The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy
Table 1
Patients cohort characteristics for POPF and nonsevere versus severe complications.
Factor
All
POPF
value
Postoperative complications
value
( = 110) (100%)
No ( = 90) (82%)
Yes ( = 20) (18%)
No or nonsevere ( = 74) (67%)
Severe ( = 36) (33%)
Age, years, mean (STD)
66 (9.29)
66 (9.15)
65 (10.1)
0.733
65 (9.3)
68 (9.1)
0.148
Gender, (%)
0.853
0.915
Male
68 (61.8)
56 (62.3)
12 (60)
46 (62.2)
22 (61.1)
Female
42 (38.2)
34 (37.8)
8 (40)
28 (37.8)
14 (38.9)
BMI (kg/m2), (%)
25 (3.65)
24.8 (3.65)
26.2 (3.48)
0.131
24.4 (3.44)
26.8 (3.49)
<
ASA, (%)
0.402
0.076
I
5 (4.5)
4 (4.4)
1 (5)
4 (5.4)
1 (2.8)
II
100 (90.9)
83 (92.2)
17 (85)
69 (93.2)
31 (86.1)
III
5 (4.5)
3 (3.3)
2 (10)
1 (1.4)
4 (11.1)
Charlson, (%)
0.876
0.204
0
55 (50)
46 (51.1)
9 (45)
38 (51.4)
17 (47.2)
1
31 (28.2)
25 (27.8)
6 (30)
23 (31.1)
8 (22.2)
≥2
24 (21.8)
19 (21.1)
5 (25)
13 (17.6)
11 (30.6)
Procedure, (%)
0.639
0.169
PD
39 (35.5)
31 (34.4)
8 (40)
23 (31.1)
16 (44.4)
PPPD
71 (64.5)
59 (65.6)
12 (60)
51 (68.9)
20 (55.6)
Diagnosis, (%)
0.196
0.972
Pancreatic adenocarcinoma
52 (47.3)
46 (51.1)
6 (30.0)
36 (48.6)
16 (44.4)
Periampullary carcinoma
39 (35.5)
30 (33.3)
9 (45)
25 (33.8)
14 (38.9)
Neuroendocrine tumour
4 (3.6)
4 (4.4)
0 (0)
3 (4.1)
1 (2.8)
Benign diseases or tumour
11 (10.0)
7 (7.8)
4 (20)
7 (9.5)
4 (11.1)
Other
4 (3.6)
3 (3.3)
1 (5)
3 (4.1)
1 (2.8)
Radically, (%)
0.24
0.641
R0
33 (30)
31 (34.4)
2 (10)
26 (35.2)
8 (22.2)
R1
55 (50)
44 (48.9)
11 (55)
35 (47.3)
19 (52.8)
R2
11 (10)
8 (8.9)
3 (15)
6 (8.1)
5 (13.9)
n/a
11 (10)
7 (7.8)
4 (20)
7 (9.5)
4 (11.1)
Surgical duration, min, median (IQR)
156 (140–179)
155 (140–179)
159 (145–174)
0.975
158 (142–179)
153 (138–177)
0.381
Blood loss, mL, median (IQR)
500 (300–763)
500 (300–700)
300 (550–975)
0.369
500 (300–663)
600 (400–975)
0.057
Length of stay, days, median (IQR)
12 (9–18)
11 (8–17)
17 (23–38)
<0.001
10.5 (8–14)
22 (14.5–34.5)
<0.001
Readmission, (%)
27 (24.5)
23 (25.6)
4 (20)
0.602
14 (18.9)
13 (36.1)
0.049
Mortality, (%)
7 (6.4)
5 (5.6)
2 (10)
0.609
0 (0)
7 (19.4)
<0.001
BMI: body mass index, ASA: American Society of Anesthesiologist, PD: pancreaticoduodenectomy, PPPD: pylorus preserving pancreaticoduodenectomy, STD: standard deviation, and IQR: interquartile range. and bold are and are included in the multivariate analysis.
