Assessment of Outcome After Pancreaticoduodenectomy by Junior Surgeons

作者：Shirai Yoshihiro^*; Shiba Hiroaki; Horiuchi Takashi; Saito Nobuhiro; Furukawa Kenei; Sakamoto Taro; Gocho Takeshi; Ishida Yuichi; Yanaga Katsuhiko

来源：Anticancer Research, 2016, 36(7): 3505-3510.

• Pancreatoduodenectomy
• pancreatic cancer
• biliary cancer
• young surgeons
• learning curve

Background/Aim: Pancreaticoduodenectomy (PD) is one of the most complicated procedures. We retrospectively assessed the therapeutic outcome after PD by Junior surgeons. Patients and Methods: This study included 253 patients. We retrospectively analyzed surgical outcomes and long-term survivals of PDs performed by Junior surgeons (surgical training year within 10 years) as compared to those by Senior surgeons (surgical training year over 10 years). Results: Operative time was significantly longer in junior surgeons than that in Senior surgeons (p< 0.001). Intraoperative blood loss (p=0.079), hospital stay (p=0.803), complications (p=0.700), mortality (p=0.442) were comparable between the two groups. Disease-free and overall survival rates were not statistically different between the two groups in pancreatic cancer (p=0.248 and p=0.526) and in bile duct or ampullary cancer (p=0.873 and p=0.954). Conclusion: PD performed by Junior surgeons require approximately 70 more minutes but surgery can be performed safely under appropriate patient selection, intraoperative supervision and perioperative management with comparable long-term survival.

• 出版日期2016-7