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Is there an alternative to centralization for pancreatic resection in N ew Z ealand?
Author(s) -
Hore Todd,
Thomas Megan,
Brown Lisa,
Sakowska Magdalena,
Connor Saxon
Publication year - 2016
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.12688
Subject(s) - medicine , pancreaticoduodenectomy , pancreatic cancer , resection , general surgery , surgery , pancreatectomy , retrospective cohort study , cancer
Background Internationally pancreatic surgery has become increasingly centralized; however, geographical and population distribution within N ew Z ealand (NZ) limits the practicalities of such an approach. The aim of this study was to review the short‐term outcomes of patients undergoing pancreatic surgery by a single hepato‐pancreato‐biliary trained surgeon in a centre that would meet the minimum criteria set by the NZ National Standards but not necessarily the definition of a high‐volume surgeon/centre. Methods A retrospective review of consecutive patients undergoing pancreatic resection within an enhanced recovery programme by a single surgeon between M arch 2005 and A pril 2013. Primary outcomes were 30‐day morbidity and 90‐day mortality. Results A total of 156 patients who underwent a pancreatic resection were included. Eighty‐two (53%) patients underwent a pancreaticoduodenectomy. Forty‐seven (30%) underwent a left pancreatectomy. Overall, 30‐day morbidity was 64% and overall 90‐day mortality was 2.6%. Overall median length of stay was 11 (3–140) days. Conclusions Acceptable outcomes have been achieved for patients undergoing pancreatic resection within a centre that meets the criteria proposed by the NZ National Standards for treatment of pancreatic cancer.