ArticleWorld journal of surgery2020
Twelve Hundred Consecutive Pancreato-Duodenectomies from Single Centre: Impact of Centre of Excellence on Pancreatic Cancer Surgery Across India.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Centralisation of Pancreatoduodenectomy in India: Where Do We Stand?World journal of surgery · 2020Pooled it
- Analysis of Short-term Outcomes of Pancreatic Resections from a Low Volume Centre in a Tier II City in India.Indian journal of surgical oncology · 2026Article
- Outcomes of pancreatoduodenectomy in underlying liver cirrhosis: a single institution experience and literature review.Langenbeck's archives of surgery · 2025Article
- Real-World Evidence of Porto-Mesenteric Vein Resections with Pancreatectomy and the Development of Predictive Clinical Nomograms for Postoperative Outcomes-An Analysis of 389 Cases: The "Porto-Mesenteric Vein Resection-Indian MulticentrE" (PRIME) Study.Annals of surgical oncology · 2025Observational
- Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project).Journal of clinical medicine · 2025Article
- Signet ring cell adenocarcinoma of the ampulla of Vater: does the presence of signet ring cells always suggest a poorer outcome?Langenbeck's archives of surgery · 2025Article
- Surgical Outcomes and Survival in Pancreatic and Periampullary Cancers: A Single Centre Experience.Indian journal of surgical oncology · 2025Article
- Prognostic Impact of Para-Aortic Lymph Node Metastasis in Resected Non-Pancreatic Periampullary Cancers.Annals of surgical oncology · 2024Article
- ASO Author Reflections: Pancreaticoduodenectomy for Isolated Para-Aortic Lymph Node Metastasis in Non-pancreatic Periampullary Cancers: Advocating for Careful Patient Selection and Routine Frozen Section.Annals of surgical oncology · 2024Article
- Efficacy of the omental roll-up technique in pancreaticojejunostomy to prevent postoperative pancreatic fistula after pancreaticoduodenectomy.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Evolution and improved outcomes in the era of multimodality treatment for extended pancreatectomy.BJS open · 2024Article
- Global Perceptions on ERASWorld journal of surgery · 2023Article
- Surgical Feasibility, Determinants, and Overall Efficacy of NeoadjuvantJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021Article
- 147 Pancreatoduodenectomies: a Single Center's Perspective into the Epidemiology and Surgical Outcomes of Periampullary and Pancreatic Cancers in South India.Journal of gastrointestinal cancer · 2021Observational
- Endovascular Hepatic Artery Stents in the Modern Management of Postpancreatectomy Hemorrhage.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Vein resection without reconstruction (VROR) in pancreatoduodenectomy: expanding the surgical spectrum for locally advanced pancreatic tumours.Langenbeck's archives of surgery · 2020Article
- Development, Growth, and Maturation of Pancreatoduodenectomy Program: Future Directions.World journal of surgery · 2020Article
- Combined Bile Duct and Pancreatic Duct Injuries during Distal Gastrectomy for Obstructing Peptic Ulcer Disease.Case reports in surgery · 2020Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPancreato-duodenectomy (PD) is a technically challenging operation with significant morbidity and mortality. Over the period of time, Tata Memorial Centre has evolved into a high-volume centre for management of pancreatic cancer. Aim of this study is to report the short- and long-term outcomes of 1200 consecutive PDs performed at single tertiary cancer centre in India.
methods1200 PDs were performed from 1992 to 2017. Prospectively maintained database was used to retrospectively assess the short- and long-term outcomes.
resultsStudy cohort was divided into periods A and B (500 and 700 patients, respectively). Both groups were comparable for demographic variables. Overall morbidity and mortality in entire cohort were 31.2% and 3.9%, respectively. Period B documented significant reduction in post-operative mortality (5.4% vs 2.8%), post-pancreatectomy haemorrhage (5.8% vs 3%) and bile leaks (3.4% vs 1.3%). However, incidence of delayed gastric emptying and clinically relevant post-operative pancreatic fistula was higher in period B. With median follow-up of 25 months, 3-year overall survival and disease-free survival for patients with pancreatic cancer were 43.7% and 38.7%, respectively, and that for periampullary tumours were 65.9% and 59.4%, respectively. Period B also corresponded with dissemination of technical expertise across diverse regions of India with specialised training of 35 surgeons.
conclusionOur study demonstrates the feasibility of delivering high-quality care in a dedicated high-volume centre even in a country with low incidence of pancreatic cancer with marked disparities in medical care and socio-economic conditions. Improved outcomes underscore the need to promote regionalisation via a dedicated training programme.
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