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Table 1 Patient’s characteristics

From: Open necrosectomy is feasible as a last resort in selected cases with infected pancreatic necrosis: a case series and systematic literature review

Study

Country

Year

Study design

Inclusion Criteria

N° open/tot

study period

M/F

Age (mean)

Aetiology (%)

APACHE IIa

CT Severityb

ICU admission (%)

Comorbidities

Organ Failure at presentation (%)

Husu et al. [26]

Finland

2020

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

109

2006–2017

96/13

52 (42–61)

A 62(56.9)

B 25(22.9)

I 11(10.1)

Hyper trig 0

O 11(10.1)

Nr

Nr

44 (40.4)

CV 22

P 10

CRI 4

D 11

OT 5

12 (11.0)

Martinez et al. [27]

USA

2019

Rretrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

34/56

2007–2016

24/10

55.9 ± 14.4

A 4(11.8)

B 16(47.1)

I 0

Hyper trig 4(11.8)

O 10(29.4)

Nr

Nr

Nr

Acute renal F 18 (52.9)

Acute respiratory F 18 (52.9)

multiple 16 (47,1)

Cao et al. [28]

China

2019

Retrospective cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

45

2015–2017

32/13

51.89 ± 12.92

A 6 (13.3)

B 16 (35.6)

H 20 (44.4)

O 3 (6.7)

Nr

9 ± 1.1

Nr

CV 22

P 1

CRI 2

D 8

OT /

single 17 (37.8)

multiple 7 (15.6)

Šileikis et al [29]

Lithuania

2017

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

53/95

2007–2016

34/19

56.5 ± 16.1

Nr

Nr

7.6 ± 1.9

Nr

Nr

multiple 41 (77.4)

Wroński et al [30]

Poland

2017

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

22/70

2007–2014

16/6

49 (36–61)

A 12(54.6)

B 4 (18.2)

O 6 (27.3)

Nr

8 (6–10)

Nr

Nr

4 (18.2)

Rash et al [31]

Germany

2016

Retrospective multicenter cohort

Primary open surgical necrosectomy in severe pancreatitis

30/220

2008–2014

2.3:1

55 (18 ± 82)

Nr

Nr

Nr

Nr

Nr

25 (73.3)

Gomatos et al [32]

UK

2016

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

120

1997–2013

86/34

58.5 (42–70)

A 53 (44.2)

B 37 (30.8)

I 5 (4.2)

O 25 (20.8)

8

7

36 (30)

Nr

multiple 30 (25)

Barreda et al. [33]

Perù

2015

Retrospective cohort

Primary open surgical necrosectomy in emphysematous necrotizing pancreatitis (gas within the pancreatic necrosis on CT)

36/56

2003–2011

nr

54 (16–80)

A 4 (7.1)

B 46(82.1)

I 3(5.4)

Hyper trig 2 (3.6)

O 1(1.8)

14 (6–28)

9.4 (8–10)

Nr

Nr

single 30 (83.3)

multiple 21 (58.3)

Pupelis G et al [34]

Latvia

2014

Prospective cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

39/70

2004–2014

32/7

47 (41–62)

A 23 (59)

B 6(15.4)

O 10 (25.6)

12 (7–18)

8 (6-10)

Nr

ASA III 31 (79.5%)

multiple 15 (38.5)

Tan V et al [35]

France

2014

Retrospective multicenter cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

21/32

2005–2011

14/7

52(47–60)

A 6 (28.6)

B 6(28.6)

O 9 (42.8)

12 (10–16)

6 (5—6)

Nr

CV 14

D 5 OT 9

13 (60)

Madenci et al [36]

USA

2014

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

68

2006–2009

48/20

54.2 ± 1.7

A 26 (38.2)

B 19 (27.9)

I 5(7.4)

Hyper trig 5 (7.4)

O 13(19.1)

10.9 ± .8

7.6 ± .3

22 (32.3)

Nr

24 (35.3)

Pascual et al [37]

Spain

2013

Retrospective cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

21/39

1998–2010

10/11

62.5 ± 14.6

A 3 (14.3)

B 14 (66.7)

I 0

O 4(19)

10.6 ± 5.6 (r = 2–22)

10 (6–10)

Nr

11 (52.4 %)

single 3 (14.3)

multiple 11(52.4)

Tu et al [38]

China

2012

Retrospective cohort

Primary open surgical necrosectomy for infected Pancreatic necrosis

32/50

2006–2012

19/23

48.7 (33–71)

A 3 (9.4)

B 28 (87.5)

Hyper trig 1 (3.1)

13.4 ± 5.2

5.3 ± 1.6

Nr

Hypovol 14 Hypox10

ARenalF3

Acute GH 1

Nr

Senthil Kumar et al [39]

India

2012

Retrospective cohort

Primary open surgical necrosectomy for suspected or confirmed infected necrosis

15/30

2008–2011

15/0

41 (30–55)

A 9 (60)

B 5 (33.3)

O 1 (6.7)

9 (5–20)

CTI 7 (3)

CTI 8–10 (12)

11

Nr

single 8 (53.3)

multiple 2 (13.3)

Bausch et al [40]

Germany

2012

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

30/62

1998–2010

17/13

64 (25–88)

A 5 (16.7)

B 4 (13.3)

I 2 (6.7)

O 19 (63.3)

Nr

Nr

Nr

Nr

multiple 22 (73.3)

Tan et al [41]

China

2012

Retrospective multicentre cohort

Primary open surgical necrosectomy for suspected or confirmed infected necrosis

51/76

2008–2010

33/18

44.1

A 24 (31.5)

B 30 (39.5)

I 4 (5.3)

O 18 (23.7)

12.46–5.8

4.91–1.23

Nr

Nr

Nr

Doctor et al [42]

India

2011

Retrospective cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

59/61

1998–2009

49/12

43(18–73)

A 14 (23)

B 25 (41)

I 3 (4.9)

O 19 (31.1)

> 9

≥ 7

59

Nr

Nr

Boland et al [43]

USA

2010

Retrospective cohort

Primary open surgical necrosectomy for infected pancreatic necrosis

21

2002–2008

13/8

53 (28–86)

A 3 (14.3)

B 8 (38.1)

I 4 (19.0)

O 6 (28.6)

Nr

Nr

Nr

CV 7 (%)

ARI 2 (%)

D 5 (%)

OT 4.

9 (43)

Raraty et al [11]

UK

2010

Retrospective cohort

Primary open surgical necrosectomy for pancreatic necrosis

28

2000–2008

Nr

Nr

Nr

10.5 (5–26)

Nr

Nr

Nr

Nr

van Santvoort et al [13]

Netherlands

2010

Multicentre randomized study

Primary open surgical necrosectomy for suspected or confirmed infected necrosis

45/88

2005–2008

33/12

57.4 ± 2.0

A 5 (11)

B 29 (64)

O 11 (24)

15.0 ± 5.3

8 (4–10)

29 (64%)

CV 21 (47%)

P 4 (9%)

CRI 2 (4%)

D 4 (9%)

OT/.

ASA III 14 (31)

single 22 (49)

multiple 13 (29)

  1. aScores on the Acute Physiologic and Chronic Health Evaluation II (APACHE II) scale range from 0 to 71, with higher scores indicating more severe disease
  2. bScores on the CT severity index range from 0 to 10, with higher scores indicating more extensive pancreatic necrosis and peripancreatic fluid collections
  3. Nr not reported, A alcoholic, B biliary, I iatrogenic, Hyper trig hypertriglyceridemia, O other