Table 2. Surgery characteristics and complications for all patients.
Surgical details and outcomes | Neoadjuvant therapy (n=61) | Upfront resection (n=241) | P |
---|---|---|---|
Surgery type | 0.275 | ||
Whipple ± pylorus sparing | 54 (88.5) | 194 (80.5) | |
Distal pancreatectomy | 6 (9.8) | 43 (17.8) | |
Total pancreatectomy | 1 (1.6) | 4 (1.7) | |
SMV or PV resection or repair | 22 (36.1) | 19 (7.9) | <0.001 |
Median estimated blood loss [range], cc | 500 [50–4,000] | 350 [50–2,000] | 0.026 |
No vein resection/repair | 400 [100–1,500] | 300 [50–2,000] | 0.247 |
Vein resection/repair | 500 [200–4,000] | 400 [50–1,500] | 0.298 |
Median surgery time [range], h | 9 [6–13] | 8 [4–15] | 0.002 |
No vein resection/repair | 9 [6–13] | 8 [4–15] | 0.014 |
Vein resection/repair | 10 [8–13] | 12 [8–14] | 0.058 |
Median hospitalization time [range], days | 10 [6–28] | 12 [4–84] | 0.044 |
No vein resection/repair | 9 [6–28] | 12 [4–73] | 0.069 |
Vein resection/repair | 11 [8–27] | 12.5 [6–84] | 0.152 |
Post-operative complications | 24 (39.3) | 75 (31.1) | 0.226 |
Pancreatic or biliary leak | 10 (16.4) | 28 (12.0) | 0.423 |
Wound infection | 10 (16.4) | 26 (11.6) | 0.267 |
Wound dehiscence or fistula | 3 (4.9) | 3 (1.2) | 0.198 |
Abscess | 4 (6.6) | 10 (4.1) | 0.493 |
Internal bleeding | 0 | 9 (3.7) | 0.212 |
Stricture | 1 (1.6) | 1 (0.4) | 0.364 |
Peritonitis | 1 (1.6) | 4 (1.7) | 1.000 |
DVT/PE | 2 (3.3) | 4 (1.7) | 0.350 |
Atrial fibrillation | 4 (6.6) | 16 (6.6) | 1.000 |
90-day post-op mortality | 1 (1.6) | 9 (3.7) | 0.693 |
Whipple, pancreaticoduodenectomy; SMV, superior mesenteric vein; PV, portal vein; DVT, deep venous thrombosis; PE, pulmonary embolism.