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Table 1 Associations between the type of circular stapler and patient characteristics/operative outcomes

From: Impact of a circular powered stapler on preventing anastomotic leakage in patients with left-sided colorectal cancer: a retrospective study

 

Entire cohort

 

Matched cohort

Factors

The ECPS group (n = 68)

The MCS group (n = 119)

p-value

 

The ECPS group (n = 63)

The MCS group (n = 63)

p-value

Age (years)

       

Median (range)

69(42–91)

68(41–87)

0.964

 

69(42–91)

68(41–87)

0.847

Sex, n

       

Male

32

48

  

30

26

 

Female

36

71

0.443

 

33

37

0.591

ASA physical status, n

       

1, 2

54

103

  

50

58

 

3

14

16

0.218

 

13

5

0.073

Diabetes mellitus

       

Absent

58

93

  

53

50

 

Present

10

26

0.254

 

10

13

0.645

Steroid use

       

Absent

68

118

  

63

63

 

Present

0

1

> 0.999

 

0

0

> 0.999

Smoking

       

Absent

51

65

  

46

46

 

Present

17

54

0.008

 

17

17

> 0.999

BMI (mg/m2)

       

Median (range)

21.24 (14.84–40.88)

22.77 (15.26–32.19)

0.013

 

21.23 (14.84–40.88)

22.21 (15.26–32.19)

0.155

Tumor location, n

       

Above the peritoneal reflection

57

110

  

57

57

 

Below the peritoneal reflection

11

9

0.085

 

6

6

> 0.999

Tumor diameter (cm)

       

Median (range)

3.5 (0–12.0)

4.0 (0–10.0)

0.223

 

3.5 (0–12.0)

4.0 (0–10.0)

0.182

Pathological stage

       

0

2

3

  

2

1

 

I

23

36

  

22

19

 

II

20

47

  

19

25

 

III

16

22

  

13

10

 

IV

7

11

0.732

 

7

8

0.767

Neoadjuvant chemoradiotherapy, n

      

Absent

67

116

  

62

61

 

Present

1

3

> 0.999

 

1

2

> 0.999

Surgical approach, n

       

Open

3

13

  

3

9

 

Laparoscopic

39

97

  

39

48

 

Robot-assisted

26

9

< 0.001

 

21

6

0.002

Number of stapler cartridges for rectal transection, n

       

1, 2

65

117

  

60

62

 

3

3

2

0.355

 

3

1

0.619

Diameter of circular stapler (mm), n

      

25

51

46

  

47

25

 

29

17

73

< 0.001

 

16

38

< 0.001

Additional reinforcement, n

       

Absent

27

46

  

24

26

 

Present

41

73

> 0.999

 

39

37

0.856

Diverting ileostomy, n

       

Absent

58

110

  

56

58

 

Present

10

9

0.136

 

7

5

0.763

Intraoperative blood loss (ml)

       

Median (range)

20 (5-1080)

20 (5-2730)

0.597

 

20 (5-1080)

20 (5-2730)

0.25

Operation time (min)

       

Median (range)

238 (117–1129)

247 (127–666)

0.882

 

228 (117–1129)

245 (130–666)

0.408

  1. ECPS: ECHELON CIRCULAR™ Powered Stapler; MCS: manual circular stapler; ASA: American Society of Anesthesiologists; BMI: body mass index