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Lymph nodes along the colon wall, arterial edge, lowermost branch of the sigmoid artery, and superior rectal artery

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SUPPLEMENTAL TABLE 1. Japanese Society for Cancer of the Colon and Rectum classification of lymph node stations

Group

Large bowel lymph node coding

Superior mesenteric arterial (SMA) system Inferior mesenteric arterial (IMA) system

Pericolic Lymph nodes along the colon wall and arterial edge.

Lymph nodes along the colon wall, arterial edge, lowermost branch of the sigmoid artery, and superior rectal

artery.

Intermediate

Lymph nodes along the ileocolic artery, right colic artery, right branch of the middle colic artery, and left branch of

the middle colic artery.

Lymph nodes along the left colic artery, sigmoid artery, and IMA from the origin of the left colic artery to the

lowermost branch of the sigmoid artery.

Main

Lymph nodes at the origin of the ileocolic artery, and along the right colic artery, right branch of the middle colic artery, left branch of the middle colic artery, and middle

colic artery.

Lymph nodes along the inferior mesenteric artery from the origin of the IMA to that of the left colic artery.

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SUPPLEMENTAL TABLE 2. Baseline characteristics

Characteristic

Patients

P-value CME (N = 220) NCME (N = 110)

Age (years), median (range) 68 (58 – 77) 73 (57 – 79) 0.083

Sex, N (%)

M 120 (54.5) 54 (49.1)

F 100 (45.5) 56 (50.9) 0.349

BMI (kg/m2), mean (SD) 23.6 (3.3) 23.6 (3.7) 0.946

BSA (m2), mean (SD) 1.7 (0.2) 1.7 (0.2) 0.636

Comorbidity, N (%)

Anemia 21 (9.5) 4 (3.6) 0.056

Cardiovascular disease 109 (49.5) 52 (47.3) 0.697

Cerebrovascular disease 17 (7.7) 12 (10.9) 0.336

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Diabetes 35 (15.9) 19 (17.3) 0.752

Kidney disease 9 (4.1) 3 (2.7) 0.757

Pulmonary disease 15 (6.8) 3 (2.7) 0.123

Tumor location, N (%)

Ascending colon 87 (39.5) 32 (29.1) 0.066

Cecum 27 (12.3) 19 (17.3) 0.258

Descending colon 5 (2.3) 9 (8.2) 0.018*

Hepatic flexure 14 (6.4) 6 (5.4) 0.222

Sigmoid colon 71 (32.3) 42 (38.2) 0.274

Splenic flexure 6 (2.7) 0 (0.0) 0.184

Transverse colon 10 (4.5) 2 (1.8) 0.350

Tumor side, N (%)

Right 138 (62.7) 59 (53.6)

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Left 82 (37.3) 51 (46.4) 0.112

UICC stage, N (%)

I 21 (9.5) 7 (6.4)

II 105 (47.8) 61 (55.4)

III 94 (42.7) 42 (38.2) 0.348

pT stage, N (%)

pT1–2 25 (11.4) 8 (7.3)

pT3–4 195 (88.6) 102 (92.7) 0.234

N stage, N (%)

N0 126 (57.3) 66 (60.0)

N+ 94 (42.7) 44 (40.0) 0.636

RAS mutational, N (%)

N 148 (74.4) 72 (72.0)

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Y 51 (25.6) 28 (28.0) 0.661

MMR status, N (%)

P 166 (83.8) 82 (81.2)

D 32 (16.2) 19 (18.8) 0.564

Adjuvant chemotherapy, N (%)

Y 103 (46.8) 54 (49.1)

N 117 (53.2) 56 (50.9) 0.697

*P < 0.05

MMR status was tested through the method of immunohistochemistry to determine protein expression of MLH1, MSH2, MSH6, PMS2. MMR-deficient tumors show complete loss of expression of one or more protein. MMR-proficient tumors show complete expression the 4 protein.

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Abbreviations: BMI, body mass index; BSA, body surface area; CME, complete mesocolic excision; CS, conventional surgery NCME, non-complete mesocolic excision; F, female; M, male; N, no; p, pathological; SD, standard deviation; UICC, Union for International Cancer Control; MMR, mismatch repair; D, deficient; P, proficient; Y, yes.

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