From: Risk stratification of clinically relevant delayed gastric emptying after pancreaticoduodenectomy
Variable n (%) or median (IQR) | PrPD cohort (n = 346) | P-value | Matched cohort in PrPD cohort (n = 190) | P-value | ||
---|---|---|---|---|---|---|
Side-to-side group (n = 141) | End-to-side group (n = 205) | Side-to-side group (n = 95) | End-to-side group (n = 95) | |||
Age, years | 63.0 (56.0–68.0) | 63.0 (53.5–68.0) | 0.440 | 63.0 (52.0–68.0) | 63.0 (50.0–68.0) | 0.997 |
Sex | Â | Â | 0.587 | Â | Â | 0.663 |
 Male | 118 (42.4%) | 77 (54.6%) |  | 49 (51.6%) | 52 (54.7%) |  |
 Female | 87 (57.6%) | 64 (45.4%) |  | 46 (48.4%) | 43 (45.3%) |  |
BMI ≥ 22.1 kg/m2 |  |  | 0.587 |  |  | 1.000 |
 No | 83 (40.5%) | 53 (37.6%) |  | 38 (40.0%) | 38 (40.0%) |  |
 Yes | 122 (59.5%) | 88 (62.4%) |  | 57 (60.0%) | 57 (60.0%) |  |
Hypertension | Â | Â | 0.043 | Â | Â | 0.545 |
 No | 145 (70.7%) | 85 (60.3%) |  | 59 (62.1%) | 63 (66.3%) |  |
 Yes | 60 (29.3%) | 56 (39.7%) |  | 36 (37.9%) | 32 (33.7%) |  |
Diabetes mellitus | Â | Â | 0.238 | Â | Â | 0.855 |
 No | 161 (78.5%) | 103 (73.0%) |  | 77 (81.1%) | 76 (80.0%) |  |
 Yes | 44 (21.5%) | 38 (27.0%) |  | 18 (18.9%) | 19 (20.0%) |  |
Coronary heart disease | Â | Â | 0.560 | Â | Â | 0.579 |
 No | 191 (93.2%) | 129 (91.5%) |  | 87 (91.6%) | 89 (93.7%) |  |
 Yes | 14 (6.8%) | 12 (8.5%) |  | 8 (8.4%) | 6 (6.3%) |  |
Cerebrovascular disease | Â | Â | 0.616 | Â | Â | 0.351 |
 No | 189 (92.2%) | 132 (93.6%) |  | 91 (95.8%) | 88 (92.6%) |  |
 Yes | 16 (7.8%) | 9 (6.4%) |  | 4 (4.2%) | 7 (7.4%) |  |
Chronic gastropathy | Â | Â | 0.924 | Â | Â | 0.468 |
 No | 184 (89.8%) | 127 (90.1%) |  | 84 (88.4%) | 87 (91.6%) |  |
 Yes | 21 (10.2%) | 14 (9.9%) |  | 11 (11.6%) | 8 (8.4%) |  |
Pancreatitis | Â | Â | 0.071 | Â | Â | 0.774 |
 No | 197 (96.1%) | 129 (91.5%) |  | 88 (92.6%) | 89 (93.7%) |  |
 Yes | 8 (3.9%) | 12 (8.5%) |  | 7 (7.4%) | 6 (6.3%) |  |
Neoadjuvant chemotherapy | Â | Â | 0.344 | Â | Â | 0.678 |
 No | 195 (95.1%) | 137 (97.2%) |  | 90 (94.7%) | 91 (95.8%) |  |
 Yes | 10 (4.9%) | 4 (2.8%) |  | 5 (5.3%) | 4 (4.2%) |  |
ASA classification | Â | Â | 0.428 | Â | Â | 1.000 |
 1 | 6 (2.9%) | 8 (5.7%) |  | 4 (4.2%) | 6 (6.3%) |  |
 2 | 161 (78.5%) | 106 (75.2%) |  | 76 (80.0%) | 71 (74.7%) |  |
 3 | 38 (18.5%) | 27 (19.1%) |  | 15 (15.8%) | 18 (18.9%) |  |
