Table 3.
Overt vs Occult High-Impact Fistulas in Patients Who Underwent Pancreaticoduodenectomy
| No. (%) | |||
|---|---|---|---|
| Characteristic | Overt Fistula (n = 33) |
Occult Fistula (n = 13) |
P Value |
| Length of stay, mean (SD) d | 32.2 (19.0) | 31.7 (27.4) | .37 |
| Length of operation, mean (SD), min | 413.5 (135.1) | 338.5 (111.4) | .11 |
| Discharged with drain | 18 (54.5) | 5 (38.5) | .51 |
| JP drain output on postoperative day 7, mean (SD), mL | 229.4 (223.2) | NA | |
| Use of antibiotics | 27 (81.8) | 12 (92.3) | .65 |
| Use of octreotide | 27 (81.8) | 5 (38.5) | .01 |
| Use of TPN | 23 (69.7) | 7 (53.9) | .33 |
| Duration of fistula, mean (SD), d | 37.3 (19.9) | 30.5 (7.6) | .23 |
| Associated abscess or collection | 24 (72.7) | 12 (92.3) | .24 |
| Need for IR drainage | 17 (51.5) | 11 (84.6) | .05 |
| Need for readmission | 10 (30.3) | 10 (76.9) | .007 |
| Need for reoperation | 4 (12.1) | 1 (7.7) | >.99 |
| Need for stay in intensive care unit | 13 (39.4) | 6 (46.2) | .75 |
| Bleeding | 7 (21.2) | 2 (15.4) | >.99 |
| Mortality | |||
| 30-Day or in-hospital | 4 (12.1) | 1 (7.7) | >.99 |
| Fistula-related | 5 (15.2) | 2 (15.4) | >.99 |
Abbreviations: IR, interventional radiology; JP, Jackson-Pratt; NA, not applicable (by definition); TPN, total parenteral nutrition.