Ann Surg Treat Res.  2019 Sep;97(3):130-135. 10.4174/astr.2019.97.3.130.

One hundred sixty pancreaticoduodenectomies for periampullary cancers in a growing-volume setting: a single-institution and a single-surgeon's experience

Affiliations
  • 1Department of Surgery, Konkuk University School of Medicine, Seoul, Korea. csh@kuh.ac.kr

Abstract

PURPOSE
Many studies have concluded that cancer patients may have better outcomes when their surgery is performed in high-volume centers, especially when the procedure is pancreaticoduodenectomy (PD). However, some studies concluded that experienced surgeons or incorporation of expertise from high-volume centers may achieve satisfactory outcomes after PD in low-volume centers.
METHODS
I retrospectively collected and analyzed the outcomes of PD for periampullary cancers treated with curative intent in my center.
RESULTS
From August 2, 2005 to December 10, 2018, 160 pancreatic resections were done with curative intent in my center. The number of operations per year was 1 in 2005 and gradually increased to 21 in 2018. Thirty-day mortality was 0, and 90-day mortality was 1 (0.6%). Morbidity was found in 65 cases (40.6%). The median follow-up period was 23.2 months and 5-year survival rates were 28.5% for pancreas head cancer, 48.2% for distal CBD cancer, and 72.6% for AOV cancer. I divided patients into 2 groups by the number of annual operations, which is more than 21 per 2 years. The 2 groups showed no differences in terms of morbidity and mortality.
CONCLUSION
A well-trained low-volume surgeon may perform PD safely at a well-equipped low-volume center.

Keyword

Outcome; Pancreaticoduodenectomy; Periampullary cancer; Volume

MeSH Terms

Follow-Up Studies
Head and Neck Neoplasms
Humans
Mortality
Pancreas
Pancreaticoduodenectomy*
Retrospective Studies
Surgeons
Survival Rate
Full Text Links
  • ASTR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error