Table 3. Impact of Undergoing RPD vs OPD for Clinically Relevant Pancreatic Fistula (CR-POPF) Occurrence and Other Postoperative Outcomes in Propensity Score-Matched Cohorts (Model 1)a.
| Variable, No. (%) | No. (%) | P Value | |
|---|---|---|---|
| OPD | RPD | ||
| Patients | 152 (50.0) | 152 (50.0) | |
| CR-POPF | 17 (11.2) | 10 (6.6) | .23 |
| FRS risk zone | |||
| Negligible, FRS 0 | 0 | 1 (4.3) | >.99 |
| Low, FRS 0-2 | 2 (6.7) | 0 | .50 |
| Moderate, FRS 3-6 | 12 (14.1) | 5 (5.9) | .14 |
| High, FRS 7-10 | 3 (21.4) | 4 (28.6) | >.99 |
| Grade B POPF | 14 (9.2) | 10 (6.6) | .52 |
| Grade C POPF | 3 (2.0) | 0 | .25 |
| Complications | |||
| Any, Accordion severity grading system grade ≥1 | 101 (66.4) | 112 (73.7) | .21 |
| Mild/moderate, Accordion score 1-2 | 65 (42.8) | 77 (50.7) | .24 |
| Severe, Accordion severity grading system grade ≥3 | 36 (23.7) | 35 (23.0) | >.99 |
| Readmission, 30-d | 33 (21.7) | 34 (22.4) | >.99 |
| Duration of hospital stay, d | |||
| Mean (SD) | 11.8 (10.6) | 10.5 (6.9) | .22 |
| Median, IQR | 8.5 (7-12) | 8 (7-12) | .31 |
| Mortality, 90-d | 2 (1.3) | 5 (3.3) | .38 |
Abbreviations: FRS, Fistula Risk Score; IQR, interquartile range; OPD, open pancreatoduodenectomy; PDAC, pancreatic ductal adenocarcinoma; POPF, postoperative pancreatic fistula; RPD, robotic pancreatoduodenectomy.
a
CR-POPF outcome comparisons were also stratified across FRS risk zones.