Pancreaticoduodenectomy in a community general surgery residency program |
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Authors: | Smith Chadwick P Cheatham Michael L Lube Matthew W Safcsak Karen |
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Institution: | Department of Surgical Education, Orlando Regional Medical Center, Orlando, Florida 32806, USA. |
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Abstract: | The morbidity and mortality of pancreaticoduodenectomy (PD) has been well documented. A retrospective review was performed to determine the morbidity and mortality of PD performed within the general surgery residency program of a tertiary community hospital. Patients undergoing PD for benign or malignant disease over a 6-year period were analyzed to determine overall mortality, major complication rate, and length of stay (LOS). Of 50 consecutive patients undergoing PD, overall mortality was 6 per cent, with a major complication rate of 52 per cent. Mean operative time was 333 +/- 68 minutes with an estimated blood loss of 459 +/- 301 mL. Mean hospital LOS was 21 +/- 13 days. Eighty-four per cent of patients with malignant disease had negative margins of resection. General surgery residents within a community residency program, with attending faculty supervision, can perform PD with mortality, morbidity, and LOS comparable with that reported in the university setting. |
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