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Table 4 Unadjusted complications associated with radical hysterectomy for cervical cancer stratified by surgeon volume

From: Effect of annualized surgeon volume on major surgical complications for abdominal and laparoscopic radical hysterectomy for cervical cancer in China, 2004–2016: a retrospective cohort study

Outcome

Abdominal surgeon volume

P value

Laparoscopic surgeon volume

P value

Low

Intermediate

High

Low

Intermediate

 

High

N

%

N

%

N

%

N

%

N

%

N

%

Any 1 complication

148

3.06a

168

3.42a

96

2.01b

 < 0.001

137

5.19

150

5.69

148

5.16

0.62

Intraoperative complication

27

0.56

32

0.65

16

0.33

0.08

39

1.48

24

0.91

44

1.53

0.09

Ureteral injury

15

0.31ab

22

0.45a

8

0.16b

0.045

28

1.06

14

0.53

24

0.84

0.10

Bladder injury

3

0.06

4

0.08

1

0.02

0.55

3

0.11

4

0.15

8

0.28

0.34

Bowel injury

0

0

2

0.04

0

0

0.33

1

0.04

1

0.04

4

0.14

0.38

Vascular injury

9

0.18

2

0.04

5

0.10

0.10

4

0.15

4

0.15

7

0.24

0.69

Obturator nerve injury

0

0

2

0.04

2

0.04

0.48

5

0.19

1

0.04

2

0.07

0.24

Stomach injury

0

0

0

0

0

1

0.04

0

0

0

0

0.65

Postoperative complication

122

2.52a

141

2.87a

81

1.69b

 < 0.001

102

3.86

127

4.81

110

3.83

0.12

Bowel obstruction

46

0.95ab

63

1.28a

29

0.61b

0.003

18

0.68

18

0.68

21

0.73

0.97

Pelvic hematoma

1

0.02

1

0.02

0

0

0.99

0

0

2

0.08

0

0

0.11

Hemorrhage

3

0.06

3

0.06

1

0.02

0.71

5

0.19

3

0.11

5

0.17

0.83

Vesicovaginal fistula

8

0.16

9

0.18

6

0.13

0.81

19

0.72

17

0.64

24

0.84

0.71

Ureterovaginal fistula

9

0.19ab

21

0.43a

6

0.13b

0.007

27

1.02a

47

1.78b

31

1.08a

0.02

Rectovaginal fistula

1

0.02

2

0.04

1

0.02

0.99

3

0.11

3

0.11

3

0.10

0.99

Ureteral fistula

3

0.06

3

0.06

1

0.02

0.71

4

0.15

2

0.08

2

0.07

0.67

Venous thromboembolism

51

1.05

43

0.88

37

0.77

0.34

28

1.06

38

1.44

24

0.84

0.10

Chylous leakage

1

0.02

0

0

0

0

0.66

3

0.11

5

0.19

3

0.10

0.69

Other

              

Death

0

0

0

0

2

0.04

0.11

0

0

1

0.04

1

0.03

0.77

  1. Different letters on the shoulder mark indicate significant differences (P < 0.05), and the same letter or no letter indicates that the difference is not significant (P ≥ 0.05)