TY - JOUR
T1 - Complex Pancreatic Surgery
T2 - Safety and Feasibility in the Community Setting
AU - Chamberlain, Ronald S.
AU - Tichauer, Matthew
AU - Klaassen, Zachary
AU - Paragi, Prakash R.
N1 - Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2011/1
Y1 - 2011/1
N2 - Introduction: Advances in technology, innovative surgical procedures, and enhanced perioperative care have allowed more patients to be considered for complex pancreatic surgery. Published reports on the outcomes of pancreatic surgery performed at high volume tertiary referral centers have yielded excellent results. However, similar outcome and safety data from community hospitals is limited. Material and Methods: Consecutive complex pancreatic surgery performed by a single surgeon from December 2004 to December 2009 formed the study group. Factors analyzed included patient demographics, operative procedure, operative time, length of hospital stay, pathology, and 30-day morbidity and mortality. Results: One hundred and nine consecutive patients underwent pancreatic surgery, with a mean patient age of 62.4 ± 15.2 years. Eighty-three patients (76.1%) underwent definitive surgical procedure and 26 patients (23.9%) had palliative bypass after failed palliative biliary stenting. The mean operative time was 229 ± 109 min, the mean length of stay was 8.6 ± 6.5 days and 24 (22.0%) patients had surgical complications. Conclusion: Complex pancreatic surgery can be performed safely at high-volume tertiary community hospitals with excellent outcomes comparable to tertiary academic centers. In the ongoing debate about the need for mandatory referral of complex surgical procedures, tertiary community hospitals with well-determined outcomes should be included.
AB - Introduction: Advances in technology, innovative surgical procedures, and enhanced perioperative care have allowed more patients to be considered for complex pancreatic surgery. Published reports on the outcomes of pancreatic surgery performed at high volume tertiary referral centers have yielded excellent results. However, similar outcome and safety data from community hospitals is limited. Material and Methods: Consecutive complex pancreatic surgery performed by a single surgeon from December 2004 to December 2009 formed the study group. Factors analyzed included patient demographics, operative procedure, operative time, length of hospital stay, pathology, and 30-day morbidity and mortality. Results: One hundred and nine consecutive patients underwent pancreatic surgery, with a mean patient age of 62.4 ± 15.2 years. Eighty-three patients (76.1%) underwent definitive surgical procedure and 26 patients (23.9%) had palliative bypass after failed palliative biliary stenting. The mean operative time was 229 ± 109 min, the mean length of stay was 8.6 ± 6.5 days and 24 (22.0%) patients had surgical complications. Conclusion: Complex pancreatic surgery can be performed safely at high-volume tertiary community hospitals with excellent outcomes comparable to tertiary academic centers. In the ongoing debate about the need for mandatory referral of complex surgical procedures, tertiary community hospitals with well-determined outcomes should be included.
KW - Community hospital
KW - Pancreatic surgery
KW - Surgical outcomes
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U2 - 10.1007/s11605-010-1305-9
DO - 10.1007/s11605-010-1305-9
M3 - Article
C2 - 21061186
AN - SCOPUS:78751573954
SN - 1091-255X
VL - 15
SP - 184
EP - 190
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 1
ER -