Table 3 Perioperative Outcomes: Emergent vs. Elective Pancreatectomy
From: Emergent pancreatectomy for neoplastic disease: outcomes analysis of 534 ACS-NSQIP patients
Perioperative Outcome | Emergent PD (n = 409) | Elective PD (n = 14,409) | p | Emergent DP (n = 115) | Elective DP (n = 6077) | p | Emergent TP (n = 10) | Elective TP (n = 432) | p |
|---|---|---|---|---|---|---|---|---|---|
OR Time min, median | 361 | 358 | 0.46 | 208 | 216 | 0.49 | 378 | 375 | 0.92 |
Blood Transfusion, no. (%) | 121 (49.8) | 2486 (26.4) | < 0.001 | 26 (38.8) | 588 (14.9) | < 0.001 | 2 (66.7) | 115 (40.2) | 0.57 |
Any Complication, no. (%) | 230 (56.2) | 5187 (36.0) | < 0.001 | 53 (46.1) | 1509 (24.8) | < 0.001 | 3 (30.0) | 147 (34.0) | 1.0 |
Major Complication, no. (%) | 199 (48.7) | 3989 (27.7) | < 0.001 | 44 (38.3) | 1234 (20.3) | < 0.001 | 3 (30.0) | 126 (29.2) | 1.0 |
Unplanned intubation, no. (%) | 4 (11.0) | 718 (5.0) | < 0.001 | 2 (1.7) | 125 (2.1) | 1.0 | 1 (10) | 21 (4.9) | 0.4 |
PE, no. (%) | 2 (0.5) | 148 (1.0) | 0.45 | 3 (2.6) | 111 (1.8) | 0.47 | 0 (0.0) | 1 (0.2) | 1.0 |
Pneumonia, no. (%) | 40 (9.8) | 651 (4.5) | < 0.001 | 10 (8.7) | 200 (3.3) | 0.002 | 1 (10.0) | 19 (4.4) | 0.37 |
SSI, no. (%) | 35 (8.6) | 1440 (10.0) | 0.34 | 6 (5.2) | 237 (3.9) | 0.47 | 0 (0.0) | 25 (5.8) | 1.0 |
Organ-space infection, no. (%) | 64 (15.6) | 1607 (11.2) | 0.005 | 13 (11.3) | 540 (8.9) | 0.37 | 1 (10.0) | 40 (9.3) | 1 |
UTI, no. (%) | 36 (8.8) | 711 (4.9) | < 0.001 | 11 (9.6) | 237 (3.9) | 0.002 | 0 (0.0) | 22 (5.1) | 1.0 |
Return to OR, no. (%) | 64 (15.6) | 910 (6.3) | < 0.001 | 10 (8.7) | 215 (3.5) | 0.003 | 1 (10.0) | 36 (8.3) | 0.59 |
LOS days, (median) | 15 | 9 | < 0.001 | 9 | 6 | < 0.001 | 15 | 9 | 0.59 |
Discharge to home, no. (%)a | 116 (64.4) | 6448 (83.3) | < 0.001 | 44 (83.0) | 3031 (92.7) | 0.015 | 2 (100.0) | 207 (86.3) | 0.57 |
30-day Mortality, no. (%) | 42 (10.3) | 458 (3.2) | < 0.001 | 6 (5.2) | 75 (1.2) | < 0.001 | 2 (20.0) | 24 (5.6) | 0.11 |