©The Author(s) 2017.
World J Gastrointest Surg. Dec 27, 2017; 9(12): 270-280
Published online Dec 27, 2017. doi: 10.4240/wjgs.v9.i12.270
Published online Dec 27, 2017. doi: 10.4240/wjgs.v9.i12.270
Table 2 Univariate and multivariate logistic regression analysis of postoperative pancreatic fistula risk factors
| Variable | Univariate OR (95%CI) | Univariate P-value | Multivariate OR (95%CI) | Multivariate P-value |
| Age (yr) | ||||
| < 70 | ||||
| ≥ 70 | 0.833 (0.39-1.78) | 0.637 | ||
| Body mass index (kg/cm2) | ||||
| < 25 | ||||
| ≥ 25 | 2.381 (1.13-5.03) | 0.023 | 2.081 (0.86-5.03) | 0.104 |
| Albumin | ||||
| ≥ 30 | ||||
| < 30 | 0.669 (0.29-1.54) | 0.344 | ||
| Total bilirubin | ||||
| < 3 | ||||
| ≥ 3 | 0.468 (0.26-0.85) | 0.013 | 1.455 (0.38-5.55) | 0.583 |
| Pancreatic duct diameter | ||||
| ≥ 5 mm | ||||
| < 5 mm | 2.765 (1.47-5.18) | 0.002 | 3.148 (0.81-12.27) | 0.098 |
| Operative time | ||||
| < 420 min | ||||
| ≥ 420 min | 2.393 (1.26-4.55) | 0.008 | 1.355 (0.59-3.07) | 0.465 |
| Blood loss | ||||
| < 1000 | ||||
| ≥ 1000 | 0.616 (0.34-1.12) | 0.11 | ||
| Gender | ||||
| Male | ||||
| Female | 1.065 (0.59-1.92) | 0.833 | ||
| DM | ||||
| No | ||||
| Yes | 0.653 (0.33-1.29) | 0.218 | ||
| Hx of cardiovascular disease | ||||
| No | ||||
| Yes | 3.417 (1.48-7.86) | 0.004 | 2.612 (0.96-7.08) | 0.059 |
| Preop biliary stent (no) | ||||
| No | ||||
| Yes | 1.649 (0.88-3.08) | 0.117 | ||
| Pancreatic texture | ||||
| Hard/firm | ||||
| Soft | 4.682 (2.47-8.87) | < 0.001 | 3.598 (1.77-7.32) | < 0.001 |
| Type of resection | ||||
| Pylorus-preserved pancreaticoduodenectomy | ||||
| Pancreaticoduodenectomy | 0.518 (0.27-1.00) | 0.051 | 0.807 (0.37-1.78) | 0.597 |
| Duct to mucosa | ||||
| Invagination | 0.635 (0.34-1.19) | 0.156 | ||
| Stent (no) | ||||
| No | ||||
| Yes | 2.553 (1.31-4.99) | 0.006 | 1.272 (0.52-3.09) | 0.595 |
| External | ||||
| Internal | 0.500 (0.13-1.87) | 0.303 | ||
| Malignant (no) | ||||
| No | ||||
| Yes | 1.109 (0.52-2.34) | 0.785 | ||
| Final diagnosis (CA ampulla) | ||||
| CA pancreas | 0.324 (0.14-0.76) | 0.01 | 0.439 (0.16-1.19) | 0.105 |
| CA duodenal | 0.253 (0.06-1.05) | 0.058 | 0.533 (0.11-2.59) | 0.435 |
| CA distal CBD | 1.062 (0.36-3.11) | 0.913 | 1.188 (0.33-4.29) | 0.793 |
| Other | 0.650 (0.31-1.37) | 0.258 | 0.543 (0.22-1.35) | 0.189 |
- Citation: Rungsakulkij N, Mingphruedhi S, Tangtawee P, Krutsri C, Muangkaew P, Suragul W, Tannaphai P, Aeesoa S. Risk factors for pancreatic fistula following pancreaticoduodenectomy: A retrospective study in a Thai tertiary center. World J Gastrointest Surg 2017; 9(12): 270-280
- URL: https://www.wjgnet.com/1948-9366/full/v9/i12/270.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v9.i12.270