ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2015
Defining the practice of pancreatoduodenectomy around the world.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.
- A systematic review of robotic colorectal surgery programs worldwide and a comprehensive description of local robotic training programme.BMC medical education · 2025Pooled it
- Trial
- Somatostatin Analogs for Preventing Postoperative Pancreatic Fistula: Past Evidence Reveals New Opportunities.Annals of surgical oncology · 2025Review
- A Step-By-Step Guide for Robotic Blumgart Pancreaticojejunostomy.Journal of clinical medicine · 2025Article
- Article
- The establishment and validation of a clinical prediction model for postoperative biliary fistula after pancreaticoduodenectomy.Gland surgery · 2024Article
- Stent A pancreaticojejunostomy after pancreatoduodenectomy: Is it always necessary?World journal of methodology · 2024Review
- Article
- Analysis of factors influencing pancreatic fistula after minimally invasive pancreaticoduodenectomy and establishment of a new prediction model for clinically relevant pancreatic fistula.Surgical endoscopy · 2024Article
- Pancreatojejunostomy: standing on the shoulders of giants. A single centre retrospective analysis.Updates in surgery · 2024Article
- Global Perceptions on ERASWorld journal of surgery · 2023Article
- Article
- The Choice of the Most Appropriate Suture Threads for Pancreatic Anastomoses on the Basis of Their Mechanical Characteristics.Biomedicines · 2023Article
- Surgical management of pancreatic ductal adenocarcinoma: a narrative review.Translational gastroenterology and hepatology · 2023Review
- Central Pancreatectomy: Significance of Vascularity on Anastomotic Integrity and a Note on Reconstructive Technique.Cureus · 2021Article
- Redefining the Role of Drain Amylase Value for a Risk-Based Drain Management after Pancreaticoduodenectomy: Early Drain Removal Still Is Beneficial.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study.BMC surgery · 2021Article
- Article
- The Landmark Series: Mitigation of the Postoperative Pancreatic Fistula.Annals of surgical oncology · 2021Article
- Preoperative Predictors for 90-Day Mortality after Pancreaticoduodenectomy in Patients with Adenocarcinoma of the Ampulla of Vater: A Single-Centre Retrospective Cohort Study.Surgery research and practice · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPancreatoduodenectomy (PD) is a technically challenging operation characterized by numerous management decisions.
objectiveThis study was designed to test the hypothesis that there is significant variation in the contemporary global practice of PD.
methodsA survey with native-language translation was distributed to members of 22 international gastrointestinal surgical societies. Practice patterns and surgical decision making for PD were assessed. Regions were categorized as North America, South/Central America, Asia/Australia, and Europe/Africa/Middle East.
resultsSurveys were completed by 897 surgeons, representing six continents and eight languages. The median age and length of experience of respondents were 45 years and 13 years, respectively. In 2013, surgeons performed a median of 12 PDs and reported a median career total of 80 PDs; only 53.8% of respondents had surpassed the number of PDs considered necessary to surmount the learning curve (>60). Significant regional differences were observed in annual and career PD volumes (P < 0.001). Only 3.7% of respondents practised pancreas surgery exclusively, but 54.8% performed only hepatopancreatobiliary surgery. Worldwide, the preferred form of anastomotic reconstruction was pancreatojejunostomy (88.7%). Regional variability was evident in terms of anastomotic/suture technique, stent use and drain use (including type and number), as well as in the use of octreotide, sealants and autologous patches (P < 0.02 for all).
conclusionsGlobally, there is significant variability in the practice of PD. Many of these choices contrast with established randomized evidence and may contribute to variance in outcomes.
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Registered trials
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