Table 3.
Incidence of clinically relevant postoperative pancreatic fistula (CR-POPF) based on Callery risk scoring system by reconstruction method following pancreaticoduodenectomy
| Variable | Callery risk score11 | Total (%) | Blumgart PJa (%) | PGb (%) | P Value |
|---|---|---|---|---|---|
| n | 206 | 103 | 103 | ||
| Overall | 28 (14) | 7 (7) | 21 (20) | 0.007 | |
| Pancreas parenchyma | |||||
| Firm (n = 86) | 0 | 5 (6) | 1/44 (2) | 4/42 (10) | 0.197 |
| Soft (n = 120) | 2 | 23 (19) | 6/59 (10) | 17/61 (28) | 0.019 |
| Pathology | |||||
| Pancreatic adenocarcinoma or pancreatitis (n = 76) | 0 | 1 (1) | 1/40 (3) | 0/36 | 1.000 |
| Others (n = 130) | 1 | 27 (21) | 6/63 (10) | 21/67 (31) | 0.002 |
| Pancreatic duct diameter, mm | |||||
| ≥ 5 (n = 70) | 0 | 3 (4) | 3/42 (7) | 0/28 | 0.270 |
| 4 (n = 26) | 1 | 3 (12) | 0/10 | 3/16 (19) | 0.280 |
| 3 (n = 37) | 2 | 8 (22) | 1/11 (9) | 7/26 (27) | 0.391 |
| 2 (n = 73) | 3 | 13 (18) | 3/41 (7) | 10/32 (31) | 0.012 |
| ≤ 1 (n = 1) | 4 | 1 (100) | – | 1/1 (100) | N/A |
| Intraoperative blood loss, mL | |||||
| ≤ 400 (n = 96) | 0 | 12 (9) | 3/49 (6) | 9/47 (19) | 0.068 |
| 401–700 (n = 65) | 1 | 6 (9) | 1/27 (4) | 5/38 (13) | 0.388 |
| 701–1000 (n = 31) | 2 | 5 (16) | 3/24 (13) | 2/7 (29) | 0.562 |
| ≥ 1000 (n = 14) | 3 | 54 (36) | 0/3 | 5/11 (46) | 0.258 |
| Fistula risk zone | |||||
| Negligible risk (n = 23) | 0 | 0 | 0/11 | 0/12 | N/A |
| Low risk (n = 35) | 1–2 | 1 (3) | 1/21 (5) | 0/14 | 1.000 |
| Intermediate risk (n = 108) | 3–6 | 15 (14) | 3/50 (6) | 12/58 (21) | 0.048 |
| High risk (n = 40) | 7–10 | 12 (30) | 3/21 (14) | 9/19 (47) | 0.038 |
a
PJ: pancreaticojejunostomy.
b
PG: pancreaticogastrostomy.