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. 2017 Apr 19;152(4):327–335. doi: 10.1001/jamasurg.2016.4755

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.