Copyright
©The Author(s) 2024.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1109-1120
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1109
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1109
Variables | Before PSM | After PSM | ||||
DTR (n = 35) | RY (n = 42) | P value | DTR (n = 31) | RY (n = 31) | P value | |
Age (yr) | 0.582 | 1 | ||||
≤ 60 | 20 (57.1) | 19 (45.2) | 16 (51.6) | 16 (51.6) | ||
> 60 | 15 (42.9) | 23 (54.8) | 15 (48.4) | 15 (48.4) | ||
Sex | 0.989 | 1 | ||||
Female | 8 (22.9) | 9 (21.4) | 7 (22.6) | 7 (22.6) | ||
Male | 27 (77.1) | 33 (78.6) | 24 (77.4) | 24 (77.4) | ||
BMI | 0.932 | 0.594 | ||||
18.4-24.2 | 16 (45.7) | 21 (50.0) | 16 (51.6) | 12 (38.7) | ||
24.3-34.67 | 19 (54.3) | 21 (50.0) | 15 (48.4) | 19 (61.3) | ||
Tumor location | 1 | 0.968 | ||||
Upper | 20 (57.1) | 24 (57.1) | 18 (58.1) | 17 (54.8) | ||
Middle/lower | 15 (42.9) | 18 (42.9) | 13 (41.9) | 14 (45.2) | ||
TNM stage | 0.481 | 0.878 | ||||
I/II | 16 (45.7) | 25 (59.5) | 16 (51.6) | 18 (58.1) | ||
III | 19 (54.3) | 17 (40.5) | 15 (48.4) | 13 (41.9) | ||
Longest tumor diameter (cm) | 0.707 | 0.968 | ||||
0.8-3.9 | 15 (42.9) | 22 (52.4) | 15 (48.4) | 16 (51.6) | ||
4.0-14.0 | 20 (57.1) | 20 (47.6) | 16 (51.6) | 15 (48.4) |
DTR (n = 31) | RY (n = 31) | P value | |
Operation time (min) | 307.58 ± 65.14 | 272.45 ± 62.09 | 0.016a |
Blood loss during operation (mL) | 47.42 ± 29.77 | 47.58 ± 29.21 | 0.971 |
Number of lymph node dissection | 45.16 ± 15.10 | 47.97 ± 16.84 | 0.512 |
The first postoperative exhaust time (d) | 3.23 ± 0.72 | 3.06 ± 1.18 | 0.158 |
The first time to eat liquid food after operation (d) | 4.45 ± 1.18 | 6.0 ± 5.18 | 0.028a |
Hospital stay after operation (d) | 7.71 ± 2.15 | 8.87 ± 5.49 | 0.65 |
Operative complications | 0.079 | ||
Grade II | |||
Pneumonia | 17 | 22 | |
Lower limb thrombosis | 11 | 14 | |
Grade III | |||
Abdominal infection | 0 | 2 | |
Anastomotic bleeding | 0 | 1 | |
Esophageal jejunum anastomotic fistula | 0 | 1 | |
White blood cells (109/L) | |||
Preoperative | 5.73 ± 1.41 | 5.22 ± 1.59 | 0.19 |
The first day after surgery | 11.51 ± 2.81 | 10.79 ± 3.14 | 0.344 |
The third day after surgery | 8.24 ± 2.15 | 7.65 ± 3.13 | 0.39 |
The fifth day after surgery | 6.86 ± 1.82 | 7.43 ± 2.15 | 0.265 |
Neutrophils (109/L) | |||
Preoperative | 3.61 ± 1.38 | 3.28 ± 1.25 | 0.32 |
The first day after surgery | 10.01 ± 2.73 | 9.47 ± 2.89 | 0.449 |
The third day after surgery | 6.74 ± 1.95 | 6.29 ± 2.97 | 0.486 |
The fifth day after surgery | 5.02 ± 1.75 | 5.68 ± 1.99 | 0.167 |
Platelets (109/L) | |||
Preoperative | 232.97 ± 63.29 | 219.65 ± 54.07 | 0.376 |
The first day after surgery | 198.77 ± 55.44 | 181.77 ± 51.13 | 0.214 |
The third day after surgery | 173.45 ± 45.10 | 152.19 ± 49.45 | 0.082 |
The fifth day after surgery | 187.94 ± 46.52 | 174.87 ± 58.41 | 0.334 |
DTR (n = 31) | RY (n = 31) | P value | |
Food intake ratio (%) | 89.61 ± 14.75 | 80.06 ± 17.60 | 0.031a |
Gallbladder disease, n (%) | 0.038a | ||
Positive | 2 (6.5) | 8 (25.8) | |
Negative | 29 (93.5) | 23 (74.2) | |
Visick grade, n (%) | 0.033a | ||
I | 18 (61.3) | 11 (35.4) | |
II | 12 (35.5) | 14 (45.2) | |
III | 1 (3.2) | 6 (19.4) | |
Weight (kg) | |||
Preoperative | 71.86 ± 12.77 | 69.34 ± 13.14 | 0.447 |
Pos 1m | 63.5 ± 11.73 | 62.03 ± 11.34 | 0.618 |
Pos 3m | 59.24 ± 11.74 | 58.15 ± 10.84 | 0.704 |
Pos 6m | 57.85 ± 10.25 | 56.55 ± 10.90 | 0.631 |
Hemoglobin (g/L) | |||
Preoperative | 134.22 ± 22.05 | 137.77 ± 18.49 | 0.495 |
Pos 1m | 123.16 ± 15.84 | 122.48 ± 12.16 | 0.849 |
Pos 3m | 118.97 ± 11.39 | 119.21 ± 8.39 | 0.925 |
Pos 6m | 119.32 ± 16.68 | 117.20 ± 11.45 | 0.561 |
Prealbumin (mg/L) | |||
Preoperative | 270.09 ± 48.0 | 265.52 ± 41.41 | 0.689 |
Pos 1m | 213.17 ± 56.55 | 204.18 ± 41.68 | 0.479 |
Pos 3m | 202.37 ± 57.15 | 201.34 ± 44.37 | 0.937 |
Pos 6m | 203.25 ± 36.66 | 185.12 ± 45.44 | 0.089 |
Albumin (g/L) | |||
Preoperative | 42.51 ± 3.35 | 42.20 ± 2.44 | 0.672 |
Pos 1m | 40.80 ± 2.31 | 40.25 ± 2.45 | 0.368 |
Pos 3m | 40.43 ± 3.21 | 39.93 ± 2.83 | 0.521 |
Pos 6m | 40.45 ± 3.91 | 39.66 ± 4.12 | 0.44 |
- Citation: Dong TX, Wang D, Zhao Q, Zhang ZD, Zhao XF, Tan BB, Liu Y, Liu QW, Yang PG, Ding PA, Zheng T, Li Y, Liu ZJ. Comparative analysis of two digestive tract reconstruction methods in total laparoscopic radical total gastrectomy. World J Gastrointest Surg 2024; 16(4): 1109-1120
- URL: https://www.wjgnet.com/1948-9366/full/v16/i4/1109.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i4.1109