Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies

Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies

Pancreaticoduodenectomy (PD) incurs a surgical site infection rate of up to 18%. Published rates after minimally invasive PD are comparable or superior to open, but data are limited to high-volume, single-institution series. This study aimed to determine national outcomes. We hypothesized nationwide...

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Veröffentlicht in:The Journal of surgical research 2019-01, Vol.233, p.183-191
Hauptverfasser: McCracken, Emily Kathryn Elizabeth, Mureebe, Leila, Blazer, Dan German
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Sprache:eng
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Minimally invasive pancreaticoduodenectomy
National surgical quality improvement project
Pancreaticoduodenectomy
Procedure-targeted NSQIP
Surgical site infection
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creator McCracken, Emily Kathryn Elizabeth
Mureebe, Leila
Blazer, Dan German
description Pancreaticoduodenectomy (PD) incurs a surgical site infection rate of up to 18%. Published rates after minimally invasive PD are comparable or superior to open, but data are limited to high-volume, single-institution series. This study aimed to determine national outcomes. We hypothesized nationwide infections would be reduced with a minimally invasive approach. Using the newly available pancreatectomy-specific outcomes in National Surgical Quality Improvement Project, data on surgical site infection in PD were extracted from the procedure-targeted participant user file from 2014 to 2015. χ2 test determined correlation of infection with approach. Linear regression determined correlation of known parameters with infection rate. Overall infection rate was 24%. Compared with open, laparoscopic rates were lower (P = 0.001), but robotic rates were comparable with open. Stenting, longer operative times, and soft gland texture were associated with increased infection rates, whereas larger duct size and drains were associated with decreased rates (all P 
doi_str_mv 10.1016/j.jss.2018.07.041
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subjects Minimally invasive pancreaticoduodenectomy
National surgical quality improvement project
Pancreaticoduodenectomy
Procedure-targeted NSQIP
Surgical site infection
title Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies
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