K. Memeh1, H. Aziz1, T. S. Riall1, T. Jie1 1University Of Arizona,Surgery,Tucson, AZ, USA
Introduction:
Very few data exist on the outcome of patients with periampullary carcinoid. There are suggestions in the literature that these tumors have a different outcome from other small bowel carcinoid after surgical resection, however most of these data are from institution-based case series.The aim of this study is to describe the outcomes of patients who underwent pancreaticodudenectomy for periampullary carcinoid tumors using a national database.
Methods:
We queried the NSQIP database for years 2008 – 2012 inclusive and identified all patients who underwent pancreaticodudenectomy for periampullary carcinoid tumor. Patient demographics,peri-operative data, post-operative morbidity and 30-day mortality were obtained and analysed.
Results:
14,977 patients who underwent pancreaticodudenectomy were identified from the NSQIP for years 2008-2012. Of these, 150 patients underwent pancreaticodudenectomy for a carcinoid tumor. The mean age was 57.12 +/-12 years, and 54% of the patients were of female gender.75% were performed in an open fashion. Overall morbidity was 29% and 30-day mortality was 2%. Pancreatic fistula rate was 15%.
Conclusion:
Our study highlights outcomes of pancreaticodudenotomy for periampullary carcinoid tumor using a national database which has not been described before in literature.Within the limitations of the study, morbidity and mortality indices are described in the hope that it may add to an update to existing literature as well as serve as a guide to patient education regarding potential outcome following surgical resection of ampullary carcinoid.