title: Impact of hospital volume on in-hospital mortality in pancreatic surgery.
abstract: Pancreaticoduodenectomy, mostly performed for pancreatic cancer, has been associated with considerable morbidity rates (40%-60%) and mortality rates (20%-30%). Even after resection, the prognosis is poor, and as a result some physicians have kept a nihilistic approach; Gudjonsson concluded in his review that pancreatic resections are a waste of resources. During the last decade, mortality rates have decreased dramatically to less than 5% in centers with experience, and have led to a more optimistic view in favor of resection.
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Rutger C I
authors.initials: RC
authors.lastname: Van Geen
authors.forename: Dirk J
authors.initials: DJ
authors.lastname: Gouma
mesh_terms: D000368:Aged; D002983:Clinical Competence; D006276:Health Facility Size; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D009426:Netherlands; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data*