Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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N | % | |
---|---|---|
Age (years) | 70.7 ± 11.4 | range 36–93 |
Sex | ||
male | 78 | 60.9% |
female | 50 | 39.1% |
ASA class | ||
II | 92 | 71.9% |
III | 36 | 28.1% |
Surgical setting | ||
elective | 118 | 92.2% |
emergency | 10 | 7.8% |
Surgical approach | ||
open | 78 | 60.9% |
laparoscopic | 47 | 36.7% |
conversion | 3 | 2.4% |
Type of resection | ||
right hemicolectomy | 58 | 45.3% |
extended right | 19 | 14.9% |
left hemicolectomy | 16 | 12.5% |
high anterior resection | 35 | 27.3% |
30-day post-operative mortality | 4 | 3.1% |
30-day post-operative morbidity | 43 | 33.6% |
Length of hospital stay (days) | 9.9 ± 7.7 | range 3–49 |
30-day readmission | 4 | 3.1% |
N | % | |
---|---|---|
Quality of resection | ||
R0 | 124 | 96.9% |
R1 | 4 | 3.1% |
Mean lymph node yield | 25.5 ± 11.4 | range 6–74 |
≥12 lymph nodes | 122 | 95.3% |
pT stage | ||
pT1 | 22 | 17.2% |
pT2 | 16 | 12.5% |
pT3 | 73 | 57% |
pT4 | 17 | 13.3% |
pN stage | ||
pN0 | 84 | 65.6% |
pN (+) | 44 | 34.4% |
pN1 (1–3 lymph nodes) | 23 | 18% |
pN2 (≥4 lymph nodes) | 21 | 16.4% |
TNM stage | ||
stage I | 37 | 28.9% |
stage II | 47 | 36.7% |
stage III | 44 | 34.4% |
TO | NTO | p Value | |
---|---|---|---|
Age (years) | 68.5 ± 11.1 | 73.9 ± 11.3 | 0.005 |
Sex | |||
male | 46 (59.7%) | 32 (62.7%) | |
female | 31 (40.3%) | 19 (37.3%) | 0.733 |
ASA class | |||
II | 57 (74%) | 35 (68.6%) | |
III | 20 (26%) | 16 (31.4%) | 0.506 |
Tumour location | |||
right-sided | 53 (68.8%) | 24 (47.1%) | |
left-sided | 24 (31.2%) | 27 (52.9%) | 0.013 |
Surgical setting | |||
elective | 73 (94.8%) | 45 (88.2%) | |
emergency | 4 (5.2%) | 6 (11.8%) | 0.195 |
Surgical approach | |||
open + conversion | 48 (62.3%) | 33 (64.7%) | |
laparoscopic | 29 (37.7%) | 18 (35.3%) | 0.785 |
TNM stage | |||
stage I | 28 (36.3%) | 9 (17.6%) | |
stage II | 27 (35.1%) | 20 (39.3%) | |
stage III | 22 (28.6%) | 22 (43.1%) | 0.056 |
pT stage | |||
pT1 + pT2 | 29 (37.7%) | 9 (17.6%) | |
pT3 | 42 (54.5%) | 31 (60.8%) | |
pT4 | 6 (7.8%) | 11 (21.6%) | 0.012 |
pN stage | |||
pN0 | 55 (71.4%) | 29 (56.9%) | |
pN(+) | 22 (28.6%) | 22 (43.1%) | 0.089 |
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Manatakis, D.K.; Tzardi, M.; Souglakos, J.; Tsiaoussis, J.; Agalianos, C.; Kyriazanos, I.D.; Pechlivanides, G.; Kordelas, A.; Tasis, N.; Gouvas, N.; et al. Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival. Curr. Oncol. 2023, 30, 2879-2888. https://doi.org/10.3390/curroncol30030220
Manatakis DK, Tzardi M, Souglakos J, Tsiaoussis J, Agalianos C, Kyriazanos ID, Pechlivanides G, Kordelas A, Tasis N, Gouvas N, et al. Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival. Current Oncology. 2023; 30(3):2879-2888. https://doi.org/10.3390/curroncol30030220
Chicago/Turabian StyleManatakis, Dimitrios K., Maria Tzardi, John Souglakos, John Tsiaoussis, Christos Agalianos, Ioannis D. Kyriazanos, George Pechlivanides, Athanasios Kordelas, Nikolaos Tasis, Nikolaos Gouvas, and et al. 2023. "Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival" Current Oncology 30, no. 3: 2879-2888. https://doi.org/10.3390/curroncol30030220
APA StyleManatakis, D. K., Tzardi, M., Souglakos, J., Tsiaoussis, J., Agalianos, C., Kyriazanos, I. D., Pechlivanides, G., Kordelas, A., Tasis, N., Gouvas, N., & Xynos, E. (2023). Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival. Current Oncology, 30(3), 2879-2888. https://doi.org/10.3390/curroncol30030220