From: The taTME learning curve for mid-low rectal cancer: a single-center experience in China
Variable | Operation-time group | P | Postoperative-complication group | Anastomotic-leakage group | P | ||||
---|---|---|---|---|---|---|---|---|---|
Consecutive. of patients | 1–42 | 43–104 | 1–43 | 44–75 | 76–104 | 1–68 | 69–98 | ||
Total operation time, min, median (IQR) | 295.0 (251.0–330.0) | 220.0 (180.0–240.0) | < 0.001 | 290.0 (250.–330.0) | 228.5 (211.5–255.5) | 199.0 (180.0–238.0) | 256.0 (220.0–308.5) | 199.5 (180.0–239.5) | < 0.001 |
Intraoperative blood loss, mL, median (IQR) | 100.0 (57.5–200.0) | 100.0 (50.0–100.0) | 0.173 | 100.0 (65.0–200.0) | 100.0 (50.0–100.0) | 100.0 (50.0–100.0) | 100.0 (50.0–100.0) | 100.0 (50.0–100.0) | 0.491 |
Anastomotic technique, n (%) | < 0.001 | 0.092 | |||||||
Manual | 15 (35.7%) | 11 (17.7%) | 16 (37.2%) | 6 (18.8%) | 4 (13.8%) | 22 (32.4%) | 4 (13.3%) | ||
Stapled | 18 (42.9%) | 50 (80.6%) | 18 (41.9%) | 26 (81.2%)* | 24 (82.8%)# | 43 (63.2%) | 25 (83.3%) | ||
Stapled and reinforced manually | 3 (7.1%) | 1 (1.6%) | 3 (7.0%) | 0 (0.0%) | 1 (3.4%) | 3 (4.4%) | 1 (3.3%) | ||
None | 6 (14.3%) | 0 (0.0%) | 6 (14.0%) | 0 (0.0%) | 0 (0.0%) | NA | NA | ||
Stoma creation, n (%) | 0.003 | 0.010 | |||||||
None | 1 (2.4%) | 5 (8.1%) | 1 (2.3%) | 0 (0.0%) | 5 (17.2%)& | 29 (42.6%) | 0 (0.0%) | ||
Diverting loop ileostomy | 35 (83.3%) | 57 (91.9%) | 36 (83.7%) | 32 (100.0%)* | 24 (82.8%)& | 39 (57.4%) | 30 (100.0%) | ||
Permanent colostomy | 6 (14.3%) | 0 (0.0%) | 6 (14.0%) | 0 (0.0%) | 0 (0.0%) | NA | NA | ||
Transanal tube use, n (%) | 18 (42.9%) | 54 (87.1%) | < 0.001 | 19 (44.2%) | 24 (75.0%)* | 29 (100.0%)#& | 39 (57.4%) | 30 (100.0%) | < 0.001 |
Conversion to open, n (%) | 2 (4.8%) | 0 (0.0%) | 0.161 | 2 (4.7%) | 0 (0.0%) | 0 (0.0%) | 0 | 0 | NA |
Reoperation, n (%) | 1 (2.4%) | 2 (3.2%) | 0.801 | 1 (2.3%) | 2 (6.2%) | 0 (0.0%) | 2 (2.9%) | 0 (0.0%) | 1.0 |