Evidence map›Paper›PMID 37698977›Full record

ReviewBJS open2023

Teaching modern pancreatic surgery: close relationship between centralization, innovation, and dissemination of care.

Giampaolo Perri, Jony van Hilst, Shen Li, Marc G Besselink, Melissa E Hogg, Giovanni Marchegiani

Abstract readReview
In one paragraph

Review in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Burden of Travel is not Associated with Adherence to Follow-up Appointments - A Call for Centralization of Cleft Care in Germany.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Hospital volume stratification using stratum-specific likelihood ratios for pancreatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2026
    Article
  3. [Centralization of liver surgery in Germany].Chirurgie (Heidelberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Giampaolo PerriDepartment of General and Pancreatic Surgery, Verona University Hospital, Verona, Italy.
Jony van HilstDepartment of Surgery, Amsterdam UMC, location VU, Amsterdam, The Netherlands.
Shen LiDepartment of Surgical Oncology, University of Chicago, Chicago, Illinois, USA.
Marc G BesselinkDepartment of Surgery, Amsterdam UMC, location VU, Amsterdam, The Netherlands.ORCID 0000-0003-2650-9350
Melissa E HoggDepartment of HPB Surgery, NorthShore Health System, Evanston, Illinois, USA.
Giovanni MarchegianiDepartment of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.ORCID 0000-0002-6824-4533

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic surgery is increasingly moving towards centralization in high-volume centres, supported by evidence on the volume-outcome relationship. At the same time, minimally invasive pancreatic surgery is becoming more and more established worldwide, and interest in new techniques, such as robotic pancreatoduodenectomy, is growing. Such recent innovations are reshaping modern pancreatic surgery, but they also represent new challenges for surgical training in its current form.

methodsThis narrative review presents a chosen selection of literature, giving a picture of the current state of training in pancreatic surgery, together with the authors' own views, and in the context of centralization and innovation towards minimally invasive techniques.

resultsCentralization of pancreatic surgery at high-volume centres, volume-outcome relationships, innovation through minimally invasive technologies, learning curves in both traditional and minimally invasive surgery, and standardized training paths are the different, but deeply interconnected, topics of this article. Proper training is essential to ensure quality of care, but innovation and centralization may represent challenges to overcome with new training models.

conclusionInnovations in pancreatic surgery are introduced with the aim of increasing the quality of care. However, their successful implementation is deeply dependent on dissemination and standardization of surgical training, adapted to fit in the changing landscape of modern pancreatic surgery.

Indexed as

PancreaticoduodenectomyRoboticsHumansLearning CurvePancreas

Identifiers

PMID37698977
PMCPMC10496870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.