Table 3.
Peri- and postoperative characteristics
| Author (year) | Brown and Zenati [18] | Brown and Jung [19] | Ito [20] | Ueda [21] | Asano [22] | Hiyoshi [23] | Malgras [24] | Parra-Membrives [25] | |
|---|---|---|---|---|---|---|---|---|---|
| Sample size, n | 628 | 241 | 133 | 113 | 213 | 161 | 352 | 86 | |
| Postoperative cholangitis, n (%) | 50 (8) | 27 (11) | 28 (21) | 21 (19) | 16 (8) | 13 (8) | 20 (6) | 14 (16) | |
| Predictive peri- and postoperative characteristics | |||||||||
| Operation typea | n (%) | N/A | 2 (1) | 19 (14) | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | |||||||||
| P-value | 0.344 | 0.10 | |||||||
| OR (95% CI) | 2.24 (1.32–3.81) | N/A | N/A | ||||||
| P-value | 0.003 | ||||||||
| Operation time | n (%) | N/A | N/A | 16 (12) | 17 (15) | N/A | N/A | N/A | N/A |
| mean ± SD | 398.0 ± 64.0 | N/A | N/A | 636.5 ± 91.4 | N/A | ||||
| P-value | 0.05 | 0.72 | < 0.001 | 0.21 | 0.395 | ||||
| OR (95% CI) | 1.01 (1.00–1.01) | N/A | 18.7 (3.07–114) | 1.55 (1.04–2.30) | N/A | N/A | |||
| P-value | 0.052 | 0.002 | 0.031 | ||||||
| Blood loss | n (%) | N/A | 6 (3) | 16 (12) | 15 (13) | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | N/A | N/A | 1743.1 ± 546.6 | N/A | ||||
| P-value | 0.42 | 0.79 | 0.062 | 0.98 | 0.447 | ||||
| OR (95% CI) | N/A | N/A | N/A | 1.00 (0.99–1.00) | N/A | N/A | |||
| P-value | 0.051 | ||||||||
| Perioperative radiotherapy | n (%) | N/A | 2 (1) | N/A | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | ||||||||
| P-value | 0.11 | ||||||||
| OR (95% CI) | 1.84 (0.77–4.36) | 9.00 (1.18–68.49) | |||||||
| P-value | 0.17 | 0.034 | |||||||
| Malignant/benign | n (%) | N/A | N/A | 27 (20) | 14 (12) | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | N/A | |||||||
| P-value | 0.68 | < 0.001 | |||||||
| OR (95% CI) | N/A | 18.5 (3.56–100) | 0.32 (0.11–0.39) | 5.3 (1.8–15.8) | |||||
| P-value | 0.001 | 0.035 | 0.001 | ||||||
| Clavien–Dindo ≥ 3 (C-D) | n (%) | N/A | 10 (4) | N/A | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | ||||||||
| P-value | 0.072 | N/A | N/A | N/A | N/A | N/A | N/A | ||
| OR (95% CI) | 1.56 (0.92–2.62) | N/A | |||||||
| P-value | 0.097 | ||||||||
| Small bile duct diameter | n (%) | N/A | N/A | N/A | 13 (12) | N/A | N/A | N/A | N/A |
| mean ± SD | 6.6 ± 2.0 | N/A | 7.2 ± 2.1 | ||||||
| P-value | 0.005 | 0.087 | 0.050 | ||||||
| OR (95% CI) | 11.57 (1.54–86.94) | N/A | N/A | 0.3 (0.1–1.2) | |||||
| P-value | 0.017 | 0.09 | |||||||
| Wound infection | n (%) | N/A | N/A | 5 (4) | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | ||||||||
| P-value | 0.83 | ||||||||
| OR (95% CI) | 1.00 (0.55–1.82) | N/A | |||||||
| P-value | 0.99 | ||||||||
| Length of stay | n (%) | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | 7 (5–9)b | |||||||
| P-value | 0.36 | ||||||||
| OR (95% CI) | 1.00 (0.96–1.03) | N/A | |||||||
| P-value | 0.827 | ||||||||
| Readmission < 90 days | n (%) | N/A | 16 (7) | N/A | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | ||||||||
| P-value | 0.034 | ||||||||
| OR (95% CI) | 2.30 (1.42–3.72) | N/A | |||||||
| P-value | 0.001 | ||||||||
| Adjuvant therapy | n (%) | N/A | 12 (5) | N/A | N/A | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | ||||||||
| P-value | 0.23 | ||||||||
| OR (95% CI) | 0.71 (0.44–1.15) | N/A | 0.54 (0.18–1.62) | ||||||
| P-value | 0.17 | 0.27 | |||||||
| Postoperative pancreatic fistula | n (%) | N/A | 1 (0.4) | 6 (5) | 9 (8) | N/A | 4 (3) | N/A | N/A |
| mean ± SD | N/A | N/A | N/A | N/A | |||||
| P-value | 0.71 | 0.22 | 0.008 | 0.036 | |||||
| OR (95% CI) | 2.32 (1.29–4.18) | N/A | N/A | N/A | N/A | N/A | |||
| P-value | 0.005 | ||||||||
| Pneumobilia | n (%) | N/A | N/A | 15 (11) | 19 (17) | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | N/A | |||||||
| P-value | 0.17 | 0.012 | |||||||
| OR (95% CI) | N/A | 28.8 (2.32–358) | |||||||
| P-value | 0.009 | ||||||||
| Delayed gastric emptying | n (%) | N/A | N/A | 0 | 5 (4) | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | N/A | |||||||
| P-value | 0.20 | 0.22 | |||||||
| OR (95% CI) | N/A | N/A | |||||||
| P-value | |||||||||
| Postoperative alkaline phosphatase | n (%) | N/A | N/A | 20 (15) | 15 (13) | N/A | N/A | N/A | N/A |
| mean ± SD | N/A | N/A | |||||||
| P-value | 0.003 | 0.003 | |||||||
| OR (95% CI) | 3.81 (1.52–9.55) | 6.03 (1.36–6.81) | |||||||
| P-value | 0.004 | 0.018 | |||||||
Statistically significant results are displayed in bold
aPylorus preserving pancreatoduodenectomy vs pylorus resecting pancreatoduodenectomy
bMedian (range)