Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2022; 14(5): 419-428
Published online May 27, 2022. doi: 10.4240/wjgs.v14.i5.419
Effect of overtime pancreaticoduodenectomy on the short-term prognosis of patients
Jin-Zhu Zhang, Shu Li, Wei-Hua Zhu, Xi-Sheng Leng, Da-Fang Zhang
Jin-Zhu Zhang, Shu Li, Wei-Hua Zhu, Xi-Sheng Leng, Da-Fang Zhang, Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100044, China
Author contributions: Zhang JZ designed the study, acquired and analyzed the data, and wrote the paper; Li S acquired and analyzed the data, and revised the paper; Zhu WH acquired and analyzed the data, and revised the paper; Leng XS revised the paper; Zhang DF designed the study, revised the paper, and supervised the study.
Supported by Peking University People’s Hospital Scientific Research Development Funds, No. RDY2017-28.
Institutional review board statement: The study was reviewed and approved by the Peking University People’s Hospital Institutional Review Board (Approval No. 2021PHB050-001).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict-of-interest to declare.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Da-Fang Zhang, MD, PhD, Assistant Professor, Assistant Statistician, Department of Hepatobiliary Surgery, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing 100044, China. byronzdf@sina.com
Received: December 26, 2021
Peer-review started: December 26, 2021
First decision: March 10, 2022
Revised: March 23, 2022
Accepted: April 21, 2022
Article in press: April 21, 2022
Published online: May 27, 2022
Processing time: 149 Days and 16.5 Hours
ARTICLE HIGHLIGHTS
Research background

Fatigue and sleep deprivation can result in an increased error rate at work. The effect of overtime work for pancreaticoduodenectomy on the prognosis of patients is unclear.

Research motivation

Overtime surgery may result in an increased incidence of intraoperative errors. This study is intended to be further clarified.

Research objectives

To explore the impact of overtime work for pancreaticoduodenectomy on the short-term prognosis of patients.

Research methods

Patients were stratified by operative start time into the control group (surgery that started between 8:00 and 16:49) and the overtime group (surgery that started between 17:00 and 22:00) and compared intraoperative and postoperative parameters.

Research results

The overtime group had a higher incidence of pancreatic fistula than control group (32.8% vs 15.8%, P < 0.05).

Research conclusions

The overtime group had a higher incidence of pancreatic fistula.

Research perspectives

This study did not analyze the long-term prognosis of patients, such as progression-free survival, and overall survival. More research is needed in the future.