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Safety‐related outcomes of the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery board certification system for expert surgeons
Author(s) -
Otsubo Takehito,
Kobayashi Shinjiro,
Sano Keiji,
Misawa Takeyuki,
Ota Takehiro,
Katagiri Satoshi,
Yanaga Katsuhiko,
Yamaue Hiroki,
Kokudo Norihiro,
Unno Michiaki,
Fujimoto Jiro,
Miura Fumihiko,
Miyazaki Masaru,
Yamamoto Masakazu
Publication year - 2017
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.444
Subject(s) - medicine , board certification , certification , mortality rate , general surgery , surgery , bile duct , residency training , continuing education , management , economics , medical education
Background We investigated safety‐related outcomes of hepatobiliary pancreatic (HBP) surgeries performed after establishment of the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery (JSHBPS) board certification system for expert surgeons. Methods We analyzed post‐ HBP surgery mortality data obtained from annual safety reports provided by board‐certified training institutions between 2012 and 2015. Results The 90‐day mortality rate for the 53,929 high‐level HBP surgeries performed at board‐certified training institutions was 1.7%. The 30‐day mortality rates for 2012, 2013, 2014, and 2015 were 0.9%, 0.7%, 0.6%, and 0.6%, respectively, and the 90‐day mortality rates were 2.1%, 1.8%, 1.6%, and 1.3%, respectively, with significant decreases in both. The surgeries with high 4‐year cumulative mortality rates were left hepatic trisectionectomy (10.3%), hepatopancreatectomy (7.6%), liver transplant recipient surgery (6.7%), hepatectomy with extrahepatic bile duct resection (4.6%), and right hepatic trisectionectomy (4.5%). Over the 4‐year period, the number of operations increased, but the 90‐day mortality rates for these surgeries, with the exception of right trisectionectomy, decreased. Conclusions The JSHBPS board certification system for expert surgeons has significantly decreased mortality subsequent to high‐level HBP surgeries. Reducing mortality associated with high‐risk HBP surgeries will be our next challenge.