Division of surgeon workload in pancreaticoduodenectomy: striving to decrease post-operative pancreatic fistula

ANZ Journal of Surgery
Dong Hun KimJin Seok Heo

Abstract

Many studies have reported factors affecting pancreatic leakage after pancreaticoduodenectomy (PD), but there have been few reports on surgeon workload and post-operative pancreatic fistula (POPF). This study was conducted to explore whether a surgeon's workload during PD impacts the occurrence of POPF. We retrospectively analysed 270 consecutive patients who underwent PD between January 2008 and June 2013 by a single experienced surgeon. These patients were divided into those who underwent PD entirely by a single operator (group 1) and those who received reconstructions by other operators (group 2). Duct-to-mucosa pancreaticojejunostomy was performed on all patients. The International Study Group on Pancreatic Fistula criteria were used to define POPF. There were 157 patients (58.1%) in group 1 and 113 patients (41.9%) in group 2. The post-operative morbidity rate was comparable between the two groups (55.4% versus 52.2%; P = 0.603), but the clinical pancreatic fistula (grade B/C) rate was significantly different (10.8% versus 2.7%; P = 0.011). The overall post-operative mortality was one patient (0.4%). Significant associations were found between clinical pancreatic fistulas and soft pancreas texture (P = 0.021), preoperative...Continue Reading

References

Jun 1, 1995·Annals of Surgery·S G MarcusJ H Ranson
Jan 1, 1994·Journal of Vascular Surgery·L J Greenfield
Aug 10, 2000·The British Journal of Surgery·M W BüchlerK Z'Graggen
Oct 17, 2002·Internal Medicine Journal·C Peisah, K Wilhelm
Sep 19, 2003·Neurologic Clinics·Gregory R Jackson, Cynthia Owsley
Jan 1, 2005·Yonsei Medical Journal·Ender DulunduMasatoshi Makuuchi
Jun 9, 2005·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Tanja M ManiL Stephen Miller
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Aug 22, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kaye M Reid-LombardoUNKNOWN Pancreatic Anastomotic Leak Study Group
Jul 10, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nicholas G CsikeszShimul A Shah
Nov 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Zoe E ParrElijah Dixon
Mar 21, 2009·Annals of Surgery·Robert W EppsteinerShimul A Shah
Jul 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jeffrey B HalldorsonJames D Perkins
Oct 15, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Woo Seok KimDong Do You
Jan 13, 2012·The British Journal of Surgery·R F de WildeUNKNOWN Dutch Pancreatic Cancer Group
Jun 12, 2012·The Annals of Thoracic Surgery·Mathew ThomasClaude Deschamps
Nov 6, 2012·Journal of the American College of Surgeons·Mark P CalleryCharles M Vollmer
Aug 27, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Motokazu SugimotoMasaru Konishi

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Methods Mentioned

BETA
pancreatectomy
biopsy
fluid collection

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