Table 2. Logistic Regression Model for Clinically Relevant Pancreatic Fistula (CR-POPF) Occurrence in 2846 Unmatched Patients Undergoing OPD or RPD.
Variable | CR-POPF, No. (%) | Odds Ratio (95% CI) | P Value | |
---|---|---|---|---|
No | Yes | |||
Operative approach | ||||
Open | 2310 (86.8) | 351 (13.2) | 1 [Reference] | .002 |
Robotic | 169 (91.4) | 16 (8.6) | 0.4 (0.2-0.7) | |
Gland texture | ||||
Firm/hard | 1309 (95.8) | 57 (4.2) | 1 [Reference] | <.001 |
Soft | 1170 (79.1) | 310 (20.9) | 4.7 (3.4-6.6) | |
Pathologic findings of high-risk disease ? | ||||
No, PDAC/pancreatitis | 1378 (92.2) | 117 (7.8) | 1 [Reference] | .01 |
Yes, Other pathologic findings | 1101 (81.5) | 250 (18.5) | 1.4 (1.1-1.9) | |
Pancreatic duct diameter, mm | ||||
≥5 | 739 (92.7) | 58 (7.3) | 1 [Reference] | |
4 | 488 (89.2) | 59 (10.8) | 1.4 (0.9-2.1) | .11 |
3 | 682 (87.4) | 98 (12.6) | 1.4 (0.9-2.1) | .06 |
2 | 454 (78.7) | 123 (21.3) | 2.1 (1.4-3.1) | <.001 |
≤1 | 116 (80.0) | 29 (20.0) | 1.8 (1.0-3.0) | .03 |
Intraoperative blood loss, mL | ||||
≤400 | 1403 (88.9) | 175 (11.1) | 1 [Reference] | |
401-700 | 544 (86.5) | 85 (13.5) | 1.5 (1.1-2.0) | .01 |
701-1000 | 257 (86.8) | 39 (13.2) | 1.4 (0.9-2.1) | .14 |
>1000 | 275 (80.2) | 68 (19.8) | 2.1 (1.4-2.9) | <.001 |
Operative factors | ||||
Type of reconstruction | ||||
Pancreaticojejunostomy | 2406 (87.4) | 348 (12.6) | 1 [Reference] | |
Pancreaticogastrostomy | 73 (80.2) | 18 (19.8) | .07 | |
None, occlusion | 0 | 1 (100) | .19 | |
Intraoperative drain placement? | ||||
No | 163 (79.5) | 42 (20.5) | 1 [Reference] | |
Yes | 2316 (87.7) | 325 (12.3) | 0.5 (0.3-0.8) | .005 |
Transanastomotic stent placement? | ||||
No | 1294 (85.8) | 215 (14.2) | 1 [Reference] | |
Internal | 623 (86.0) | 101 (14.0) | 1.2 (0.9-1.7) | .27 |
External | 562 (91.7) | 51 (8.3) | 0.7 (0.5-1.0) | .06 |
Prophylactic octreotide | ||||
No | 1790 (92.7) | 141 (7.3) | 1 [Reference] | |
Yes | 689 (75.3) | 226 (24.7) | 3.1 (2.3-4.0) | <.001 |
Abbreviations: OPD, open pancreatoduodenectomy; PDAC, pancreatic ductal adenocarcinoma; RPD, robotic pancreatoduodenectomy.