The effect of technical details of percutaneous catheter drainage on the clinical outcomes of infected necrotizing pancreatitis patients

Abstract

Background/aim: This study aimed to investigate the effect of technical details of percutaneous catheter drainage (PCD) on the clinicaloutcomes of patients with infected necrotizing pancreatitis (INP).Materials and methods: A total of 44 INP patients treated in our hospital from October 2013 to October 2015 were included. Thecorrelations of the first PCD treatment data and the clinical outcomes were analyzed.Results: The number of catheters was positively correlated with hospital readmission (r = 0.335, P = 0.032). Receiver operatingcharacteristic curve analysis showed that patients with ≥ 3 catheters were more likely to have hospital readmission. Patients with pleuraleffusion undergoing thoracentesis were more likely to have new intensive care unit admission (P = 0.025) and bleeding in need ofintervention (P = 0.032). Patients with more effusion regions had higher incidences of mortality (P = 0.012) and new intensive care unitadmissions (2.44 ± 1.03 vs. 1.88 ± 0.80; P = 0.059). Patients with PCD only were less likely to have new intensive care unit admissions(22.22% vs. 54.55%; P = 0.038) than those with PCD + small incision or/and videoscopic assisted retroperitoneal debridement.Conclusion: Number of catheters greater than three was associated with unfavorable outcomes of PCD treatment in INP patients.Patients that received PCD treatment only had better outcomes.