Tumor location | Â | Â | 0.499 | Â | Â | 0.967 |
 Pancreatic | 127 (62.0%) | 96 (68.1%) |  | 64 (67.4%) | 61 (64.2%) |  |
 Duodenum | 25 (12.2%) | 14 (9.9%) |  | 10 (10%) | 12 (12.6%) |  |
 Common bile duct | 23 (11.2%) | 17 (12.1%) |  | 11 (11.6%) | 12 (12.6%) |  |
 Vater’s ampulla | 30 (14.6%) | 14 (9.9%) |  | 10 (10.5%) | 10 (10.5%) |  |
Malignant tumor | Â | Â | 0.439 | Â | Â | 1.000 |
 No | 30 (14.6%) | 25 (17.7%) |  | 19 (20.0%) | 19 (20.0%) |  |
 Yes | 175 (85.4%) | 116 (82.3%) |  | 76 (80.0%) | 76 (80.0%) |  |
Preoperative biliary drainage | Â | Â | 0.564 | Â | Â | 0.791 |
 No, with normal TB | 111 (54.1%) | 81 (57.4%) |  | 52 (54.7%) | 52 (54.7%) |  |
 No, TB < 200 μmol/L | 28 (13.7%) | 25 (15.6%) |  | 16 (16.8%) | 13 (13.7%) |  |
 Yes, TB ≥ 200 μmol/L | 66 (32.2%) | 50 (27.0%) |  | 27 (28.4%) | 30 (31.6%) |  |
Preoperative Gastro-intestinal decompression | Â | Â | 0.691 | Â | Â | 1.000 |
 No | 202 (98.5%) | 138 (97.9%) |  | 93 (97.9%) | 93 (97.9%) |  |
 Yes | 3 (1.5%) | 3 (2.1%) |  | 2 (2.1%) | 2 (2.1%) |  |
Serum albumin ≤ 38 g/L |  |  | 0.282 |  |  | 1.000 |
 No | 185 (90.2%) | 122 (86.5%) |  | 83 (87.4%) | 83 (87.4%) |  |
 Yes | 20 (9.8%) | 19 (13.5%) |  | 12 (12.6%) | 12 (12.6%) |  |
Abnormal liver function | Â | Â | 0.900 | Â | Â | 0.381 |
 No | 93 (45.4%) | 63 (44.7%) |  | 45 (47.4%) | 39 (41.1%) |  |
 Yes | 112 (54.6%) | 78 (55.3%) |  | 50 (52.6%) | 56 (58.9%) |  |
Blood loss ≥ 575 ml |  |  | 0.369 |  |  | 0.871 |
 No | 133 (64.9%) | 98 (69.5%) |  | 69 (72.6%) | 68 (71.6%) |  |
 Yes | 72 (35.1%) | 43 (30.5%) |  | 26 (27.4%) | 27 (28.4%) |  |
Plasma transfusion ≥ 400 ml |  |  | 0.001 |  |  | 0.539 |
 No | 145 (70.7%) | 76 (53.9%) |  | 65 (68.4%) | 61 (64.2%) |  |
 Yes | 60 (29.3%) | 65 (46.1%) |  | 30 (31.6%) | 34 (35.8%) |  |
RBC transfusion ≥ 1U |  |  | 0.478 |  |  | 0.453 |
 No | 127 (62.0%) | 82 (58.2%) |  | 62 (65.3%) | 57 (60.0%) |  |
 Yes | 78 (38.0%) | 59 (41.8%) |  | 33 (34.7%) | 38 (40.0%) |  |
Operation time, hour | 6.0 (5.0–6.8) | 5.9 (5.0–7.0) | 0.543 | 6.0 (5.2–6.6) | 5.0 (5.9–7.0) | 0.266 |
Intraoperative fluid input, ml | 3900 (3300–4700) | 3800 (3200–4650) | 0.041 | 3900 (3300–4700) | 3800 (3200–4500) | 0.330 |
Gastrointestinal anastomosis | Â | Â | 0.003 | Â | Â | 0.866 |
 Side-to-side | 176 (53.7%) | 34 (36.2%) |  | 157 (49.5%) | 53 (50.5%) |  |
