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Table 4 Patients and clinicopathological features between low and high mSAS

From: Predictive value of the surgical Apgar score on postoperative complications in advanced gastric cancer patients treated with neoadjuvant chemotherapy followed by radical gastrectomy: a single-center retrospective study

Variables

All patients N = 115

low mSAS < 8

83 (72.2%)

high mSAS ≥8

32 (27.8%)

p value

Age (yr)

63.3 (±10.8)

63.2 (±10.8)

63.8 (±10.9)

0.736

Gender

   

0.044

 Male

81 (70.4%)

63 (75.9%)

18 (56.3%)

 

 Female

34 (29.6%)

20 (24.1%)

14 (43.8%)

 

Body Mass Index (BMI)

22.3 (±3.3)

22.7 (±3.6)

21.1 (±2.8)

0.027

 BMI ≥ 22

60 (52.2%)

46 (55.4%)

14 (43.8%)

0.001

Diabetes Mellitus

9 (7.8%)

7 (8.4%)

2 (6.3%)

1

Smoking history

73 (63.5%)

58 (69.9%)

15 (46.9%)

0.030

American Society of Anesthesiologists Physical Status (ASA-PS)

   

0.703

 1

11 (9.6%)

7 (8.4%)

4 (12.5%)

 

 2

94 (81.7%)

68 (81.9%)

26 (81.3%)

 

 3

10 (8.7%)

8 (9.6)

2 (6.3%)

 

Tumor locationa

   

0.097

 Upper

46 (40%)

38 (45.8%)

8 (25.0%)

 

 Middle

39 (33.9%)

26 (31.3%)

13 (40.6%)

 

 Lower

20 (17.4%)

11 (13.3%)

9 (28.1%)

 

 Whole

10 (8.7%)

8 (9.6%)

2 (6.3%)

 

ycStage

   

0.302

 I

3 (2.6%)

3 (3.6%)

0

 

 II

47 (40.9%)

31 (37.3%)

16 (50.0%)

 

 III

65 (56.5%)

49 (59.0%)

16 (50.0%)

 

Neoadjuvant chemotherapy regimen

   

0.057

 S-1b and cisplatin

74 (64.3%)

51 (61.4%)

23 (71.9%)

 

 S-1b and oxaliplatin

14 (12.2%)

8 (9.6%)

6 (18.8%)

 

 S-1b, docetaxel and cisplatin

13 (11.3%)

10 (12.0%)

3 (9.4%)

 

 Others

14 (12.2%)

14 (16.9%)

0

 

Surgical Procedure

   

0.001

 Distal gastrectomy

29 (25.2%)

13 (15.7%)

16 (50.0%)

 

 Total gastrectomy

83 (72.3%)

68 (81.9%)

15 (46.9%)

 

Other

3 (2.6%)

2 (2.4%)

1 (3.1%)

 

 Operation time (min)

337.1 (±111.1)

365.6 (±113.5)

263.4 (±59.8)

<  0.001

Surgical Apgar score

6.25 (±1.1)

5.77 (±1.2)

7.50 (±0.67)

<  0.001

modified Surgical Apgar Score

6.34 (±1.5)

5.65 (±1.2)

8.16 (±0.46)

<  0.001

 Estimated blood loss (ml)

711.5 (±627.0)

898.1 (±644.3)

227.6 (±112.9)

<  0.001

 Lowest mean arterial pressure

55.6 (±6.6)

54.8 (±6.5)

57.6 (±6.4)

0.034

 Lowest heart rate

58.7 (±8.4)

59.8 (±8.8)

56.0 (±6.7)

0.034

Extent of lymphadenectomy

   

0.023

 D2c

48 (41.7%)

31 (37.3%)

17 (53.1%)

 

 D2 + d

40 (34.8%)

27 (32.5%)

13 (40.6%)

 

 D3e

27 (23.5%)

25 (30.1%)

2 (6.3%)

 

ypTa factor

   

0.346

 0

4 (3.5%)

3 (3.6%)

1 (3.1%)

 

 T1a

1 (0.9%)

1 (1.2%)

0

 

 T1b

13 (11.3%)

10 (12.0%)

3 (9.4%)

 

 T2

17 (14.8%)

15 (18.1%)

10 (31.3%)

 

 T3

51 (44.3%)

36 (43.4%)

15 (46.9%)

 

 T4a

25 (21.7%)

15 (18.1%)

10 (31.3%)

 

 T4b

4 (3.5%)

3 (3.6%)

1 (3.1%)

 

ypNa factor

   

0.781

 0

39 (33.9%)

30 (36.1%)

9 (28.1%)

 

 1

24 (20.9%)

18 (21.7%)

6 (18.8%)

 

 2

26 (22.6%)

19 (22.9%)

7 (21.9%)

 

 3

26 (22.6%)

16 (19.3%)

10 (31.3%)

 

M factor

   

0.725

 0

104 (90.4%)

74 (89.2%)

30 (93.8%)

 

 1

11 (9.6%)

9 (10.8%)

2 (6.3%)

 

ypStagea

   

0.392

 0

3 (2.6%)

3 (3.6%)

0

 

 I

19 (16.5%)

16 (19.3%)

3 (9.4%)

 

 II

37 (32.3%)

25 (30.1%)

12 (37.5%)

 

 III

45 (39.1%)

30 (36.1%)

15 (46.9%)

 

 IV

11 (9.6%)

9 (10.8%)

2 (6.3%)

 

postoperative complicationf ≥ IIIa

41 (35.7%)

35 (42.2%)

6 (18.8%)

0.029

Histological response of primary lesion

   

0.673

 0

2 (1.7%)

2 (2.4%)

0

 

 1a

33 (28.7%)

24 (28.9%)

9 (28.1%)

 

 1b

30 (26.1%)

22 (26.5%)

8 (25.0%)

 

 2

47 (40.9%)

32 (38.6%)

15 (46.9%)

 

 3

3 (2.6%)

3 (3.6%)

0

 
  1. aAccording to the seventh edition of the International Union Against Cancer tumor, node, metastasis (TNM) classification system
  2. bTegafur/Gimeracil/Oteracil: Product name is TS-1
  3. cD2 lymphadenectomy: Dissection filed for distal gastrectomy: #1, #3a, #3b, #4sb, #4d, #5, #6, #7, #8a, #9, #11p, #12aDissection filed for total gastrectomy: #1, #2, #3a, #3b, #4sa, #4sb, #4d, #5, #6, #7, #8a, #9, #10, #11p, #11d, #12a
  4. dD2+ lymphadenectomy: D2 plus either #16a2/#16b1
  5. eD3 lymphadenectomy: D2 plus both #16a2 and #16b1
  6. fAccording to Clavien-Dindo Classification