Thirty-Day Outcomes in Patients Treated with En Bloc Colectomy and Pancreatectomy for Locally Advanced Carcinoma of the Colon

Ian M. Paquette, Brian R. Swenson, Mary Kwaan, Anders F. Mellgren, Robert D Madoff

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Objective: The aim of this was to define 30-day outcomes of patients treated with colectomy and en bloc pancreatectomy for invasive colon cancer. Methods: ACS NSQIP was used to identify patients who underwent colectomy and pancreatectomy concomitantly (n = 65) for colon carcinoma. Patients with en bloc pancreatectomy were compared to a propensity score-matched control group for 30-day outcomes. Results: Sixteen patients underwent a pancreaticoduodenectomy with colectomy and 49 patients underwent a distal pancreatectomy with colectomy. There were 195 matched control patients. En bloc pancreatectomy (Whipple vs. distal pancreatectomy vs. control) patients had longer OR times (390 vs. 265 vs. 137 min) and length of postoperative stay (12 vs. 10 vs. 6 days). The frequency of pulmonary complications (31. 3% vs. 36. 7% vs. 3. 6%), blood transfusions (2. 9 vs. 1. 7 vs. 0. 3 U), wound dehiscence, (18. 8% vs. 6. 12% vs. 0. 5%) and surgical site infection (43. 5% vs. 34. 7% vs. 14. 9%) were substantially higher in the pancreatectomy group (p < 0. 05). There were no statistically significant differences in 30-day mortality between the pancreatectomy group and the control group (6. 3% vs. 0% vs. 1. 5% p = 0. 25)Conclusions: Perioperative outcomes with en bloc pancreatectomy and colectomy include increased pulmonary complications, blood transfusions, wound complications, and length of stay compared to patients treated with colectomy alone for colon cancer.

Original languageEnglish (US)
Pages (from-to)581-586
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume16
Issue number3
DOIs
StatePublished - Mar 1 2012

Keywords

  • Colectomy
  • En bloc pancreatectomy
  • Locally advanced colon cancer

Fingerprint

Dive into the research topics of 'Thirty-Day Outcomes in Patients Treated with En Bloc Colectomy and Pancreatectomy for Locally Advanced Carcinoma of the Colon'. Together they form a unique fingerprint.

Cite this