Table II.
Postoperative outcomes of patients undergoing pancreatoduodenectomy by hospital volume
Low |
Moderate-high |
Very high |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Open | Laparoscopic | P value | Open | Laparoscopic | P value | Open | Laparoscopic | P value | |||||||
Overall morbidity,* n (%) | 543 | 44.8% | 55 | 46.2% | .76 | 999 | 40.4% | 93 | 41.3% | .79 | 314 | 36.6% | 59 | 41.0% | .31 |
Index duration of stay, median (IQR) | 13 | 9–21 | 13 | 9–22 | .55 | 9 | 7–14 | 9 | 6–14 | .20 | 9 | 7–13 | 8 | 6–11 | <.01 |
90-day readmission, n (%) | 395 | 32.6% | 45 | 37.8% | .24 | 751 | 30.4% | 73 | 32.4% | .52 | 232 | 27.0% | 52 | 36.1% | .03 |
In-hospital death, n (%) | 60 | 4.9% | 1.7% | .11 | 62 | 2.5% | 1.8% | .50 | 0.7% | 0.0% | .31 | ||||
90-day hospital cost, median (IQR) | $44,817 | $ 30,217–$69,363 | $53,748 | $35,128–$87,787 | .01 | $36,060 | $25,454–$56,867 | $39,803 | $28,542–$57,796 | .01 | $34,133 | $25,999–$50,631 | $33,582 | $26,635–$50,347 | .94 |
Overall morbidity includes pulmonary embolism (PE), myocardial infarction (MI), and sepsis.