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Table 2 a Surgical characteristics (N = 93). b Surgical histopathology (N = 93)

From: Safety and efficacy of flexible articulated instrument (ArtiSential®) in laparoscopic surgery for rectal cancer

 

Before PSM

After PSM

ArtiSential®

(n = 32)

Straight

(n = 61)

P value

ArtiSential®

(n = 32)

Straight

(n = 20)

P value

a

Operation type

  

0.062

  

0.875

 Low anterior resection

25 (78.1)

56 (91.8)

 

25 (78.1)

16 (80.0)

 

 Ultralow anterior resection

7 (21.9)

5 (8.2)

 

7 (21.9)

4 (20.0)

 

Anastomosis

  

*0.032

  

0.378

 Stapling

26 (81.3)

58 (95.1)

 

26 (81.3)

18 (90.0)

 

 Hand sewing

6 (18.8)

3 (4.9)

 

6 (18.8)

2 (10.0)

 

Diverting stoma

  

*0.007

  

0.337

 Yes

22 (68.8)

24 (39.3)

 

22 (68.8)

11 (55.0)

 

 No

10 (31.3)

37 (60.7)

 

10 (31.3)

9 (45.0)

 

Conversion

  

0.466

  

0.33

 Yes

0 (0)

1 (1.6)

 

0 (0)

1 (5.0)

 

 No

32 (100)

60 (98.4)

 

32 (100)

19 (95.0)

 

Operative time (min)

147.2 ± 46.7

188.1 ± 57.9

*0.001

147.2 ± 46.7

193.6 ± 76.1

*0.021

EBL (mL)

128.3 ± 115.1

169.7 ± 167.0

0.213

128.3 ± 115.1

213.5 ± 244.0

0.156

Intraoperative transfusion

  

0.202

  

0.33

 Yes

0 (0)

3 (4.9)

 

0 (0)

1 (5.0)

 

 No

32 (100)

58 (95.1)

 

32 (100)

19 (95.0)

 

b

Histology

  

> 0.999

  

0.648

 WD/MD

30 (93.8)

56 (91.8)

 

30 (93.8)

18 (90.0)

 

 PD/Mucinous

2 (6.3)

5 (8.2)

 

2 (6.3)

2 (10.0)

 

AJCC Stages

  

0.868

  

0.215

 0/I

14 (43.8)

22 (36.1)

 

14 (43.8)

11 (55.0)

 

 II

7 (21.9)

13 (21.3)

 

7 (21.9)

5 (25.0)

 

 III

9 (28.1)

22 (36.1)

 

9 (28.1)

4 (20.0)

 

 IV

2 (6.3)

4 (6.6)

 

2 (6.3)

0 (0)

 

Pathologic T category

  

0.767

  

0.683

 T0/1

8 (25.0)

14 (23.0)

 

8 (25.0)

5 (25.0)

 

 T2

10 (31.3)

14 (23.0)

 

10 (31.3)

7 (35.0)

 

 T3

12 (37.5)

27 (44.3)

 

12 (37.5)

8 (40.0)

 

 T4

2 (6.3)

6 (9.8)

 

2 (6.3)

0 (0)

 

Pathologic N category

  

0.507

  

0.431

 N0

21 (65.6)

37 (60.7)

 

21 (65.6)

16 (80.0)

 

 N1

10 (31.3)

18 (29.5)

 

10 (31.3)

3 (15.0)

 

 N2

1 (3.1)

6 (9.8)

 

1 (3.1)

1 (5.0)

 

Harvested LNs

15.3 ± 4.7

19.3 ± 8.3

*0.004

15.3 ± 4.7

20.0 ± 9.3

*0.048

Harvested LNs

  

0.756

  

0.567

 ≥ 12

29 (90.6)

54 (88.5)

 

29 (90.6)

17 (85.0)

 

 < 12

3 (9.4)

7 (11.5)

 

3 (9.4)

3 (15.0)

 

TME quality

  

0.639

  

0.325

 Complete

31 (96.9)

60 (98.4)

 

31 (96.9)

20 (100.0)

 

 Nearly complete

0 (0)

0 (0)

 

0 (0)

0 (0)

 

 Incomplete

1 (3.1)

1 (1.6)

 

1 (3.1)

0 (0)

 

CRM (mm)

  

0.166

  

0.648

 ≤ 1

2 (6.3)

10 (16.4)

 

2 (6.3)

2 (10.0)

 

 > 1

30 (93.8)

51 (83.6)

 

30 (93.8)

18 (90.0)

 

DRM (mm)

  

0.412

  

0.556

 ≤ 5

5 (15.6)

6 (9.8)

 

5 (15.6)

2 (10.0)

 

 > 5

27 (84.4)

55 (53.8)

 

27 (84.4)

18 (90.0)

 
  1. EBL, estimated blood loss; PSM, propensity score matching
  2. *p < 0.05. Values are shown as n (%) or mean ± standard deviation
  3. CRM, circumferential resection margin; DRM, distal resection margin; LN, lymph node; MD, moderately differentiated; PD, poorly differentiated; WD, well-differentiated; PSM, propensity score matching