Table 1.
No POPF/ POPF A n=153 (84%) |
POPF B/C n =29 (16%) |
p-value | |||
---|---|---|---|---|---|
Median/N | Range/% | Median/N | Range/% | ||
Preoperative patient characteristics | |||||
Age, median (years) | 66 | (19–85) | 65 | (52–84) | 0.94 |
Gender | |||||
Male | 81 | 53% | 19 | 66% | 0.296 |
Female | 72 | 47% | 10 | 34% | |
Body mass index (kg/m2) | 24.8 | (16.33–42.02) | 26.1 | (15.47–37.11) | 0.043 |
Need of care | |||||
Partial/full | 3 | 2% | 3 | 10% | 0.08 |
None | 150 | 98% | 26 | 90% | |
ASA-classification | |||||
I/II | 87 | 57% | 10 | 34% | 0.044 |
III/IV/V | 66 | 43% | 19 | 66% | |
Alcohol abuse | 11 | 7% | 0 | 0% | 0.287 |
Weight loss | 27 | 18% | 4 | 14% | 0.813 |
Diabetes mellitus | 35 | 23% | 10 | 35% | 0.357 |
Coronary artery disease | 17 | 11% | 6 | 21% | 0.263 |
Neoadjuvant radio-/chemotherapy | 2 | 1% | 1 | 3% | 0.972 |
Preoperative corticosteroids | 1 | 1% | 1 | 3% | 0.725 |
Preoperative imunosuppression | 1 | 1% | 0 | 0% | 0.999 |
Preoperative laboratory variables | |||||
C-reactive protein (mg/dl) | 5.2 | (0.1–287) | 7.6 | (0.6–98) | 0.421 |
White blood cell count (n/l) | 7185 | (5–16,200 | 7745 | (1140–16,490) | 0.306 |
Hemoglobin (g/dl) | 12.7 | (6.9–19.3) | 13.45 | (9.3–29.9) | 0.191 |
Creatinine (μmol/l) | 0.81 | (0.1–77.1) | 0.84 | (0.4–84.7) | 0.809 |
Bilirubin (μmol/l) | 2.52 | (0.19–9174) | 2.17 | (0.46–2528) | 0.484 |
γ-glutamyl transpeptidase (U/l) | 88.5 | (10–3959) | 156 | (9.19–1406) | 0.472 |
Alkaline phosphatase (U/l) | 163 | (1–1814) | 252 | (45–697) | 0.972 |
Amylase (U/l) | 59 | (1.4–443) | 103 | (18–464) | 0.041 |
Lipase (U/l) | 51 | (1–1259) | 47.5 | (4–999) | 0.701 |
Intraoperative characteristics | |||||
Operation time (minutes) | 359 | (188–680) | 387 | (262–578) | 0.032 |
Surgical procedure | 0.853 | ||||
Laparoscopic/assisted | 48 | 31% | 8 | 28% | |
Open | 105 | 69% | 21 | 72% | |
Pancreatic anastomosis | 0.683 | ||||
Closure | 1 | 1% | 0 | 0% | |
PG | 128 | 84% | 26 | 90% | |
PJ | 24 | 16% | 3 | 10% | |
Portal vein resection | 26 | 17% | 3 | 10% | 0.535 |
Intestinal resection | 1 | 1% | 0 | 0% | 0.999 |
Main pancreatic duct diameter | < 0.001 | ||||
Normal | 75 | 49% | 28 | 97% | |
Dilated | 78 | 51% | 1 | 3% | |
Pancreatic texture | < 0.001 | ||||
Hard | 83 | 54% | 2 | 7% | |
Soft | 70 | 46% | 27 | 93% | |
Intraoperative red blood cell transfusion | 0 | (0–8) | 0 | (0–6) | 0.157 |
Histological diagnosis | 0.093 | ||||
Ampullary adenocarcinoma | 10 | 7% | 2 | 7% | |
Ductal adenocarcinoma | 62 | 41% | 8 | 28% | |
Distal bile duct Adenocarcinoma | 8% | 5% | 2 | 7% | |
Duodenal adenocarcinoma | 4 | 3% | 1 | 3% | |
Neuroendocrine tumor | 9 | 6% | 3 | 10% | |
Cystic pancreatic neoplasm | 17 | 11% | 4 | 14% | |
Chronic pancreatitis | 29 | 19% | 1 | 3% | |
Pancreatic cyst | 1 | 1% | 0 | 0% | |
Others | 13 | 8% | 8 | 28% |
ASA American Society of Anesthesiologists, PG pancreatogastrostomy, PJ pancreatojejunostomy
Significant values are shown in bold