 End-to-side | 152 (46.3%) | 60 (63.8%) |  | 160 (50.5%) | 52 (49.5%) |  |
MIPD | Â | Â | 0.000 | Â | Â | 0.364 |
 No | 140 (68.3%) | 131 (92.9%) |  | 82 (86.3%) | 86 (90.5%) |  |
 Yes | 65 (31.7%) | 10 (7.1%) |  | 13 (13.7%) | 9 (9.5%) |  |
Braun’s anastomosis |  |  | 0.389 |  |  | 0.601 |
 No | 190 (92.7%) | 127 (90.1%) |  | 86 (90.5%) | 88 (92.6%) |  |
 Yes | 15 (7.3%) | 14 (9.9%) |  | 9 (9.5%) | 7 (7.4%) |  |
Vascular reconstruction | Â | Â | 0.235 | Â | Â | 0.579 |
 No | 193 (94.1%) | 128 (90.8%) |  | 89 (93.7%) | 87 (91.6%) |  |
 Yes | 12 (5.9%) | 13 (9.2%) |  | 6 (6.3%) | 8 (8.4%) |  |
Jejunostomy | Â | Â | 0.035 | Â | Â | 1.000 |
 No | 203 (99.0%) | 134 (95.0%) |  | 93 (97.9%) | 94 (98.9%) |  |
 Yes | 2 (1.0%) | 7 (5.0%) |  | 2 (2.1%) | 1 (1.1%) |  |
ICU admission | Â | Â | 0.033 | Â | Â | 0.884 |
 No | 91 (44.4%) | 79 (56.0%) |  | 53 (55.8%) | 52 (54.7%) |  |
 Yes | 114 (55.6%) | 62 (44.0%) |  | 42 (44.2%) | 43 (45.3%) |  |
Mechanical ventilation, hour | 8.0 (5.8–15.3) | 7.0 (5.5–14.3) | 0.159 | 7.0 (6.0–12.0) | 7.0 (5.5–13.8) | 0.826 |
CR-POPF | Â | Â | 0.287 | Â | Â | 1.000 |
 No | 167 (81.5%) | 121 (85.8%) |  | 83 (87.4%) | 83 (87.4%) |  |
 Yes | 38 (18.5%) | 20 (14.2%) |  | 12 (12.6%) | 12 (12.6%) |  |
Intra-abdominal infection | Â | Â | 0.056 | Â | Â | 0.721 |
 No | 185 (90.2%) | 135 (95.7%) |  | 92 (96.8%) | 90 (94.7%) |  |
 Yes | 20 (9.8%) | 6 (4.3%) |  | 3 (3.2%) | 5 (5.3%) |  |
Lung infection | Â | Â | 0.133 | Â | Â | 1.000 |
 No | 194 (94.6%) | 138 (97.9%) |  | 94 (98.9%) | 94 (98.9%) |  |
 Yes | 11 (5.4%) | 3 (2.1%) |  | 1 (1.1%) | 1 (1.1%) |  |
Urinary infection | Â | Â | 1.000 | Â | Â | 1.000 |
 No | 202 (98.5%) | 139 (98.6%) |  | 94 (98.9%) | 93 (97.9%) |  |
 Yes | 3 (1.5%) | 2 (1.4%) |  | 1 (1.1%) | 2 (2.1%) |  |
Intestinal flora disturbance | Â | Â | 0.082 | Â | Â | 1.000 |
 No | 200 (97.6%) | 141 (100.0%) |  | 95 (100.0%) | 95 (100.0%) |  |
 Yes | 5 (2.4%) | 0 (0.0%) |  | 0 (0.0%) | 0 (0.0%) |  |
Incisional infection | Â | Â | 0.211 | Â | Â | 1.000 |
 No | 196 (95.6%) | 139 (98.6%) |  | 94 (98.9%) | 93 (97.9%) |  |
 Yes | 9 (4.4%) | 2 (1.4%) |  | 1 (1.1%) | 2 (2.1%) |  |
CR-DGE | Â | Â | 0.009 | Â | Â | 0.036 |
 No | 171 (83.4%) | 101 (71.6%) |  | 80 (84.2%) | 68 (71.6%) |  |
 Yes | 34 (16.6%) | 40 (28.4%) |  | 15 (15.8%) | 27 (28.4%) |  |