Background
Methods
Results
ReY | BII |
P
| ||||
---|---|---|---|---|---|---|
n = 90 |
n = 78 | |||||
Age, years | 65 (55–74) | 67 (54–70) | 0.948 | |||
Gender | 0.092 | |||||
female | 29 | (32%) | 35 | (45%) | ||
male | 61 | (68%) | 43 | (55%) | ||
BMI | 25,2 ± 3,5 | 23,4 ± 4,3 | 0.066 | |||
Diagnosis | ||||||
Malignant | 71 | (79%) | 59 | (76%) | 0.616 | |
Ductal adenocarcinoma | 39 | (43%) | 32 | (41%) | ||
Ampullary carcinoma | 13 | (14%) | 16 | (21%) | ||
Distal bile duct carcinoma | 8 | (9%) | 8 | (10%) | ||
Benign | 19 | (21%) | 19 | (24%) | ||
Pancreatitis | 11 | (12%) | 17 | (22%) | ||
DM | pre | 14 | (16%) | 17 | (22%) | 0.298 |
post | 14 | (16%) | 21 | (27%) | 0.076 | |
Alcohol | 23 | (26%) | 15 | (19%) | 0.328 | |
Smoker | 43 | (48%) | 26 | (33%) | 0.058 | |
Weight loss | 39 | (43%) | 25 | (32%) | 0.133 | |
Preoperative biliary drainage | 56 | (62%) | 45 | (58%) | 0.618 | |
Cholangitis | 21 | (23%) | 16 | (21%) | 0.66 | |
Time of operation | min | 434 ± 104 | 410 ± 77 | 0.104 | ||
Red blood cell transfusion | units | 2 (0–4) | 2 (1,5-4) | 0.518 | ||
Blood loss | 1000 (500–1600) | 800 (400–1300) | 0.262 | |||
Clavien classification | 0.145 | |||||
minor | 55 | (61%) | 56 | (72%) | ||
major | 35 | (39%) | 22 | (28%) | ||
Mortality | 1 | (1%) | 1 | (1%) | 1.0 | |
Pancreatic fistula | 36 | (40%) | 22 | (28%) | 0.109 | |
Post pancretectomy hemorrhage | 20 | (22%) | 17 | (22%) | 0.947 | |
DGE | 49 | (54%) | 49 | (63%) | 0.272 | |
B/C | 27 | (30%) | 20 | (26%) | 0.53 |
No DGE | DGE |
P
| ||||
---|---|---|---|---|---|---|
n = 70 |
n = 98 | |||||
Age, years | 62 (51–69) | 68 (60–74) |
0.003
| |||
Gender | 0.39 | |||||
female | 24 | (34%) | 40 | (41%) | ||
male | 46 | (66%) | 58 | (59%) | ||
BMI | 24,6 ± 3,8 | 24,4 ± 4 | 0.888 | |||
Diagnosis | ||||||
Malignant | 54 | (77%) | 76 | (78%) | 0.95 | |
Ductal adenocarcinoma | 31 | (44%) | 40 | (41%) | ||
Ampullary carcinoma | 10 | (14%) | 19 | (19%) | ||
Distal bile duct carcinoma | 7 | (10%) | 9 | (9%) | ||
Benign | 16 | (23%) | 22 | (22%) | ||
Pancreatitis | 13 | (19%) | 15 | (15%) | ||
DM | pre | 12 | (17%) | 19 | (19%) | 0.712 |
post | 15 | (21%) | 20 | (20%) | 0.835 | |
Alcohol | 19 | (27%) | 19 | (19%) | 0.236 | |
Smoker | 31 | (44%) | 38 | (39%) | 0.474 | |
Weight loss | 32 | (46%) | 32 | (33%) | 0.086 | |
Preoperative biliary drainage | 43 | (61%) | 58 | (59%) | 0.831 | |
Cholangitis | 20 | (29%) | 17 | (17%) | 0.083 |
No DGE | DGE |
P
| ||||
---|---|---|---|---|---|---|
n = 70 |
n = 98 | |||||
Time of operation | min | 427 ± 90 | 421 ± 97 | 0.721 | ||
Red blood cell transfusion | units | 2 (0–4) | 2 (0–4) | 0.091 | ||
Blood loss | ml | 750 (500–1500) | 1000 (400–1800) | 0.324 | ||
Antecolic reconstruction | 14 | (20%) | 9 | (9%) |
0.047
| |
Extended lymphadenectomy | 31 | (44%) | 31 | (32%) | 0.094 | |
Venous resection | 4 | (6%) | 13 | (13%) | 0.11 | |
Roux-en-Y reconstruction | 41 | (59%) | 49 | (50%) | 0.272 | |
ICU stay | days | 2 (2–4) | 4 (3–7) |
<0.001
| ||
Primary DGE | 42 | 0.068 | ||||
Secondary DGE | 56 | |||||
Clavien classification | ||||||
minor | 54 | (77%) | 57 | (58%) | ||
major | 16 | (23%) | 41 | (42%) |
0.010
| |
Mortality | 0 | (0%) | 2 | (2%) | 0.511 | |
Redo operation | 10 | (14%) | 24 | (24%) | 0.105 | |
Pancreatic fistula | 21 | (30%) | 37 | (38%) | 0.297 | |
A | 13 | (19%) | 24 | (25%) | 0.361 | |
B | 3 | (4%) | 5 | (5%) | 1.0 | |
C | 5 | (7%) | 8 | (8%) | 0.807 | |
Post pancreatectomy hemorrhage | 10 | (14%) | 27 | (28%) |
0.041
| |
Wound infection | 9 | (13%) | 17 | (14%) | 0.428 | |
Intraabdominal abscess formation | 6 | (9%) | 9 | (9%) | 0.891 | |
Hospital stay | days | 14,5 (13–21,5) | 20,5 (16–30) |
<0,001
|
No DGE | DGE |
P
| |||
---|---|---|---|---|---|
n = 70 |
n = 98 | ||||
Tolerate solid diet (days) | 6 (5–6,25) | 11 (8–15) |
<0.001
| ||
Nasogastric tube (NGT) | |||||
NGT duration (days) | 2 (1–3) | 4 (2,75-5,25) |
<0.001
| ||
NGT reinsertion | 5 | (7%) | 38 | (39%) |
<0.001
|
Vomiting | 14 | (20%) | 49 | (50%) |
<0.001
|
Use of prokinetics | 16 | (23%) | 61 | (62%) |
<0.001
|
DGE °A | 51 | (52%) | |||
DGE °B | 20 | (20%) | |||
DGE °C | 27 | (28%) |
Odds ratio | 95% CI |
P
| |
---|---|---|---|
univariate | |||
Age >70 years | 2.323 | 1.136 – 4.749 |
0.019
|
Weight loss | 0.576 | 0.306 – 1.083 | 0.086 |
Cholangitis | 0.525 | 0.251 – 1.096 | 0.083 |
Antecolic reconstruction | 0.409 | 0.166 – 1.008 |
0.047
|
Extended lymphadenectomy | 0.582 | 0.308 – 1.099 | 0.094 |
Post pancreatectomy hemorrhage | 2.282 | 1.022 – 5.092 |
0.041
|
Major complications (Dindo-Clavien °3-5) | 2.428 | 1.221 – 4.827 |
0.01
|
multivariate | |||
Age >70 years | 2.745 | 1.29 – 5.841 |
0.009
|
Major complications (Dindo-Clavien °3-5) | 3.03 | 1.458 – 6.297 |
0.003
|