title: Pancreaticoduodenectomy in a community general surgery residency program.
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.
authors.affiliation: Department of Surgical Education, Orlando Regional Medical Center, Orlando, Florida 32806, USA.
authors.forename: Chadwick P
authors.initials: CP
authors.lastname: Smith
authors.forename: Michael L
authors.initials: ML
authors.lastname: Cheatham
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Lube
authors.forename: Karen
authors.initials: K
authors.lastname: Safcsak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking; D002983:Clinical Competence; D005260:Female; D005431:Florida; D017052:Hospital Mortality / Q000639:trends; D006764:Hospitals, Community; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000193:education* / Q000401:mortality; D012189:Retrospective Studies