Complex Pancreatic Surgery: Safety and Feasibility in the Community Setting

Ronald S. Chamberlain, Matthew Tichauer, Zachary W A Klaassen, Prakash R. Paragi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)184-190
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume15
Issue number1
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

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Safety
Community Hospital
Tertiary Care Centers
Length of Stay
Operative Time
High-Volume Hospitals
Perioperative Care
Operative Surgical Procedures
Referral and Consultation
Demography
Pathology
Technology
Morbidity
Mortality

Keywords

  • Community hospital
  • Pancreatic surgery
  • Surgical outcomes

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Complex Pancreatic Surgery : Safety and Feasibility in the Community Setting. / Chamberlain, Ronald S.; Tichauer, Matthew; Klaassen, Zachary W A; Paragi, Prakash R.

In: Journal of Gastrointestinal Surgery, Vol. 15, No. 1, 01.01.2011, p. 184-190.

Research output: Contribution to journalArticle

Chamberlain, Ronald S. ; Tichauer, Matthew ; Klaassen, Zachary W A ; Paragi, Prakash R. / Complex Pancreatic Surgery : Safety and Feasibility in the Community Setting. In: Journal of Gastrointestinal Surgery. 2011 ; Vol. 15, No. 1. pp. 184-190.
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