Clinical Study

Gastrointestinal Complications in 147 Consecutive Patients with Peritoneal Surface Malignancy Treated by Cytoreductive Surgery and Perioperative Intraperitoneal Chemotherapy

Table 3

Univariate and multivariate analysis (gastrointestinal events).

Gastrointestinal events I–IV univariate analysisGastrointestinal events I–IV multivariate analysis
Yes No Value*/OR
(95% CI)
Odds Ratio Value

Gender
 Male12560.8480 NT**
 Female13660.9 ( )
Age
 ≤50 year14580.4408 NT
 >50 year11640.7 ( )
Location
 Appendix221130.4297 NT
 Colorectal391.7 ( )
Grade
 Grade 15560.0166 0.1345
 Grades 2-320660.3 ( )
Prior Surgical Score
 0–2231101.0000 NT
 3–52120.8 ( )
Peritoneal Cancer Index (4 groups)
 0–10328Reference NT
 11–206340.7220
1.6 ( )
 21–307460.7384
1.4 ( )
 31–399140.0100
6.0 ( )
Peritoneal Cancer Index (2 groups B)
 0–30161080.0049 2.8 (0.9,8.4)  0.0586
 31+9144.3 ( )
Completeness of Cytoreduction
 Complete181070.0625 NT
 Incomplete7152.8 ( )
Peritonectomy Procedure
 Pelvic211021.0000
1.0 ( )
NT
 Right Upper Quardrant19900.8166
1.1 ( )
NT
 Left Upper Quardrant11610.5846
0.8 ( )
NT
 Omental Bursa12580.9666
1.0 ( )
NT
 Anterior Abdominal  Wall11390.2473
1.7 ( )
NT
Peritonectomy Procedure per patient
 0–28470.5391 NT
 3–517751.3 ( )
Visceral Resections Performed
 Omentectomy241200.4308
0.4 ( )
NT
 Splenectomy15690.7513
1.2 ( )
NT
 Rectosigmoid colon14430.0524
2.3 ( )
NT
 Right colon resection15550.1736
1.8 ( )
NT
 Hysterectomy4430.0601
0.3 ( )
NT
 Small bowel resection9200.0493
2.9 ( )
1.3 ( )0.6202
 Transverse colon5150.3377
1.8 ( )
NT
 Gastrectomy220.1343
5.2 ( )
NT
Visceral Resections Performed per patient
 0–27490.2539NT
 3–718731.7 ( )
Anastomoses performed
 Esophago-jejunal110.3122
5.0 ( )
NT
 Small bowel7150.0605
2.8 ( )
NT
 Ileocolic7220.2741
1.8 ( )
NT
 Colocolic120.4308
2.5 ( )
NT
 Colorectal14420.0430
2.4 ( )
1.4 ( )0.4986
Anastomoses performed per patient
 0–2211180.0288 1.9 ( ) 0.4616
 3–5445.6 ( )
Ostomies performed
 None1589reference
 Diverting ileostomy8220.1172
2.2 ( )
NT
 End ileostomy2111.0000
1.1 ( )
NT
Blood replacement
 None732reference
 Blood 1–38600.3752
0.6 ( )
NT
 Blood 4–69260.4178
1.6 ( )
NT
 Blood > 6141.0000
1.1 ( )
NT
Fresh frozen plasma replacement
 None1367reference
 Plasma 1–47440.6953
0.8 ( )
NT
 Plasma > 45110.1724
2.3 ( )
NT
Time in operating room (hours)
 0–628reference
 7–12181060.6445
0.7 ( )
NT
 >12580.450
2.3 ( )
NT
Chemotherapy treatment
 HIPEC only10690.2314 NT
 HIPEC plus EPIC13521.7 ( )
 Unknown21

*: Pearson Chi-square, or Fisher's exact test if sparse distribution. **: NT means Not Tested in multivariate modeling due to non significant univariate test.