PT  - JOURNAL ARTICLE
AU  - YOSHIHIRO SHIRAI
AU  - HIROAKI SHIBA
AU  - TAKASHI HORIUCHI
AU  - NOBUHIRO SAITO
AU  - KENEI FURUKAWA
AU  - TARO SAKAMOTO
AU  - TAKESHI GOCHO
AU  - YUICHI ISHIDA
AU  - KATSUHIKO YANAGA
TI  - Assessment of Outcome After Pancreaticoduodenectomy by Junior Surgeons
DP  - 2016 Jul 01
TA  - Anticancer Research
PG  - 3505--3510
VI  - 36
IP  - 7
4099  - http://ar.iiarjournals.org/content/36/7/3505.short
4100  - http://ar.iiarjournals.org/content/36/7/3505.full
SO  - Anticancer Res2016 Jul 01; 36
AB  - Background/Aim: Pancreaticoduodenectomy (PD) is one of the most complicated procedures. We retrospectively assessed the therapeutic outcome after PD by Junior surgeons. Patients and Methods: This study included 253 patients. We retrospectively analyzed surgical outcomes and long-term survivals of PDs performed by Junior surgeons (surgical training year within 10 years) as compared to those by Senior surgeons (surgical training year over 10 years). Results: Operative time was significantly longer in junior surgeons than that in Senior surgeons (p<0.001). Intraoperative blood loss (p=0.079), hospital stay (p=0.803), complications (p=0.700), mortality (p=0.442) were comparable between the two groups. Disease-free and overall survival rates were not statistically different between the two groups in pancreatic cancer (p=0.248 and p=0.526) and in bile duct or ampullary cancer (p=0.873 and p=0.954). Conclusion: PD performed by Junior surgeons require approximately 70 more minutes but surgery can be performed safely under appropriate patient selection, intraoperative supervision and perioperative management with comparable long-term survival.