Initial operative experience with pancreaticoduodenectomy after fellowship training

Abstract

Aim: Pancreaticoduodenectomy is a challenging procedure used primarily for the treatment of pancreatic head cancers. The aimof this study was to share early outcomes of the first pancreaticoduodenectomy operations performed by our surgery team aftercompleting a gastroenterological surgery and surgical oncology fellowship program.Material and Methods: Patients who underwent pancreaticoduodenectomy by the same surgical team between November 2015and August 2018 were retrospectively analyzed. The patients’ demographic data, diagnoses, tumor characteristics, postoperativecomplications, mortality, and clinical findings during follow-up were recorded.Results: A total of 35 patients (21 men and 14 women) with a mean age of 65.6±18.1 years were included in the study. Mean lengthof hospital stay was 16.8±7.3 days. Postoperative pancreatic fistula was observed in 5 patients. Postoperative hemorrhage occurredin 3 patients and delayed gastric emptying (DGE) in 2 patients. Three patients died in the early postoperative period. Mean follow-uptime of the remaining 32 patients was 22.9±8.4 months.Conclusion: Our experience demonstrates that pancreaticoduodenectomy can be performed with acceptable outcomes afterfellowship training that includes pancreatic surgery.