Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes.

Published on Apr 1, 2021in Hpb3.401
· DOI :10.1016/J.HPB.2020.08.007
Roberto Salvia52
Estimated H-index: 52
(University of Verona),
Stefano Andrianello16
Estimated H-index: 16
(University of Verona)
+ 9 AuthorsClaudio Bassi110
Estimated H-index: 110
(University of Verona)
Abstract Background Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model. Methods Outcomes of 1230 major pancreatic resections performed at a high-volume pancreatic teaching hospital between 2015 and 2018 were compared according to the first surgeon type, attending vs resident. Results Residents performed a selection of 132 (16%) pancreaticoduodenectomies (PD) and 46 (11%) distal pancreatectomies (DP). For PD, pancreatic fistula (25% vs 0, p  Conclusion The active participation of residents does not negatively affect outcomes of major pancreatic resections in a high-volume center. By means of case selection and continuous tutoring, pancreatic surgery represents a safe and valid teaching model.
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