Giriraj Gandhi, Atul Parashar, Ramesh K Sharma
Epidemiology of electrical burns and its impact on quality of life - the developing world scenario
World journal of critical care medicine
pancreaticoduodenectomy pd complex highskill demanding procedure often associated significant morbidity mortality however results improved past two decades however paucity research concerning learning curve pd aim report outcomes 100 consecutive pds representing single surgeons learning curve depict factors influenced learning process reviewed first 121 pds performed academic center 20132019 single surgeon 110 pds 5 laparoscopic 105 open 11 total pds 1 laparoscopic 10 open subsequent statistics performed first 100 pds attention paid learning curve survival rate 5 years data analyzed comparing first 50 cases group 1 last 50 cases group 2 frequent histopathological tumor type pancreatic ductal adenocarcinoma 50 total 39 patients preoperative biliary drainage 45 presented positive biliary cultures preferred reconstruction technique included pancreaticogastrostomy 99 situ hepaticojejunostomy 70 precolic gastrojejunal anastomosis 88 postoperative complications included biliary fistula 1 pancreatic fistula 8 pancreatic stump bleeding 4 delayed gastric emptying 13 mean operative time decreased first 50 cases p 0001 blood loss 60 cases p 0046 r1 resections lowered 25 cases p 0025 vascular resections 17 influence rate complications p 08 survival rate 5 years pancreatic adenocarcinoma 3293 outcomes improve surgeon experience increases proper training important factor minimizing impact learning curve postoperative complications analyzing learning curve perspective single surgeon mandatory accurate statistical results interpretation