• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Surgical Versus Percutaneous Drainage for Pancreatic Pseudocysts: Patient, Disease and Procedure Characteristics

Justin Lee, MD, Romie Mundy, MD, Neal E Seymour, MD. St. Elizabeth Medical Center, Baystate Medical Center, Tufts University School of Medicine

 

Introduction
The objectives of this study were to use population-based data to 1) compare recent use of percutaneous and surgical drainage procedures, 2) quantify utilization of laparoscopy for pseudocyst, and 3) define patient and disease characteristics pertaining to use of specific drainage methods.

Methods
Hospitalizations for pancreatic pseudocyst-related drainage procedures were identified in the National Inpatient Sample (NIS) database from 2001 to 2008. Patient demographics, associated diagnoses, and procedures during these hospitalizations were identified. Percutaneous and surgical drainage procedures were quantified and compared for mortality, length of stay, and total hospital charges. Frequency of use of laparoscopy relative to other treatment methods was defined for the study period. Categorical and continuous variables were analyzed using the chi square and Student’s T-test respectively.

Results
The NIS search identified 23,832 hospitalizations for pancreatic pseudocyst drainage procedures. Patients characteristics included: Age 50.7±16.4 years, 59.4% male, 43.8% private insurance, 26.4% Medicare, and 72.5% urban metropolitan area residence. 13,511 (56.7%) underwent percutaneous drainage and 10,321 (43.3%) underwent surgical drainage. Utilization of laparoscopy with surgical drainage increased near four-fold from 1.0% to 3.9% (P<0.001) during the period of study. Surgical drainage was associated with decreased inpatient mortality (1.3% versus 3.4%, P<0.001), shorter mean length of stay (15.25 days vs. 20.34 days, P<0.001) and lower mean total hospital charges ($75,265.78 vs. $104,936.73, P<0.001). Overall, 65.2% were associated with acute pancreatitis and 25.1% were associated with chronic pancreatitis. Acute pancreatitis was managed with surgical drainage in 37.1%, whereas chronic pancreatitis was managed with surgical drainage in 49.9% (P<0.001). Multivariate logistic regression analysis of gender, insurance status, urban location, and associated pancreatitis identified chronic pancreatitis as the most statistically significant factor associated with increased utilization of surgical drainage (OR 2.36, CI 2.18-2.56, P<0.001).

Conclusions
Surgical treatment of pancreatic pseudocyst was associated with significantly more favorable mortality, length of stay, and total hospital charge outcomes. Chronic pancreatitis appears to be a significant clinical factor in the selection of surgical drainage as a treatment modality. Use of laparoscopy increased during the study period, but further studies are needed to identify both barriers and specific clinical circumstances where laparoscopy might offer benefit.


Session Number: Poster – Poster Presentations
Program Number: P391
View Poster

865

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons