Venous resection (VR) (n = 54) | No venous resection (NVR) (n = 102) | p-value1 | |||
---|---|---|---|---|---|
Sex | 0.24 | ||||
M | 27 | (50.0 %) | 61 | (59.8 %) | |
F | 27 | (50.0 %) | 41 | (40.2 %) | |
Age, mean (STD). yrs | 67.8 | (10.7) | 67.2 | (11) | 0.95 |
Preoperative performance status | |||||
ASA | 0.86 | ||||
1 | 3 | (5.6 %) | 8 | (7.8 %) | |
2 | 31 | (57.4 %) | 58 | (56.9 %) | |
3 | 20 | (37.0 %) | 36 | (35.3 %) | |
Diabetes mellitus | 16 | (29.6 %) | 27 | (26.5 %) | 0.67 |
Bile duct stent | 18 | (33.3 %) | 39 | (38.2 %) | 0.54 |
Pancreatitis | 2 | (3.7 %) | 12 | (11.8 %) | 0.09 |
Neoadjuvant treatment | 4 | (7.4 %) | 6 | (5.9 %) | 0.43 |
Type of Surgery | 0.001 | ||||
pp-Whipple | 25 | (46.3 %) | 63 | (61.7 %) | |
cl-Whipple | 8 | (14.8 %) | 6 | (5.9 %) | |
TP | 16 | (29.6 %) | 9 | (8.8 %) | |
DP | 5 | (9.3 %) | 22 | (21.7 %) | |
DPH | 0 | 2 | (1.9 %) | ||
Vein resection technique | |||||
End-to-End-Anastomosis | 33 | (61.1 %) | |||
Wedge-Resection | 15 | (27.8 %) | |||
goretex™ graft | 6 | (11.1 %) | |||
Operative time, mean (STD), min. | 378 | (103) | 317 | (85) | <0.0012 |
Blood transfusion | 9 | (16,7 %) | 4 | (4,0 %) | 0.012 |
Adjuvant chemotherapy | 46 | (85.2 %) | 87 | (85.3 %) | 0.97 |
Pathological findings | |||||
Tumor grade of differentiation | 0.28 | ||||
G1 | 1 | (1.8 %) | 8 | (7.8 %) | |
G2 | 25 | (46.3 %) | 41 | (40.2 %) | |
G3 | 28 | (51.9 %) | 53 | (52.0 %) | |
T-stage | 0.36 | ||||
T1 | 1 | (1.8 %) | 4 | (3.9 %) | |
T2 | 3 | (5.6 %) | 7 | (6.9 %) | |
T3 | 41 | (75.9 %) | 83 | (81.4 %) | |
T4 | 9 | (16.7 %) | 8 | (7.8 %) | |
Tumor size in cm (median, min-max) | 4.3 | 1.5-12 | 3.5 | 1.2-8.5 | 0.0263 |
Nodal status | 0.82 | ||||
0 | 16 | (29.6 %) | 32 | (31.4 %) | |
1 | 38 | (70.4 %) | 70 | (68.6 %) | |
Number of lymph nodes (median, min-max) | 21 | (5–62) | 20 | (7–54) | 0.92 |
Resection margins | 0.0464 | ||||
R0 | 22 | (40.8 %) | 60 | (58.8 %) | |
R1 | 24 | (44.4 %) | 31 | (30.4 %) | |
R2 | 0 | 1 | (1.0 %) | ||
Rx | 8 | (14.8 %) | 10 | (9.8 %) | |
Pathology report: venous infiltration | |||||
no | 8 | (14.8 %) | |||
yes | 19 | (35.2 %) | |||
unkown | 27 | (50.0 %) |