Kg/m2 | 0.987 (0.862-1.129) | 0.848 | 0.988 (0.827-1.182) | 0.898 |
Hypertension (yes/no) | 0.950 (0.329-2.742) | 0.924 | 1.061 (0.267-4.206) | 0.933 |
T2DM (yes/no) | 0.663 (0.130-3.394) | 0.622 | 0.769 (0.089-6.669) | 0.812 |
Smoking (yes/no) | 0.933 (0.392-2.223) | 0.876 | 2.118 (0.676-6.636) | 0.198 |
Drinking (yes/no) | 1.629 (0.679-3.911) | 0.275 | 2.034 (0.652-6.349) | 0.221 |
Pre-operative hemoglobin, g/L | 0.988 (0.964-1.012) | 0.320 | 0.989 (0.958-1.021) | 0.509 |
Pre-operative albumin, g/L | 0.934 (0.847-1.031) | 0.175 | 0.957 (0.843-1.086) | 0.494 |
Operation time, min | 1.000 (0.993-1.007) | 0.979 | 0.995 (0.984-1.007) | 0.413 |
Blood loss, mL | 1.002 (0.993-1.011) | 0.614 | 0.995 (0.980-1.010) | 0.528 |
Interval from transverse colostomy to reversal, month | 1.035 (0.946-1.133) | 0.454 | 1.033 (0.926-1.153) | 0.562 |
Methods of anastomosis (Side-to side/end-to-side/end-to-end) | 1.046 (0.622-1.761) | 0.864 | 1.664 (0.734-3.774) | 0.223 |
- Citation: Liu F, Luo XJ, Li ZW, Liu XY, Liu XR, Lv Q, Shu XP, Zhang W, Peng D. Early postoperative complications after transverse colostomy closure, a retrospective study. World J Gastrointest Surg 2024; 16(3): 807-815
- URL: https://www.wjgnet.com/1948-9366/full/v16/i3/807.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i3.807