Zhang JZ, Li S, Zhu WH, Leng XS, Zhang DF. Effect of overtime pancreaticoduodenectomy on the short-term prognosis of patients. World J Gastrointest Surg 2022; 14(5): 419-428 [PMID: 35734628 DOI: 10.4240/wjgs.v14.i5.419]
Corresponding Author of This Article
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
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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 byPeking 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.
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.
