Table 3.
Variable | Total, n = 1000 | First 10 yr, 1993-2002 | Second 10 yr, 2003-2012 | Last 5 yr, 2013-2017 | P-value |
Hospital stay in d | 8 (5-71) | 9 | 8 | 8 | 0.0001 |
Time to oral intake in d | 5 (4-56) | 6 | 5 | 5 | 0.33 |
Total amount of drainage in mL | 700 (40-35000) | 1200 | 600 | 600 | 0.0001 |
Drain removal in d | 8 (4-71) | 8 | 8 | 8 | 0.03 |
Total postoperative complications | 323 (32.3) | 120 (40) | 131 (29.6) | 72 (27.9) | 0.02 |
Dindo grade | |||||
I | 114 (11.4) | 24 | 47 | 43 | |
II | 97 (9.7) | 40 | 45 | 12 | 0.11 |
III | 69 (6.9) | 36 | 24 | 9 | |
IV and V | 43 (4.3) | 20 | 15 | 8 | |
Severe complications, ≥ III | |||||
Minor | 211 (21.1) | 84 | 92 | 55 | 0.23 |
Major | 109 (10.9) | 56 | 69 | 17 | |
Pancreatic fistula | 139 (13.9) | 45 (15) | 56 (12.7) | 38 (14.7) | 0.01 |
Grade A | 67 (6.7) | 14 | 33 | 20 | 0.04 |
Grade B | 48 (4.8) | 20 | 17 | 11 | |
Grade C | 24 (2.4) | 11 | 6 | 7 | |
DGE | 180 (18) | 76 (25.3) | 67 (15.2) | 37 (14.3) | 0.06 |
Types of DGE | |||||
Secondary DGE | 152 (15.2) | 70 (23.3) | 54 (12.2) | 27 (10.5) | 0.03 |
Primary DGE | 28 (2.8) | 5 (1.7) | 13 (2.9) | 10 (3.9) | |
Pulmonary complications | 46 (4.6) | 20 (6.7) | 21 (4.8) | 5 (1.6) | 0.01 |
Bile leak | 73 (7.3) | 39 (13) | 19 (4.3) | 15 (5.8) | 0.001 |
Postoperative bleeding | 25 (2.5) | 13 (4.3) | 7 (1.6) | 5 (1.9) | 0.49 |
Pancreatitis | 20 (2) | 12 (4.3) | 7 (1.6) | 1 (0.4) | 0.004 |
Bleeding PG | 15 (1.5) | 8 (2.7) | 5 (1.2) | 2 (0.8) | 0.14 |
Wound infection | 50 (5) | 13 (4.6) | 25 (5.7) | 12 (4.7) | 0.77 |
Re-operation | 74 (7.4) | 25 (8.3) | 33 (7.5) | 16 (6.2) | 0.21 |
Recurrence | 321 (36.9) | 130 (50.4) | 125 (32.6) | 66 (28.7) | 0.0001 |
Hospital mortality | 43 (4.3) | 20 (6.6%) | 15 (3.4) | 8 (3.1) | 0.02 |
Postoperative chemoradiotherapy | 275 (27.5) | 0 | 132 (29.9) | 143 (55.4) | 0.0001 |
Overall median survival in mo | 26 (1-300) | 21 | 30 | 37 | 0.0001 |
1 yr | 90% | 87% | 93% | 87% | |
3 yr | 33% | 19% | 37% | 64% | |
5 yr | 19% | 11% | 21% |
Data are presented as n (%) or n (range), unless otherwise indicated. DGE: Delayed gastric emptying; PG: Pancreaticogastrostomy.