The Rate of Avoidable Pancreatic Resections at a High-Volume Center: An Internal Quality Control and Critical Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Preoperative Workup
2.2. Outcomes
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Sex (no., %) | |
M | 149 (46.6%) |
F | 171 (53.4%) |
Age (years, mean ± SD) | 67.2 (±10.2) |
Preoperative clinical suspicion (no., %) | |
PDAC | 217 (67.8%) |
Periampullary malignancy | 59 (18.5%) |
pNET | 44 (13.7%) |
Type of surgery (no., %) | |
pancreatoduodenectomy (—PP or Kausch-Whipple) | 198 (61.9%) |
distal pancreatectomy | 75 (23.4%) |
total pancreatectomy | 47 (14.7%) |
Complications (Clavien-Dindo Grading System) (no., %) | |
0 | 188 (58.8%) |
I | 32 (10%) |
II | 50 (15.6%) |
IIIa | 24 (7.5%) |
IIIb | 10 (3.1%) |
IVa | 6 (1.9%) |
IVb | 2 (0.6%) |
V | 8 (2.5%) |
Organ-specific complications (no., %) | |
POPF | 45 (14.1%) |
DGE | 15 (4.7%) |
PPH | 11 (3.4%) |
Biliary fistula | 2 (0.6%) |
Reintervention | 26 (8.1%) |
Hospital stay (median, IQR, days) | 14 (11–20) |
30-days mortality (no., %) | 8 (2.5%) |
Pathology report (no., %) Malignant or pNET PDAC Papilla/Ampulla Ca. Choledochus Ca. Duodenal Ca. pNET Benign no lesion, Pan-In (MAJ-M) accessory spleen (MAJ-M) autoimmune pancreatitis (MAJ-M) adenomyoma choledochus (MIN-M) flogistic Vater’s papilla (MAJ-M) adenomyomatous hyperplasia Vater’s papilla (MIN-M) lymphoepithelial cyst (MAJ-M) nesidioblastosis (MIN-M) | 220 (68.8%) 22 (6.9%) 18 (5.6%) 10 (3.1%) 37 (11.6%) 1 (0.3%) 2 (0.6%) 4 (1.3%) 1 (0.3%) 1 (0.3%) 2 (0.6%) 1 (0.3%) 1 (0.3%) |
2000–2009 | 2010–2014 | 2015–2019 | |
---|---|---|---|
Total mismatches | 2 (1.9%) A | 7 (7.1%) B | 4 (3.4%) C |
MIN-M | 0 (0%) | 2 (2.0%) | 2 (1.7%) |
MAJ-M | 2 (1.9%) | 5 (5.1%) | 2 (1.7%) |
Total resections | 101 | 99 | 120 |
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Surci, N.; Rösch, C.S.; Kirchweger, P.; Havranek, L.; von Boetticher, P.; Fischer, I.; Wundsam, H.V.; Biebl, M.; Függer, R. The Rate of Avoidable Pancreatic Resections at a High-Volume Center: An Internal Quality Control and Critical Review. J. Clin. Med. 2023, 12, 1625. https://doi.org/10.3390/jcm12041625
Surci N, Rösch CS, Kirchweger P, Havranek L, von Boetticher P, Fischer I, Wundsam HV, Biebl M, Függer R. The Rate of Avoidable Pancreatic Resections at a High-Volume Center: An Internal Quality Control and Critical Review. Journal of Clinical Medicine. 2023; 12(4):1625. https://doi.org/10.3390/jcm12041625
Chicago/Turabian StyleSurci, Niccolò, Christiane Sophie Rösch, Patrick Kirchweger, Lukas Havranek, Paul von Boetticher, Ines Fischer, Helwig Valentin Wundsam, Matthias Biebl, and Reinhold Függer. 2023. "The Rate of Avoidable Pancreatic Resections at a High-Volume Center: An Internal Quality Control and Critical Review" Journal of Clinical Medicine 12, no. 4: 1625. https://doi.org/10.3390/jcm12041625
APA StyleSurci, N., Rösch, C. S., Kirchweger, P., Havranek, L., von Boetticher, P., Fischer, I., Wundsam, H. V., Biebl, M., & Függer, R. (2023). The Rate of Avoidable Pancreatic Resections at a High-Volume Center: An Internal Quality Control and Critical Review. Journal of Clinical Medicine, 12(4), 1625. https://doi.org/10.3390/jcm12041625