Table 1.
Postoperative outcomes after pancreatectomy with resection of superior mesenteric/portal vein, coeliac trunk/hepatic artery, or superior mesenteric artery
| SM/PV resection (n = 327) |
CT/HA resection (n = 86) |
P-SMA (n = 69) |
P† | |
|---|---|---|---|---|
| Type of pancreatic resection | - | |||
| Pancreatoduodenectomy | 224 (68.5) | 13 (15) | 7 (10) | |
| Distal pancreatectomy | 21 (6.4) | 24 (28) | 0 (0) | |
| Total pancreatectomy | 82 (25.0) | 49 (57) | 62 (90) | |
| Postoperative complications (during index hospital stay) | 218 (66.7) | 63 (73) | 52 (75) | 0.238 |
| Grade I | 20 (6.1) | 7 (8) | 6 (9) | 0.648 |
| Grade II | 129 (39.5) | 36 (42) | 29 (42) | 0.873 |
| Grade IIIa | 21 (6.4) | 5 (6) | 3 (4) | 0.802 |
| Grade IIIb | 15 (4.6) | 4 (5) | 4 (6) | 0.911 |
| Grade IVa | 8 (2.5) | 3 (3) | 1 (1) | 0.718 |
| Grade IVb | 2 (0.6) | 0 (0) | 1 (1) | 0.522 |
| Grade V | 23 (7.0) | 8 (9) | 8 (12) | 0.407 |
| ≥ grade III | 69 (21.1) | 20 (23) | 19 (27) | 0.774 |
| CCI score, median (i.q.r.) | 22.6 (0–33.5) | 22.6 (0–35) | 24.2 (4.4–33.5) | 0.487 |
| POPF* | 39 (15.9) | 7 (19) | 1 (14) | 0.890 |
| Biochemical leak | 11 (4.5) | 3 (8) | 0 (0) | 0.528 |
| Grade B | 24 (9.8) | 3 (8) | 0 (0) | 0.655 |
| Grade C | 4 (1.6) | 1 (3) | 1 (14) | 0.066 |
| Delayed gastric emptying | 120 (36.7) | 26 (30) | 22 (32) | 0.462 |
| Grade A | 54 (16.5) | 8 (9) | 4 (6) | 0.031 |
| Grade B | 43 (13.2) | 14 (16) | 11 (16) | 0.668 |
| Grade C | 23 (7) | 4 (5) | 7 (10) | 0.409 |
| PPH | 50 (15.3) | 19 (22) | 21 (30) | 0.009 |
| Grade A | 0 (0) | 0 (0) | 0 (0) | – |
| Grade B | 35 (10.7) | 15 (17) | 17 (25) | 0.006 |
| Grade C | 15 (4.6) | 4 (5) | 4 (6) | 0.911 |
| Perioperative blood transfusion | 111 (33.9) | 28 (33) | 27 (39) | 0.853 |
| No. of blood transfusions, median (i.q.r.) | 2 (2–4) | 2 (2–4) | 3 (2–5) | 0.358 |
| Bile leak | 2 (0.6) | 0 (0) | 0 (0) | 0.621 |
| Chyle leak | 2 (0.6) | 0 (0) | 1 (1) | 0.522 |
| Enteric leak | 5 (1.5) | 4 (5) | 2 (3) | 0.211 |
| Surgical-site infection | 33 (10.1) | 11 (13) | 8 (12) | 0.968 |
| Vascular thrombosis | 3 (0.9) | 4 (5) | 5 (7) | 0.003 |
| Vein thrombosis | 2 (0.6) | 4 (5) | 3 (4) | 0.013 |
| Artery thrombosis | 1 (0.3) | 0 (0) | 2 (3) | 0.033 |
| Interventional radiology procedures | 27 (8.3) | 5 (6) | 7 (10) | 0.606 |
| Reoperation | 24 (7.3) | 8 (9) | 6 (9) | 0.822 |
| Duration of hospital stay (days), median (i.q.r.) | 19 (14–26) | 19 (14.8–26) | 22 (14.5–30) | 0.135 |
| 90-day readmission | 10 (3.1) | 4 (5) | 10 (14) | 0.004 |
| 90-day mortality | 23 (7) | 8 (9) | 10 (14) | 0.125 |
| 90-day failure to rescue | 23 (33.3) | 8 (40) | 10 (53) | 0.301 |
Values are n (%) unless otherwise indicated. *Postoperative pancreatic fistula (POPF) data refer to pancreatoduodenectomy and distal pancreatectomy. SM/PV, superior mesenteric/portal vein; CT/HA, coeliac trunk/hepatic artery; P-SMA, pancreatectomy with superior mesenteric artery resection. CCI, comprehensive complication index; PPH, postpancreatectomy haemorrhage. †?.