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Effect of Surgeon Volume on Outcome of Pancreaticoduodenectomy in a High Volume Hospital.

18 Years
90 Years
Not Enrolling
Pancreatic Cancer, Pancreatic Surgery

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Trial Information

Effect of Surgeon Volume on Outcome of Pancreaticoduodenectomy in a High Volume Hospital.

Objectives: To define the independent impact of surgeon volume on outcome after
pancreaticoduodenectomy (PD) in a single high-volume institution.

Summary Background Data: The impact of surgeon volume on PD outcome is still controversial.
So far, data available are from retrospective multi-institutional reviews, considering
in-hospital mortality as the only outcome variable.

Methods: Prospectively collected data on 610 patients who underwent PD from August 2001 to
August 2009 were analyzed. Cut-off value to categorize high and low-volume surgeons (HVS and
LVS, respectively) was 18 PD/year. Primary endpoint was operative mortality (death within
30-day post-discharge). Secondary endpoints were morbidity, pancreatic fistula (PF) and
length of stay. Demographic, clinical, and surgical variables were recorded.

Inclusion Criteria:

- Patients who underwent pancreaticoduodenectomy between August 2001 and August 2009

Exclusion Criteria:

- Other type of surgery

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Postoperative mortality after pancreaticoduodenectomy within 30 days of discharge

Outcome Time Frame:

30 days after discharge

Safety Issue:


Principal Investigator

Marco Braga, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

San Raffaele University


Italy: Ministry of Health

Study ID:




Start Date:

August 2001

Completion Date:

January 2010

Related Keywords:

  • Pancreatic Cancer
  • Pancreatic Surgery
  • Pancreatic Neoplasms