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Table 2 Comparison of postoperative conditions between the two groups

From: Long-term oncologic outcomes of natural orifice specimen extraction surgery versus conventional laparoscopic-assisted resection in the treatment of rectal cancer: a propensity-score matching study

Outcome

After PSM

LAP

(N = 106)

NOSES

(N = 106)

t/χ2

P value

Operative time (min)

183.9 ± 51.7

187.2 ± 50.5

− 0.471

0.638

Blood loss (mL)

87.1 ± 101.2

47.0 ± 60.4

2.541

0.011

Notch lengtha (cm)

6.5 ± 0.8

1.3 ± 0.4

3.502

0.001

Harvested lymph node (pieces)

13.6 ± 5.0

13.7 ± 5.8

− 0.102

0.919

Positive lymph node (pieces)

1.1 ± 2.6

0.7 ± 1.6

1.427

0.155

Positive margin

0 (0)

0 (0)

NA

NA

Intraoperative complications

0 (0)

0 (0)

NA

NA

Grade

  

2.912

0.233

 Well-differentiated

23 (21.7%)

23 (21.7%)

  

 Moderately-differentiated

77 (72.6%)

70 (66.0%)

  

 Poor-differentiated

6 (5.7%)

13 (12.3%)

  

Histology

  

0.712

0.701

 Adenocarcinoma

100 (94.3%)

99 (93.4%)

  

 Tubular adenocarcinoma

3 (2.8%)

2 (1.9%)

  

 Mucinous

3 (2.8%)

5 (4.7%)

  

Usage of additional analgesics

56 (52.8%)

39 (36.8%)

5.512

0.019

VAS scores

  

/

 < 0.001*

 Day 1 postoperatively

4.16 ± 1.36

3.29 ± 1.32

  

 Day 3 postoperatively

3.29 ± 1.13

2.46 ± 1.17

  

 Day 5 postoperatively

1.93 ± 0.78

1.53 ± 0.72

  

Time to recovery of gastrointestinal function (hour)

58.6 ± 28.5

50.7 ± 27.3

2.065

0.040

Length of total hospital stays (day)

13.0 ± 4.3

10.2 ± 6.6

3.713

 < 0.001

Postoperative complication

16 (15.5%)

6 (5.7%)

5.407

0.020

 Anastomotic leakage

1 (0.9%)

2 (1.9%)

  

 Intra-abdominal infection

1 (0.9%)

0 (0%)

  

 Ileus

1 (0.9%)

0 (0%)

  

 Pneumonia

2 (1.9%)

1 (0.9%)

  

 Incision-related complications

11 (10.4%)

3 (2.8%)

  

 Pulmonary embolism

0 (0%)

0 (0%)

  

Postoperative PFDI-20 scores

6.47 ± 1.87

6.56 ± 1.35

− 0.378

0.706

Medical expenses (RMB)

71,280 ± 17,870

72,085 ± 20,265

− 0.306

0760

  1. Results in the table are presented as mean ± standard deviation or number (%); a: The notch length was considered to be the length at which the abdominal wall was maximally incised
  2. LAP conventional laparoscopic assisted resection group, NOSES, natural orifice specimen extraction surgery group, PSM propensity score matching, VAS scores visual analogue scale scores, PFDI-20 Pelvic Floor Distress Inventory-20
  3. *The P-value was calculated by repeated measures statistical analysis