Clinical Study
Reoperation following Pancreaticoduodenectomy
Table 2
Univariate analysis of factors predicting the need for early reoperation.
| | Parameters | Early reoperations () | Not reoperated early () | P value |
| | Age in years (median) | 52 | 51.5 | 0.850 | | Gender (M/F) | 53/25 | 318/124 | 0.498 | | Duration of jaundice > 3 months | 21 (27%) | 69 (15.6%) | 0.051 | | Comorbidities | 17 (21.8%) | 111 (25.1%) | 0.572 | | Preoperative hemoglobin (median) | 11.0 | 11.2 | 0.425 | Preoperative albumin
(median) | 3.5 | 3.5 | 0.643 | | Total bilirubin > 10âmg% | 18 (23.1%) | 51 (11.5%) | 0.010 | | Preoperative biliary drainage | 41 (52.6%)
| 276 (62.4%) | 0.103 | | Duration of surgery (hours) | 7.35 | 7.0 | 0.096 | | Blood loss (mL) (median) | 750âmL | 500âmL | 0.001 | | Blood transfusion | 50 (64.1%) | 213 (48.2%) | 0.010 | | â | Malignancy (94%) | Malignancy (93%) | 0.844 | | Pathology | âAmpullary Ca (74%) | âAmpullary Ca (71%) | | âBenign (6%) | âBenign (7%) | | PPH | 67.9% | 9.3% | 0.000 | | PEA leak | 34.6% | 14.3% | 0.001 | | HJ leak | 24.3% | 6.3% | 0.000 | | DJ/GJ leak | 14.1% | 2.5% | 0.000 | | DGE | 21.8% | 10.2% | 0.007 | | Intraabdominal collection | 43.6% | 10.2% | 0.000 | | ARF | 11.5% | 1.6% | 0.000 | | Septicemia | 32% | 6.3% | 0.000 | | Postoperative hospital stay (Mean) | 25.5 days | 13 days | 0.000 | | In-hospital mortality | 26 (33.1%) | 16 (3.6%) | 0.000 |
|
|
PPH: post pancreatectomy hemorrhage; PEA: pancreaticoenteric anastamosis; HJ: hepaticojejunostomy; DJ: duodenojejunostomy; GJ: gastrojejunostomy; DGE: delayed gastric emptying; ARF: acute renal failure.
|
