Pancreaticoduodenectomy performed by surgeons in training and the risk of post-operative fistula: a systematic review and meta-analysis

Introduction: The complexity of pancreaticoduodenectomy (PD) and fear of morbidity, particularly post-operative pancreatic fistula (POPF), can be a barrier to surgical trainees gaining vital experience. This meta-analysis sought to establish the POPF rate following PD by trainees or established surgeons. Methods: A systematic review of the literature was performed using PRISMA guidelines and meta-analysis compared complication rates using RevMan...