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Table 1 Comparison of clinical variables of patients between the ELAPE and APE group

From: Long-term outcomes after extra-levator versus conventional abdominoperineal excision for low rectal cancer

 

ELAPE (n = 68)

APE (n = 46)

P value

Gender [n (%)]

  

0.829a

 Male

43 (63.2)

30 (65.2)

 

 Female

25 (36.8)

16 (34.8)

 

Age (yr, x ± s)

61.3 ± 11.5

64.8 ± 11.1

0.105d

BMI (kg/m2, x ± s)

24.6 ± 3.7

23.8 ± 3.2

0.669d

Cardiovascular disease [n (%)]

23 (33.8)

17 (37.0)

0.731a

Diabetes mellitus [n (%)]

10 (14.7)

8 (17.4)

0.700a

Cerebral disease [n (%)]

3 (4.4)

2 (4.2)

1.000a

Distance from anal verge [cm, M (range)]

3.0 (2.0–3.5)

3.0 (2.0–4.0)

0.315b

Clinical T stage [n (%)]

  

0.593a

 cT1 − 2

8 (11.8)

7(15.2)

 

 cT3 − 4

60 (88.2)

39(84.8)

 

Clinical N stage [n (%)]

  

0.946a

 cN0

38 (55.9)

26(44.1)

 

 cN1 − 2

30 (56.5)

20(43.5)

 

Clinical stage [n (%)]

  

0.717a

 II

48 (70.6)

31(67.4)

 

 III

20 (29.4)

15(32.6)

 

Neoadjuvant chemoradiotherapy [n (%)]

  

0.004a

 Yes

31 (45.6)

9 (19.6)

 

 No

37 (54.4)

37 (80.4)

 

Grade 3/4 adverse events [n (%)]

   

 Total

8 (25.8)

2 (22.2)

0.827a

 Neutropenia

3 (9.7)

2 (22.2)

0.668a

 Anemia

2 (6.5)

0 (0)

1.000c

 Thrombocytopenia

1 (3.2)

0 (0)

1.000c

 Diarrhea

2 (6.5)

0 (0)

1.000c

Postoperative chemotherapy [n (%)]

  

0.280a

  Yes

48 (70.6)

28 (60.9)

 

  No

20 (29.4)

18 (39.1)

 

Approaches of operation [n (%)]

  

0.012a

 Laparoscopy assisted

47 (69.1)

41 (89.1)

 

 Open

21 (30.9)

5 (10.9)

 

 Total operative time [min, M (range)]

318 (268–360)

210 (180–275)

<0.001b

 Blood loss [ml, M (range)]

175 (100–200)

100 (80–200)

0.004b

Pelvic floor construction [n (%)]

  

<0.001a

 Yes

51 (75.0)

2 (4.3)

 

 No

17 (25.0)

44 (95.7)

 

Combined organ resection [n (%)]

  

1.000 c

 Yes

2 (2.9)

1 (2.2)

 

 No

66 (97.1)

45 (97.8)

 

Duration of postoperative hospitalization [d, M(range)]

16 (14–21)

16 (12–26)

0.899b

 Postoperative drainage time [d, M(range)]

12 (9–14)

8 (6–12)

<0.001b

 Postoperative complications [n (%)]

19 (27.9)

12 (26.1)

0.827a

 Abdominal wound healing problem [n (%)]

8 (11.8)

8 (17.4)

0.396a

 Intestinal obstruction [n (%)]

7 (10.3)

1 (2.2)

0.098c

 Urinary infection [n (%)]

3 (4.4)

4 (8.7)

0.591a

 Perineal hernia [n (%)]

3 (4.4%)

1 (2.2%)

0.647c

  1. ELAPE extralevator abdominoperineal excision, APE abdominoperineal excision, BMI body mass index; aChi-square test, bMann-Whitney U test, cFisher’s exact test, dIndependent t-tests