From: Laparoscopic vs. open feeding jejunostomy insertion in oesophagogastric cancer
At Staging Procedure (SP) | P | At Resection Procedure (RP) | P | |||
---|---|---|---|---|---|---|
Open (n = 63) | Laparoscopic (n = 8) | Open (n = 63) | Laparoscopic (n = 23) | |||
Jejunostomy-related complications | ||||||
Minor complications (CD ≤ 2) | 16 (25.4%) | 2 (25.0%) | 0.99 | 19 (30.2%) | 3 (13.0%) | 0.16 |
Dislodgement | 4 | – | 1 | – | ||
Leakage | – | – | 2 | 1 | ||
Infection | 5 | 1 | 5 | 0 | ||
Ileus | – | – | 1 | – | ||
Feed related symptoms (diarrhoea, distension, pain) | 7 | 1 | 10 | 2 | ||
(All SP vs. all RP in minor category: P = 0.97) | ||||||
Major complications (CD ≥ 3) | 11 (17.5%) | 0 (0%) | 0.34 | 2 (3.2%) | 1 (4.3%) | 0.99 |
Dislodgement (with RT/IR) | 2 | – | 1 | – | ||
Occlusion (with RT/IR) | 2 | – | 1 | – | ||
Peritonitis/leak | 2 | – | – | – | ||
Wound infection/dehiscence | 1 | – | – | – | ||
Bowel obstruction | 4 | – | – | 1 | ||
(All SP vs. all RP in major category: P = 0.011) | ||||||
Total jejunostomy related complications | 27 (42.9%) | 2 (25%) | 0.46 | 21 (33.3%) | 4 (17.4%) | 0.19 |
(All SP vs. all RP: P = 0.12) (All Open vs. all Laparoscopic: P = 0.049) | ||||||
Clavien-Dindo Classification of jejunostomy related complications | ||||||
Grade I | 9 | 1 | 0.60 | 13 | 2 | 0.34 |
Grade II | 7 | 1 | 0.27 | 6 | 1 | 0.67 |
Grade IIIa | 3 | – | 0.99 | – | 1 | 0.27 |
Grade IIIb | 8 | – | 0.58 | 2 | – | 0.99 |
Grade IV | – | – | – | – | – | – |
Grade V | 1 | – | 0.99 | – | – | – |
Resection (non-jejunostomy) complications | ||||||
Anastomotic leak | 2 | 1 | ||||
Pneumonia | 21 | 6 | ||||
Arrhythmia | 7 | 1 | ||||
Chyle leak | 4 | 6 | ||||
Return to theatre | 1 | – | ||||
Thromboembolism | 2 | – | ||||
Myocardial infarction | 1 | – | ||||
Median length of stay (Days) | 3 | 1.5 | 0.17 | 10 | 9 | 0.09 |