Skip to main content

Table 3 Comparison of surgical outcomes among patients with oesophagogastric cancer undergoing laparoscopic or open insertion of feeding jejunostomy either at the time of tumour resection procedure (RP) or at a stand-alone/staging procedure (SP)

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

  1. n (%). RT return to theatre, IR invasive procedure by interventional radiology