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Table 2 Comparison between local resection versus pancreaticoduodenectomy for patients with duodenal gastrointestinal stromal tumors

From: Pancreaticoduodenectomy versus local resection in the treatment of gastrointestinal stromal tumors of the duodenum

 

Local resection (n= 34)

Pancreaticoduodenectomy (n= 14)

P value

Male

19 (55.9%)

9 (64.3%)

0.59

Age (years)

51 (27 to 89)

59 (36 to 72)

0.03

Presentation

  

0.28

  Bleeding

23 (64.7%)

6 (42.9%)

 

  Incidental finding

4 (11.8%)

4 (28.6%)

 

  Abdominal discomfort

5 (17.6%)

2 (14.3%)

 

  Abdominal pain

2 (5.9%)

1 (7.1%)

 

  Jaundice

0

1 (7.1%)

 

Size (cm)

4.0 (2.0 to 7.0)

6.3 (2.5 to 15.0)

0.02

Site

   

  D1

9 (26.5%)

2 (14.3%)

 

  D2

8 (23.5%)

9 (64.3%)

0.007

  D3

6 (17.6)

0

 

  D4

2 (5.9%)

0

 

  D1/D2

6 (17.7%)

2 (14.3%)

 

  D2/D3

3 (8.8%)

1 (7.1%)

 

NIH risk criteria

  

0.019

  Low risk

23 (67.7%)

5 (35.7%)

 

  Intermediate risk

8 (23.5%)

3 (21.4%)

 

  High risk

3 (8.8%)

6 (42.9%)

 

Operation time (mins)

210 (120 to 390)

395 (240 to 600)

<0.001

Postoperative stay (days)

14 (11 to 35)

21 (12 to 46)

0.001

Complications

4 (11.8%)

5 (35.7%)

0.053

ECOG scores

0 (0 to 5)

0 (0 to 1)

0.80

Mortality

2 (5.9%)

0

0.35

Recurrence

1 (2.9%)

2 (14.3%)

0.14

  1. D1, first part of the duodenum; D2, second part of the duodenum; D3, third part of the duodenum; D4, fourth part of the duodenum; ECOG, Eastern Cooperative Oncology Group; NIH, National Institutes of Health.