Table 1.
Comparison of Patients Who Developed a Pancreatic Fistula With Those Who Did Not
| No. (%) | |||||
|---|---|---|---|---|---|
| Characteristic | Patient With Fistula (n = 75) |
Patient Without Fistula (n = 506) |
All Patients (N = 581) |
Odds Ratio |
P Value |
| Age, mean (SD), y | 63 (13.8) | 63 (13.2) | 63 (13.3) | .92 | |
| Male sex | 48 (64.0) | 245 (48.4) | 293 (50.4) | 1.9 | .01 |
| Pathologic diagnosis | |||||
| Cystic lesion | 19 (15.6) | 103 (84.4) | 122 (21.0) | 1.3 | .36 |
| Ampullary adenocarcinoma | 18 (27.3) | 48 (72.7) | 66 (11.4) | 3.0 | < .001 |
| Pancreatic adenocarcinoma | 9 (4.9) | 174 (95.1) | 183 (31.5) | 0.26 | < .001 |
| Chronic pancreatitis | 6 (12.2) | 43 (87.8) | 49 (8.4) | 0.94 | > .99 |
| Neuroendocrine tumor | 4 (12.1) | 29 (87.9) | 33 (5.7) | 0.93 | > .99 |
| Other | 19 (14.8) | 109 (85.2) | 128 (22.0) | 1.2 | .46 |
| Preoperative albumin level, mean (SD), g/dL | 3.7 (0.64) | 3.7 (0.57) | 3.7 (0.58) | .83 | |
| Length of operation, mean (SD), min | 377.1 (119.1) | 342.1 (96.1) | 346.6 (99.9) | .02 | |
| Length of hospital stay, mean (SD), d | 23.6 (20.1) | 8.7 (5.9) | 10.6 (10.3) | < .001 | |
| Need for stay in intensive care unit | 20 (26.7) | 17 (3.4) | 37 (6.4) | < .001 | |
| Need for TPN | 31 (41.3) | 14 (2.8) | 45 (7.8) | < .001 | |
| Need for readmission | 20 (26.7) | 56 (11.1) | 76 (13.1) | < .001 | |
| Delayed gastric emptying | 7 (9.3) | 16 (3.2) | 23 (4.0) | .02 | |
| Need for IR drainage | 28 (37.3) | 24 (4.7) | 52 (9.0) | < .001 | |
| Reoperation | 5 (6.7) | 11 (2.2) | 16 (2.8) | .04 | |
| Mortality | |||||
| 30-Day or in-hospital | 5 (6.7) | 6 (1.2) | 11 (1.9) | .008 | |
| Fistula-related | 7 (9.3) | 6 (1.2) | 13 (2.2) | < .001 | |
Abbreviations: IR, interventional radiology; TPN, total parenteral nutrition.
SI conversion factor: To convert albumin to grams per liter, multiply by 10.