Table 5.
Outcomes after R-MIPD and L-MIPD stratified for annual volume based on the Miami Guidelines volume cut-off.
| R-MIPD | L-MIPD | |||||
|---|---|---|---|---|---|---|
| Variable | Annual volume ≥20 N=595 | Annual volume <20 N=240 | P | Annual volume ≥20 N=330 | Annual volume <20 N=171 | P |
| Operative time, min, median [IQR] | 402 [345–471] | 450 [351–564] | <0.001 | 430 [340–520] | 330 [269–420] | <0.001 |
| Operative blood loss, mL median [IQR] | 200 [100–400] | 200 [100–400] | 0.073 | 200 [100–300] | 150 [100–300] | 0.051 |
| Conversion, n (%) | 51 (8.6) | 30 (12.5) | 0.108 | 17 (5.2) | 31 (18.1) | <0.001 |
| Major morbidity (CD grade ≥3), n (%) | 274 (46.1) | 106 (44.2) | 0.676 | 106 (32.1) | 65 (38.0) | 0.223 |
| Mortality, n (%) | 21 (3.5) | 13 (5.4) | 0.291 | 17 (5.2) | 9 (5.3) | 1.000 |
| POPF grade B/C, n (%) | 154 (27.7) | 42 (19.4) | 0.021 | 54 (17.9) | 31 (18.6) | 0.966 |
| PPH grade B/C, n (%) | 66 (11.4) | 35 (14.9) | 0.204 | 27 (8.2) | 14 (8.3) | 1.000 |
| DGE grade B/C, n(%) | 117 (19.7) | 43 (18.5) | 0.749 | 18 (6.2) | 20 (11.8) | 0.059 |
| Bile leakage grade B/C, n (%) | 56 (9.6) | 14 (6.0) | 0.121 | 21 (6.4) | 10 (6.0) | 1.000 |
| Percutaneous drainage, n (%) | 202 (35.0) | 45 (19.1) | <0.001 | 59 (17.9) | 27 (15.9) | 0.663 |
| Reoperation, n (%) | 52 (9.8) | 42 (19.9) | <0.001 | 30 (9.2) | 20 (11.9) | 0.425 |
| Wound infection, n (%) | 16 (2.8) | 6 (2.5) | 1.000 | 6 (1.8) | 4 (2.3) | 0.953 |
| Length of stay, days, median [IQR] | 12 [8–21] | 12 [8–21] | 0.335 | 12 [8–22] | 13 [9–17] | 0.979 |
| Readmission, n (%) | 99 (17.3) | 36 (16.0) | 0.728 | 28 (10.9) | 24 (14.5) | 0.341 |
Values in parentheses are percentages unless mentioned otherwise. Percentages may not add up due to rounding and missing data.
CD, Clavien–Dindo; DGE, delayed gastric emptying; IQR, interquartile range; POPF, postoperative pancreatic fistula; PPH, postpancreatectomy hemorrhage.