Volume 128, Issue 4 pp. 531-539
RESEARCH ARTICLE

Infection reporting in patients undergoing irreversible electroporation of locally advanced pancreatic cancer

Anthony Filson MS

Anthony Filson MS

Division of Surgical Oncology, Department of Surgery, University of Louisville, Louisville, Kentucky, USA

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Robert C. G. Martin MD, PhD

Corresponding Author

Robert C. G. Martin MD, PhD

Division of Surgical Oncology, Department of Surgery, University of Louisville, Louisville, Kentucky, USA

Correspondence Robert C. G. Martin, MD, PhD, Division of Surgical Oncology, University of Louisville School of Medicine, 315 E. Broadway M10, Louisville, KY 40202, USA.

Email: [email protected]

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First published: 11 May 2023

Abstract

Background

Intraoperative bile cultures (IOBCs) taken during pancreatic surgery are commonly performed and there has been limited evidence that a positive IOBC could aid in perioperative adverse event (AE) management. Therefore, this study aims to describe infection management in patients undergoing irreversible electroporation (IRE).

Methods

An Institutional Review Board (IRB)-approved prospective database was utilized from 8/2016 to 6/2022, with 127 pancreatic adenocarcinoma patients included.

Results

A total of 28 patients that underwent IRE also had a simultaneous positive IOBC and the remaining 99 patients that underwent IRE had negative IOBC. A total of 11(39%) of the patients with a positive IOBC had AE's, and 38 (38%) of the patients with negative IOBC had AE's. Both groups had similar rates of AEs leading to new hospitalization and prolonged hospitalizations. Overall, there was no correlation between a positive IOBC and a patient developing an AE.

Conclusions

The findings of this study provide insights that improve the infectious management of patients undergoing IRE.

CONFLICT OF INTEREST STATEMENT

Dr. Robert Martin is a paid educational consultant for AngioDynamics.

DATA AVAILABILITY STATEMENT

The data sets supporting the conclusions of this article are included within the article.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.