Applying benchmark outcomes in pancreatoduodenectomy at a center in Chile

Abstract

Introduction: Pancreatoduodenectomy (PD) is a high demanding technical procedure, with significant risks of morbidity and mortality. Surgical departments performing this operation around the world should aim for results that are within the best expected outcomes. The aim of this study is to compare our results in PD using the recently published tool for outcome comparisons Benchmarks in Pancreatic Surgery. A Novel Tool for Unbiased Outcome Comparisons. (Ann Surg, 2019 vol. 270 (2) pp. 211-218.) Methods: We reviewed all our PD performed from January 2015 to January 2020 in our institution and made a comparative table among patients within inclusion criteria and overall sample based on the paper proposal. Results: The overall sample is 38 patients, the patients within the benchmark inclusion criteria were 28, the comparative results are shown in table.PP04-138Benchmarks in PD in Clinica Santa MariaOutcome BenchmarksWithin inclusion criteria N=28Overall Sample N=38BenchmarkOperative Time (hours)6.5 (4.4-11)6.1 (4.4-11)<7:30LOS (Days)15.6 (10-53)16.1 (10-80)<15Overall complication53.8%52.4%<73%Clavien IV complication7.8%7.4%<5%Pancreatic Fistula B-C11%18%<19%In Hospital Mortality00<1.6%R1 status3.7%5.2%<39%Readmission18%13%<21%1 year DFS85%73%>53% Open table in a new tab Conclusions: The benchmark outcomes stablished in the mentioned paper are a novel and excellent tool to avoid biases at the moment to analyze results, specially in a low volume center as ours. In the other hand is an inspiring tool to reach and improve the outcomes of our patients.