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Journal of Gastrointestinal Surgery

Published in:

01-03-2008

Pancreaticoduodenectomy in a Latin American Country: The Transition to a High-Volume Center

Authors: Carlos Chan, Bernardo Franssen, Alethia Rubio, Luis Uscanga

Published in: Journal of Gastrointestinal Surgery | Issue 3/2008

Abstract

Objective

To analyze data in a single institution series of pancreaticoduodenectomies (PD) performed in a 7-year period after the transition to a high-volume center for pancreatic surgery.

Background

PD has developed dramatically in the last century. Mortality is minimal yet complications are still frequent (around 40%). There are very few reports of PD in Latin America.

Methods

Data on all PDs performed by a single surgeon from March 2000 to July 2006 in our institution were collected prospectively.

Results

During the study’s time frame 122 PDs were performed; 84% were classical resections. Mean age was 57.9 years. Of the patients, 51% were female. Intraoperative mean values included blood loss 881 ml, operative time 5 h and 35 min, and vein resection in 14 cases. Both ampullary and pancreatic cancer accounted for 34% of cases (42 patients each), 5.7% were distal bile duct and 4% duodenal carcinomas. Benign pathology included chronic pancreatitis, neuroendocrine tumors, cystic lesions, and other miscellaneous tumors. Overall operative mortality was 6.5% in the 7-year period, 2.2% in the later 5 years. There was a total of 75 consecutive PDs without mortality. Of the patients, 41.8% had one or more complications. Mean survival for pancreatic cancer was 22.6 months and ampullary adenocarcinoma was 31.4 months.

Conclusion

To our knowledge, this is the largest single surgeon series of PD performed in Latin America. It emphasizes the importance of experience and expertise at high-volume centers in developing countries.

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Title: Pancreaticoduodenectomy in a Latin American Country: The Transition to a High-Volume Center
Authors: Carlos Chan
Bernardo Franssen
Alethia Rubio
Luis Uscanga
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 3/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0274-0

At a glance: The STEP trials

Springer Medicine

Pancreaticoduodenectomy in a Latin American Country: The Transition to a High-Volume Center

Abstract

Objective

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Background

Methods

Results

Conclusion

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