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©The Author(s) 2023.
World J Gastrointest Surg. Jan 27, 2023; 15(1): 94-104
Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.94
Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.94
Table 1 Single-factor analysis of endoscopic submucosal dissection operation time
Factors | n | Operation time (min) (mean ± SD) | r/t/F | P value |
Age (yr) | 520 | 66.78 ± 40.89 | 0. 191 | 0.812 |
Sex | 0.311 | 0.764 | ||
Male | 367 | 64.19 ± 41.21 | ||
Female | 153 | 73.38 ± 35.82 | ||
Underlying diseases | 0.921 | 0.146 | ||
None | 379 | 63.11 ± 27.17 | ||
Hypertension | 126 | 70.91 ± 32.19 | ||
Diabetes | 12 | 67.24 ± 41.65 | ||
Cirrhosis | 3 | 78.55 ± 30.52 | ||
History of taking anticoagulant or antiplatelet drugs | 1.260 | 0.262 | ||
Yes | 31 | 59.51 ± 48.44 | ||
No | 489 | 66.12 ± 20.38 | ||
Lesion location | 1.333 | 0.198 | ||
Upper gastric body | 112 | 75.76 ± 31.76 | ||
Middle gastric body | 70 | 63.36 ± 38.91 | ||
Lower gastric body | 338 | 65.54 ± 39.18 | ||
Maximum diameter of lesion | 8.691 | < 0.001 | ||
< 3.00 cm | 351 | 52.22 ± 29.81 | ||
≥ 3.00 cm | 169 | 90.38 ± 40.21 | ||
Lesion form | 11.123 | < 0.001 | ||
Uplift type | 134 | 48.54 ± 28.11 | ||
Flat type | 138 | 53.66 ± 31.81 | ||
Concave type | 91 | 71.17 ± 33.71 | ||
Mixed type | 157 | 109.33 ± 40.28 | ||
Combined ulcer or scar | 7.288 | 0.001 | ||
Yes | 64 | 93.17 ± 37.34 | ||
No | 456 | 62.36 ± 31.97 | ||
Combined perforation | 9.327 | < 0.001 | ||
Yes | 21 | 121.33 ± 41.19 | ||
No | 499 | 63.17 ± 36.85 | ||
Infiltrative depth | 5.442 | 0.017 | ||
Mucosa | 397 | 55.44 ± 36.18 | ||
Submucosa | 123 | 87.23 ± 39.67 |
Table 2 Indigenous test results of multivariate linear regression independent variables
Factors | Unstandardized β value | Sx value | Standardized β value | t value | P value |
Intercept | 21.674 | 0.433 | - | 36.188 | < 0.001 |
Maximum diameter of lesion | 8.815 | 0.684 | 0.732 | 3.812 | < 0.001 |
Lesion form - flat | 1.277 | 1.475 | 0.032 | 0.333 | 0.493 |
Lesion form - concave type | 3.766 | 0.872 | 0.383 | 4.456 | < 0.001 |
Lesion form - mixed | 10.247 | 0.929 | 0.633 | 9.580 | < 0.001 |
Combined ulcer or scar | 4.417 | 0.305 | 0.180 | 3.154 | 0.007 |
Combined perforation | 3.692 | 2.303 | 0.153 | 2.340 | 0.020 |
Infiltrative depth - submucosa | 2.536 | 0.569 | 0.077 | 2.652 | 0.008 |
Table 3 Single-factor analysis of the bleeding group and non-bleeding group
Factors | Bleeding group (n = 43) | Non-bleeding (n = 477) | χ2 value | P value |
Age (yr) | 0.120 | 0.729 | ||
< 60 | 23 | 242 | ||
≥ 60 | 20 | 235 | ||
Sex | 0.015 | 0.903 | ||
Male | 30 | 337 | ||
Female | 13 | 140 | ||
Underlying diseases | ||||
Hypertension | 16 | 110 | 4.301 | 0.038 |
Diabetes | 2 | 10 | 1.142 | 0.285 |
Cirrhosis | 0 | 3 | - | - |
History of taking anticoagulant or antiplatelet drugs | 59.148 | < 0.001 | ||
Yes | 14 | 17 | ||
No | 29 | 460 | ||
Lesion location | 0.489 | 0.783 | ||
Upper gastric body | 10 | 102 | ||
Middle gastric body | 7 | 63 | ||
Lower gastric body | 26 | 312 | ||
Maximum diameter of lesion | 29.677 | < 0.001 | ||
< 3.00 cm | 13 | 338 | ||
≥ 3.00 cm | 30 | 139 | ||
Lesion form | 11.098 | 0.011 | ||
Uplift type | 7 | 127 | ||
Flat type | 12 | 126 | ||
Concave type | 15 | 76 | ||
Mixed type | 9 | 148 | ||
Combined ulcer or scar | 0.020 | 0.887 | ||
Yes | 5 | 59 | ||
No | 38 | 418 | ||
Combined perforation | 1.044 | 0.307 | ||
Yes | 3 | 18 | ||
No | 40 | 459 | ||
Infiltrative depth | 3.274 | 0.070 | ||
Mucosa | 28 | 369 | ||
Submucosa | 15 | 108 | ||
ESD operation time | 6.979 | 0.008 | ||
< 60 min | 16 | 277 | ||
≥ 60 min | 27 | 200 |
Table 4 Logistic regression analysis of delayed hemorrhage after endoscopic submucosal dissection
Factors | β | Sx | Wald value | OR (95%CI) | P value |
Hypertension | |||||
No | 1 | ||||
Yes | 0.776 | 0.522 | 2.175 | 2.137 (0.912-2.643) | 0.136 |
Taking anticoagulants | |||||
No | |||||
Yes | 1.841 | 1.062 | 2.851 | 4.377 (0.657-37.912) | 0.078 |
Maximum diameter of lesion | |||||
< 3.00 cm | 1 | ||||
≥ 3.00 cm | 0.941 | 0.347 | 7.399 | 3.785 (1.165-4.277) | 0.011 |
Lesion form | |||||
Uplift type | 1 | ||||
Flat type | 0.701 | 1.031 | 0.452 | 2.011 (0.251-15.664) | 0.072 |
Concave type | 2.378 | 1.679 | 4.917 | 10.585 (2.133-35.381) | 0.007 |
Mixed type | 1.327 | 1.720 | 0.873 | 2.816 (0.463-19.832) | 0.254 |
ESD operation time | |||||
< 60 min | 1 | ||||
≥ 60 min | 1.446 | 1.271 | 3.541 | 2.958 (1.117-3.526) | 0.011 |
- Citation: Cai RS, Yang WZ, Cui GR. Associate factors for endoscopic submucosal dissection operation time and postoperative delayed hemorrhage of early gastric cancer. World J Gastrointest Surg 2023; 15(1): 94-104
- URL: https://www.wjgnet.com/1948-9366/full/v15/i1/94.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i1.94