Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer
Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Cho, Jai Young [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 37(2013), 9 vom: 31. Mai, Seite 2234-2241 |
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| Übergeordnetes Werk: |
volume:37 ; year:2013 ; number:9 ; day:31 ; month:05 ; pages:2234-2241 |
| Links: |
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| DOI / URN: |
10.1007/s00268-013-2106-6 |
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SPR003444120 |
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| 520 | |a Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. | ||
| 650 | 4 | |a Postoperative Complication |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Kim, Young Ki |4 aut | |
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10.1007/s00268-013-2106-6 doi (DE-627)SPR003444120 (SPR)s00268-013-2106-6-e DE-627 ger DE-627 rakwb eng Cho, Jai Young verfasserin aut Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. Postoperative Complication (dpeaa)DE-He213 Recurrence Pattern (dpeaa)DE-He213 Bile Duct Cancer (dpeaa)DE-He213 Preoperative Biliary Drainage (dpeaa)DE-He213 Distal Common Bile Duct (dpeaa)DE-He213 Han, Ho-Seong aut Yoon, Yoo-Seok aut Hwang, Dae Wook aut Jung, Kyuwhan aut Kim, Young Ki aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 9 vom: 31. Mai, Seite 2234-2241 (DE-627)SPR003391159 nnns volume:37 year:2013 number:9 day:31 month:05 pages:2234-2241 https://dx.doi.org/10.1007/s00268-013-2106-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 9 31 05 2234-2241 |
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10.1007/s00268-013-2106-6 doi (DE-627)SPR003444120 (SPR)s00268-013-2106-6-e DE-627 ger DE-627 rakwb eng Cho, Jai Young verfasserin aut Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. Postoperative Complication (dpeaa)DE-He213 Recurrence Pattern (dpeaa)DE-He213 Bile Duct Cancer (dpeaa)DE-He213 Preoperative Biliary Drainage (dpeaa)DE-He213 Distal Common Bile Duct (dpeaa)DE-He213 Han, Ho-Seong aut Yoon, Yoo-Seok aut Hwang, Dae Wook aut Jung, Kyuwhan aut Kim, Young Ki aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 9 vom: 31. Mai, Seite 2234-2241 (DE-627)SPR003391159 nnns volume:37 year:2013 number:9 day:31 month:05 pages:2234-2241 https://dx.doi.org/10.1007/s00268-013-2106-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 9 31 05 2234-2241 |
| allfields_unstemmed |
10.1007/s00268-013-2106-6 doi (DE-627)SPR003444120 (SPR)s00268-013-2106-6-e DE-627 ger DE-627 rakwb eng Cho, Jai Young verfasserin aut Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. Postoperative Complication (dpeaa)DE-He213 Recurrence Pattern (dpeaa)DE-He213 Bile Duct Cancer (dpeaa)DE-He213 Preoperative Biliary Drainage (dpeaa)DE-He213 Distal Common Bile Duct (dpeaa)DE-He213 Han, Ho-Seong aut Yoon, Yoo-Seok aut Hwang, Dae Wook aut Jung, Kyuwhan aut Kim, Young Ki aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 9 vom: 31. Mai, Seite 2234-2241 (DE-627)SPR003391159 nnns volume:37 year:2013 number:9 day:31 month:05 pages:2234-2241 https://dx.doi.org/10.1007/s00268-013-2106-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 9 31 05 2234-2241 |
| allfieldsGer |
10.1007/s00268-013-2106-6 doi (DE-627)SPR003444120 (SPR)s00268-013-2106-6-e DE-627 ger DE-627 rakwb eng Cho, Jai Young verfasserin aut Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. Postoperative Complication (dpeaa)DE-He213 Recurrence Pattern (dpeaa)DE-He213 Bile Duct Cancer (dpeaa)DE-He213 Preoperative Biliary Drainage (dpeaa)DE-He213 Distal Common Bile Duct (dpeaa)DE-He213 Han, Ho-Seong aut Yoon, Yoo-Seok aut Hwang, Dae Wook aut Jung, Kyuwhan aut Kim, Young Ki aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 9 vom: 31. Mai, Seite 2234-2241 (DE-627)SPR003391159 nnns volume:37 year:2013 number:9 day:31 month:05 pages:2234-2241 https://dx.doi.org/10.1007/s00268-013-2106-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 9 31 05 2234-2241 |
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10.1007/s00268-013-2106-6 doi (DE-627)SPR003444120 (SPR)s00268-013-2106-6-e DE-627 ger DE-627 rakwb eng Cho, Jai Young verfasserin aut Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. Postoperative Complication (dpeaa)DE-He213 Recurrence Pattern (dpeaa)DE-He213 Bile Duct Cancer (dpeaa)DE-He213 Preoperative Biliary Drainage (dpeaa)DE-He213 Distal Common Bile Duct (dpeaa)DE-He213 Han, Ho-Seong aut Yoon, Yoo-Seok aut Hwang, Dae Wook aut Jung, Kyuwhan aut Kim, Young Ki aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 9 vom: 31. Mai, Seite 2234-2241 (DE-627)SPR003391159 nnns volume:37 year:2013 number:9 day:31 month:05 pages:2234-2241 https://dx.doi.org/10.1007/s00268-013-2106-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 9 31 05 2234-2241 |
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Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). 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postoperative complications influence prognosis and recurrence patterns in periampullary cancer |
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Postoperative Complications Influence Prognosis and Recurrence Patterns in Periampullary Cancer |
| abstract |
Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. © Société Internationale de Chirurgie 2013 |
| abstractGer |
Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. © Société Internationale de Chirurgie 2013 |
| abstract_unstemmed |
Background The present study was performed to elucidate the influence of postoperative complications on the prognosis and recurrence patterns of periampullary cancer after pancreaticoduodenectomy (PD). Methods Clinical data were reviewed from 200 consecutive patients who had periampullary cancer and underwent PD between October 2003 and July 2010, and survival outcomes and recurrence patterns were analyzed. Postoperative complications were classified according to a modification of Clavien’s classification. Results Overall, 86 major complications of grade II or higher occurred in 71 patients. The patients were classified into two groups according to the presence of postoperative complications of grade II or higher: group Cx−, absence of complications (n = 129); and group Cx+, presence of complications (n = 71). There were no differences in gender, mean age, tumor node metastasis stage, biliary drainage, type of resection, and radicality between the two groups (P > 0.05). The 3-year overall and disease-free survival rates of the group Cx+ patients (31.0 and 22.3 %, respectively) were significantly lower than those of the group Cx− patients (49.0 and 40.0 %; P = 0.003 and 0.002, respectively). The multivariate analysis showed that postoperative complications (P = 0.001; RR = 1.887; 95 % confidence interval [CI] 1.278–2.785), a T stage of T3 or T4 (P = 0.001; RR = 2.503; 95 % CI 1.441–4.346), positive node metastasis (P = 0.001; RR = 2.093; 95 % CI, 1.378–3.179), R1 or R2 resection (P = 0.023; RR = 1.863; 95 % CI 1.090–3.187), and angiolymphatic invasion (P = 0.013; RR = 1.676; 95 % CI 1.117–2.513) were independent prognostic factors for disease-free survival. Regarding recurrence patterns, group Cx+ patients exhibited more distant recurrences than did group Cx− patients (P = 0.025). Conclusions Postoperative complications affect prognosis and recurrence patterns in patients with periampullary cancer after PD. © Société Internationale de Chirurgie 2013 |
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