Relationship between hospital volume and late survival after pancreaticoduodenectomy

Birkmeyer, John D.; Warshaw, Andrew L.; Finlayson, Samuel R.G.; Grove, Margaret R.

doi:10.1067/msy.1999.98741

Cited by 107 publications

(138 citation statements)

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“…The overall mortality ranges between 2-3% in specialised centres. Studies have shown that this low mortality is attributable to high volume centres with dedicated hepatobiliary surgery units, while the rate continues to be high in other hospitals [4][5][6]. Surgical skills and the experience of the surgeon has been found vital as it is directly linked with the overall mortality and post operative morbidity associated with this procedure [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Pancreaticoduodenectomy in a Government Medical College—Should We Proceed!!!

Patra

Basu

et al. 2010

Indian J Surg

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The value of standard Pancreaticoduodenectomy for Periampullary carcinomas has long been a matter of debate. Though the mortality has dramatically reduced in high volume centers with dedicated hepatobiliary surgery units, the rate is still high in peripheral institutes. In this study our aim was to access the overall post operative outcome associated with pancreaticoduodenectomy performed in a government medical college. A total of 44 patients who underwent pancreaticoduodenectomy for operable periampullary cancers were evaluated. The overall morbidity rate was 31.1%. A total of 13 (29.5%) died following the operation and of its complications though the rate has reduced drastically to 14.2% in2008. The average length of hospital stay was 22 days. The mean survival was 15 months. Pancreaticoduodenectomy can safely be performed in government medical colleges with good results. In view of the majority of the patients in rural and suburban communities, not all patients need referral to higher centers.

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Section: Introductionmentioning

confidence: 99%

Pancreaticoduodenectomy in a Government Medical College—Should We Proceed!!!

Patra

Basu

et al. 2010

Indian J Surg

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“…Recently, based on data from population-based cancer registries in the US, several studies have documented a significant relationship between hospital volume and survival. [1][2][3] In these studies, hospital volume is defined as the number of surgical operations for cancer performed at a hospital. However, no study has been conducted regarding the relationship between hospital volume of operations for cancer and survival using population-based data in Japan.…”

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confidence: 99%

Population‐based study of relationship between hospital surgical volume and 5‐year survival of stomach cancer patients in Osaka, Japan

et al. 2003

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Despite the large number of surgical operations for stomach cancer in Japan, no study based on data from population-based cancer registries has been conducted regarding the relationship between hospital surgical volume for stomach cancer and patients' survival. Using data from the Osaka Cancer Registry (OCR), we performed survival analyses on 28,608 patients aged 35-79 years old who underwent surgery for stomach cancer, according to the extent of disease at diagnosis (localized: cancer is confined to the original organ; regional: cancer spreads to regional lymph nodes; adjacent: cancer infiltrates to adjacent tissue; distant: cancer metastasizes to distant organs).

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“…Over the last two decades, a dramatic improvement in operative mortality after pancreaticoduodenectomy (PD) and pylorus-preserving pancreaticoduodenectomy (PPPD) has been observed for pancreatic and periampullary adenocarcinomas, especially in high-volume centers [1,2]. Better choice of adjuvant therapy has also improved survival in small number of patients.…”

Section: Introductionmentioning

confidence: 99%

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

Vaishnav¹,

Lakhia²

2017

Pancreat Disord Ther

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There is a large body of literature that describes the short-term complications (e.g., pancreatic or biliary anastomotic leaks) that occur after PD, but little has been published regarding long-term anastomotic complications. Stenosis of the anastomosis is often asymptomatic but symptomatic and painful presentations are difficult to treat, and the optimal treatment is not currently defined. The aim of this work is to report case of pancreatojejunostomy stenosis. The Pancreatic enteric anastomosis stenosis was diagnosed following presentation with pancreatitis that developed following pancreatoduodenectomy. The patient was treated surgically by fashioning side to side pancreatogastrostomy.

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Relationship between hospital volume and late survival after pancreaticoduodenectomy

Abstract: Hospital volume strongly influences both perioperative risk and long-term survival after pancreaticoduodenectomy. Our data suggest that both patient selection and differences in quality of care may underlie better outcomes at high-volume referral centers.

Cited by 107 publications

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Pancreaticoduodenectomy in a Government Medical College—Should We Proceed!!!

Pancreaticoduodenectomy in a Government Medical College—Should We Proceed!!!

Population‐based study of relationship between hospital surgical volume and 5‐year survival of stomach cancer patients in Osaka, Japan

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

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