From: Perioperative outcomes in an age-adapted analysis of the German StuDoQ|Pancreas registry for PDAC
Type of surgery | PD (n = 2.412) | DP (n = 599) | Pancreaticoduodenectomy | Distal Pancreatectomy | P value | ||||
---|---|---|---|---|---|---|---|---|---|
Onset n | EOPC 83 | MOPC 1123 | LOPC 1.206 | EOPC 27 | MOPC 276 | LOPC 296 | |||
Median duration (min) | 330 [272—403] | 212 [163—269] | 352 [290—441] | 342 [278—415] | 320 [265—384] | 240 [165—315] | 218.5 [172—277] | 203 [155—253] | PPD < 0.01 PDP< 0.01 |
Median stay hospital (days) | 16 [12–23] | 14.5 [11–22] | 15 [12–22] | 15 [12–21] | 17 [13–24] | 12 [11–18] | 14 [11–21] | 15 [12–23] | PPD < 0.01 PDP< 0.05 |
Median stay ICU (days) | 3 [1–5] | 1 [1–3] | 2 [1–4] | 2 [1–4] | 3 [1–5] | 1 [0 – 2] | 1 [1–3] | 2 [1–4] | PPD < 0.01 PDP = 0.07 |
Resection status | PPD = 0.87 PDP = 0.69 | ||||||||
R0 | 1832 (76.0%) | 448 (74.8%) | 62 (74.4%) | 855 (76.1%) | 915 (75.9%) | 22 (81.5%) | 206 (74.6%) | 220 (74.3%) | |
R1 | 526 (21.8%) | 132 (22.0%) | 20 (24.1%) | 246 (21.9%) | 260 (21.6%) | 5 (18.5%) | 60 (21.7%) | 67 (22.6%) | |
R2 | 26 (1.1%) | 5 (0.8%) | 1 (1.2%) | 11 (1.0%) | 14 (1.2%) | - | 2 (0.7%) | 3 (1.0%) | |
Unknown | 28 (1.2%) | 14 (2.3%) | - | 11 (1.0%) | 17 (1.4%) | - | 8 (2.9%) | 6 (2.0%) | |
CR-POPF | PPD = 0.82 PDP = 0.20 | ||||||||
No | 2221 (92.1%) | 458 (76.5%) | 78 (94.0%) | 1033 (92.0%) | 1110 (92.0%) | 24 (88.9%) | 205 (74.3%) | 229 (77.4%) | |
Yes | 191 (7.9%) | 141 (23.5%) | 5 (6.0%) | 90 (8.0%) | 96 (8.0%) | 3 (11.1%) | 71 (25.7%) | 67 (22.6%) | |
CR-PPH | PPD = 0.82 PDP = 0.97 | ||||||||
No | 2203 (91.3%) | 578 (96.5%) | 77 (92.8%) | 1022 (91.0%) | 1104 (91.5%) | 26 (96.3%) | 266 (96.4%) | 286 (96.6%) | |
Yes | 209 (8.7%) | 21 (3.5%) | 6 (7.2%) | 101 (9.0%) | 102 (8.5%) | 1 (3.7%) | 10 (3.6%) | 10 (3.4%) | |
CR-DGE | PPD = 0.14 PDP = 0.06 | ||||||||
No | 2172 (90.0%) | 572 (95.5%) | 80 (96.4%) | 1011 (90.0%) | 1081 (89.6%) | 27 (100%) | 268 (97.1%) | 277 (93.6%) | |
Yes | 240 (10.0%) | 27 (4.5%) | 3 (3.6%) | 112 (10.0%) | 125 (10.4%) | - | 8 (2.9%) | 19 (6.4%) | |
Complication | PPD < 0.01 PDP = 0.18 | ||||||||
None/Minor (Clavien-Dindo < 3a) | 1734 (71.9%) | 459 (76.6%) | 69 (83.1%) | 829 (73.8%) | 836 (69.3%) | 24 (88.9%) | 215 (77.9%) | 220 (74.3%) | |
Major (Clavien-Dindo ≥ 3a) | 678 (28.1%) | 140 (23.4%) | 14 (16.9%) | 294 (26.2%) | 370 (30.7%) | 3 (6.3%) | 61 (22.1%) | 76 (25.7%) | |
Mortality | PPD < 0.01 PDP = 0.13 | ||||||||
No | 2290 (94.9%) | 588 (98.2%) | 81 (97.6%) | 1083 (96.4%) | 1126 (93.4%) | 27 (100%) | 274 (99.3%) | 287 (97.0%) | |
Yes | 122 (5.1%) | 11 (1.8%) | 2 (2.4%) | 40 (3.6%) | 80 (6.6%) | - | 2 (0.7%) | 9 (3.0%) | |
FTR | PPD < 0.05 PDP = 0.21 | ||||||||
122 (18.0%) | 11 (7.9%) | 2 (14.3%) | 40 (13.6%) | 80 (21.6%) | - | 2 (3.3%) | 9 (11.8%) |