Radiation therapy prior to a pancreaticoduodenectomy for adenocarcinoma is associated with longer operative times and higher blood loss

doi:10.4240/wjgs.v15.i8.1663

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Aug 27, 2023; 15(8): 1663-1672
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1663

Table 1 Demographics and preoperative characteristics of patients with adenocarcinoma of the pancreas undergoing a pancreaticoduodenectomy from 2015 to 2019, n (%)

Characteristic	Subcategory	Initial surgery	Neoadjuvant radiation	P value
Characteristic	Subcategory	n = 9988	n = 1470	P value
Age in yr	Less than 50	511 (5.1)	89 (6.1)
	50-59	1638 (16.4)	304 (20.7)
	60-69	3526 (35.3)	585 (39.8)	< 0.001^a
	70-79	3287 (32.9)	430 (29.3)
	80 and above	1026 (10.3)	62 (4.2)
Male		5340 (53.5)	743 (50.5)	0.036^a
Race	White	7392 (81.6)	1203 (84.3)
	Black/African American	748 (8.3)	127 (8.9)
	Hispanic	462 (5.1)	54 (3.8)	< 0.001^a
	Asian	427 (4.7)	38 (2.7)
	Other	33 (0.4)	5 (0.4)
	Not reported	926	43
BMI	Normal	3683 (36.9)	618 (42.0)
	Underweight	244 (2.4)	37 (2.5)
	Overweight	3591 (36)	505 (34.4)	0.002^a
	Obese	1614 (16.2)	203 (13.8)
	Morbidly obese	856 (8.6)	107 (7.3)
Diabetes		2859 (28.6)	461 (31.4)	0.031^a
Smoking		1650 (16.5)	238 (16.2)	0.751
COPD		394 (3.9)	42 (2.9)	0.042^a
Dyspnea		507 (5.1)	57 (3.9)	0.047^a
HTN		5418 (54.2)	693 (47.1)	< 0.001^a
Preoperative steroid use		239 (2.4)	42 (2.9)	0.283
Jaundice		5759 (58.0)	431 (29.7)	< 0.001^a
Biliary stent		6457 (64.7)	979 (66.6)	0.235
Albumin, mean ± SD		3.69 (0.60)	3.85 (0.50)	< 0.001^a

^aP < 0.05.

BMI: Body mass index; COPD: Chronic obstructive pulmonary disease; HTN: Hypertension; SD: Standard deviation.

Citation: Aploks K, Kim M, Stroever S, Ostapenko A, Sim YB, Sooriyakumar A, Rahimi-Ardabily A, Seshadri R, Dong XD. Radiation therapy prior to a pancreaticoduodenectomy for adenocarcinoma is associated with longer operative times and higher blood loss. World J Gastrointest Surg 2023; 15(8): 1663-1672
URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1663.htm
DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1663