Research Article

Feasibility and Safety of Laparoscopic Radical Colectomy for T4b Colon Cancer at a University Hospital in Vietnam

Table 2

Operation time and blood loss in patients with T4b colon cancer.

FactorOperation time (min)Blood loss (ml)
≤180 (; 44.2%)>180 (; 55.8%)<50 (; 32.6%)50-100 (; 34.9%)>100 (; 32.6%)

Sex
 Male9 (37.5)15 (62.5)0.3218 (33.3)9 (37.5)7 (29.2)0.857
 Female10 (52.6)9 (47.4)6 (31.6)6 (31.6)7 (36.8)
Age (years)
 <506 (40.0)9 (60.0)0.6866 (40.0)5 (33.3)4 (26.7)0.788
 ≥5013 (46.4)15 (53.6)8 (28.6)10 (35.7)10 (35.7)
ASA
 ASA I13 (52.0)12 (48.0)0.22410 (40.0)8 (32.0)7 (28.0)0.541
 ASA II6 (33.3)12 (66.7)4 (22.2)7 (38.9)7 (38.9)
Tumor diameter (cm)
 ≤42 (66.7)1 (33.3)0.7201 (33.3)1 (33.3)1 (33.3)0.935
 4–79 (45.0)11 (55.0)7 (35.0)8 (40.0)5 (25.0)
 ≥78 (40.0)12 (60.0)6 (30.0)6 (30.0)8 (40.0)
Invaded structure
 Abdominal wall7 (53.8)6 (46.2)0.1004 (30.8)3 (23.1)6 (46.2)0.013
 Intestine, mesenterium5 (45.5)6 (54.5)7 (63.6)4 (36.4)0 (0)
 Retroperitoneum5 (71.4)2 (28.6)1 (14.3)5 (71.4)1 (14.3)
 ≥2 structures2 (16.7)10 (83.3)2 (16.7)3 (25.0)7 (58.3)
Differentiation
 Moderate16 (42.1)22 (57.9)0.64010 (26.3)14 (36.8)14 (36.8)0.068
 Poor3 (60.0)2 (40.0)4 (80.0)1 (20.0)0 (0)
CEA level (ng/ml)
 <510 (76.9)3 (23.1)0.0115 (38.5)7 (53.8)1 (7.7)0.056
 5-997 (28.0)18 (72.0)9 (36.0)6 (24.0)10 (40.0)
 ≥1002 (40.0)3 (60.0)0 (0)2 (40.0)3 (60.0)
Operating procedure
 RC, ERC8 (57.1)6 (42.9)0.4824 (28.6)8 (57.1)2 (14.3)0.102
 LC, ELC7 (35.0)13 (65.0)8 (40.0)3 (15.0)9 (45.0)
 SC, AR4 (44.4)5 (55.6)2 (22.2)4 (44.4)3 (33.3)

Note: RC: right colectomy; ERC: extended right colectomy; LC: left colectomy; ELC: extended left colectomy; SC: sigmoid colectomy; AR: anterior resection.