From: Open necrosectomy in acute pancreatitis–obsolete or still useful?
(n = 109) | |
---|---|
Age at onset of symptoms, median (IQR), years | 52 (42–61) |
Time from onset of symptoms, median (IQR), days | 36 (22–59) |
< 28 days from symptom onset | 40 (36.7%) |
Length of stay at intensive care unit, median (IQR), days | 15 (1–24) |
Male sex | 96 (88.1%) |
Co-morbidities | |
Heart disease | 22 (20.2%) |
Pulmonary disease | 10 (9.2%) |
Mild renal insufficiency | 4 (3.7%) |
Diabetes | 11 (10.1%) |
Liver cirrhosis | 2 (1.8%) |
Chronic pancreatitis | 3 (2.8%) |
None of the above | 66 (60.6%) |
Etiology | |
Alcohol | 62 (56.9%) |
Biliary | 25 (22.9%) |
Idiopathic | 11 (10.1%) |
Other* | 11 (10.1%) |
Preoperative computed tomography | |
Pancreatic necrosis | |
Not assessable | 45 (41.3%) |
< 30% | 31 (28.4%) |
30–50% | 11 (10.1%) |
> 50% | 22 (20.2%) |
Distant pancreatic necrosis† | 98 (89.9%) |
Complex necrosis‡ | 66 (60.6%) |
Disconnected left pancreatic remnant | 34 (31.2%) |
Previous organ failure | |
No organ failure | 32 (29.4%) |
< 48 h organ failure | 7 (6.4%) |
> 48 h organ failure | 70 (64.2%) |
Previous interventions of necrosis | |
Fine-needle aspiration | 31 (28.4%) |
Percutaneous drainage | 28 (25.7%) |
Endoscopic drainage§ | 7 (6.4%) |
Surgical drainage|| | 11 (10.1%) |
Drainage duration, median (IQR), days¶ | 9 (6–14) |
CRP, median (IQR)# | 167 (89–290) |
WBC count, median (IQR)# | 12.6 (9.4–21.3) |
Intra-operative findings | |
Infected pancreatic necrosis | 85 (78.0%) |
Disconnected left pancreatic remnant | 13 (11.9%) |
Resection of pancreas during index necrosectomy | 12 (11.0%) |