Skip to main content
Journal cover image

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

Publication ,  Journal Article
McCracken, EKE; Mureebe, L; Blazer, DG
Published in: J Surg Res
January 2019

BACKGROUND: 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. MATERIALS AND METHODS: 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. RESULTS: 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 < 0.01). CONCLUSIONS: Laparoscopic PD is associated with decreased surgical site infection on a national level. This represents the first procedure-targeted National Surgical Quality Improvement Project report on this endpoint. Despite greater infection rates than previously reported, these data support previous institutional reports of decreased infection rates with laparoscopic approach.

Duke Scholars

Published In

J Surg Res

DOI

EISSN

1095-8673

Publication Date

January 2019

Volume

233

Start / End Page

183 / 191

Location

United States

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Surgery
  • Robotic Surgical Procedures
  • Risk Factors
  • Quality Improvement
  • Pancreaticoduodenectomy
  • Outcome and Process Assessment, Health Care
  • Operative Time
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McCracken, E. K. E., Mureebe, L., & Blazer, D. G. (2019). Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies. J Surg Res, 233, 183–191. https://doi.org/10.1016/j.jss.2018.07.041
McCracken, Emily Kathryn Elizabeth, Leila Mureebe, and Dan German Blazer. “Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies.J Surg Res 233 (January 2019): 183–91. https://doi.org/10.1016/j.jss.2018.07.041.
McCracken EKE, Mureebe L, Blazer DG. Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies. J Surg Res. 2019 Jan;233:183–91.
McCracken, Emily Kathryn Elizabeth, et al. “Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies.J Surg Res, vol. 233, Jan. 2019, pp. 183–91. Pubmed, doi:10.1016/j.jss.2018.07.041.
McCracken EKE, Mureebe L, Blazer DG. Minimally Invasive Surgical Site Infection in Procedure-Targeted ACS NSQIP Pancreaticoduodenectomies. J Surg Res. 2019 Jan;233:183–191.
Journal cover image

Published In

J Surg Res

DOI

EISSN

1095-8673

Publication Date

January 2019

Volume

233

Start / End Page

183 / 191

Location

United States

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Surgery
  • Robotic Surgical Procedures
  • Risk Factors
  • Quality Improvement
  • Pancreaticoduodenectomy
  • Outcome and Process Assessment, Health Care
  • Operative Time
  • Middle Aged