Fabio Casciani, Maxwell T Trudeau, Horacio J Asbun, Chad G Ball, Claudio Bassi, Stephen W Behrman, Adam C Berger, Mark P Bloomston, Mark P Callery, John D Christein, Massimo Falconi, Carlos Fernandez-Del Castillo, Mary E Dillhoff, Euan J Dickson, Elijah Dixon, William E Fisher, Michael G House, Steven J Hughes, Tara S Kent, Giuseppe Malleo, Stefano Partelli, Ronald R Salem, John A Stauffer, Christopher L Wolfgang, Amer H Zureikat, Charles M Vollmer
BACKGROUND: Pancreatoduodenectomies at high risk for clinically relevant pancreatic fistula are uncommon, yet intimidating, situations. In such scenarios, the impact of individual surgeon experience on outcomes is poorly understood. METHODS: The fistula risk score was applied to identify high-risk patients (fistula risk score 7-10) from 7,706 pancreatoduodenectomies performed at 18 international institutions (2003-2020). For each case, surgeon pancreatoduodenectomy career volume and years of practice were linked to intraoperative fistula mitigation strategy adoption and outcomes...
April 2021: Surgery