A Modern Approach to Teaching Pancreatic Surgery: Stepwise Pancreatoduodenectomy for Trainees

Journal of Gastrointestinal Surgery

Volumn 16, Issue 8, 2012, Pages 1597-1604

  Marangoni, Gabriele ^a   Morris Stiff, Gareth ^a   Deshmukh, Sunita ^a   Hakeem, Abdul ^a   Smith, Andrew M ^a  

^a ST JAMES S UNIVERSITY HOSPITAL   (United Kingdom)

Author keywords

ACGME; EWTD; Pancreatoduodenectomy; Surgical training

Indexed keywords

ANASTOMOSIS; ARTICLE; CLINICAL COMPETENCE; EDUCATION; HUMAN; JEJUNUM; LIVER; MEDICAL EDUCATION; METHODOLOGY; PANCREATICODUODENECTOMY; PANCREATICOJEJUNOSTOMY; UNITED KINGDOM;

ANASTOMOSIS, SURGICAL; CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; GREAT BRITAIN; HUMANS; JEJUNUM; LIVER; PANCREATICODUODENECTOMY; PANCREATICOJEJUNOSTOMY;

EID: 84864101497     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11605-012-1934-2     Document Type: Article

References (28)

1. Yeo CJ, Cameron JL, Sohn TA, Lillemoe KD, Pitt HA, Talamini MA, Hruban RH, Ord SE, Sauter PK, Coleman J, Zahurak ML, Grochow LB, Abrams RA. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg 1997; 226(3): 248-257.
2. Halloran CM, Ghaneh P, Bosonnet L, Hartley MN, Sutton R, Neoptolemos JP. Complications of pancreatic cancer resection. Dig Surg 2002; 19(2): 138-146.
3. Schmidt CM, Turrini O, Parikh P, House MG, Zyromski NJ, Nakeeb A, Howard TJ, Pitt HA, Lillemoe KD. Effect of hospital volume, surgeon experience, and surgeon volume on patient outcomes after pancreaticoduodenectomy: a single-institution experience. Arch Surg 2010; 145(7): 634-640.
4. Sosa JA, Bowman HM, Gordon TA, Bass EB, Yeo CJ, Lillemoe KD, Pitt HA, Tielsch JM, Cameron JL. Importance of hospital volume in the overall management of pancreatic cancer. Ann Surg. 1998; 228(3): 429-438.
5. Fong Y, Gonen M, Rubin D, Radzyner M, Brennan MF. Long-term survival is superior after resection for cancer in high-volume centers. Ann Surg. 2005; 242(4): 540-547.
6. Birkmeyer JD, Finlayson SR, Tosteson AN, Sharp SM, Warshaw AL, Fisher ES. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery 1999; 125(3): 250-256.
7. Eppsteiner RW, Csikesz NG, McPhee JT, Tseng JF, Shah SA. Surgeon volume impacts hospital mortality for pancreatic resection. Ann Surg. 2009; 249(4): 635-640.
8. Tseng JF, Pisters PW, Lee JE, Wang H, Gomez HF, Sun CC, Evans DB. The learning curve in pancreatic surgery. Surgery 2007; 141(4): 456-463.
9. Hardacre JM. Is there a learning curve for pancreaticoduodenectomy after fellowship training? HPB Surg. 2010; 2010: 230287. Epub 2011 Jan 24.
10. Council of the European Union. Council Directive 93/104/EC 1993.
11. NHS Management Executive. Junior Doctors, the New Deal. Working Arrangements for Hospital Doctors and Dentists in Training. London: DH; June 1991.
12. Donaldson L. Unfinished Business: Proposals for Reform of the Senior House Officer Grade. London: DH; August 2002.
13. Phillips H, Fleet Z, Bowman K. The European Working Time Directive - interim report and guidance from the Royal College of Surgeons of England Working Party chaired by Mr Hugh Phillips. London: Royal College of Surgeons; January 2003.
14. Damadi A, Davis AT, Saxe A, Apelgren K. ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency. J Surg Educ. 2007 Sep-Oct; 64(5): 256-259.
15. Ferguson CM, Kellogg KC, Hutter MM, Warshaw AL. Effect of work-hour reforms on operative case volume of surgical residents. Curr Surg. 2005 Sep-Oct; 62(5): 535-538.
16. Rohatgi A, Sutcliffe R, Forshaw MJ, Strauss D, Mason RC. Training in oesophageal surgery-the gold standard: a prospective study. Int J Surg. 2008 Jun; 6(3): 230-233.
17. Borowski DW, Ratcliffe AA, Bharathan B, Gunn A, Bradburn DM, Mills SJ, Wilson RG, Kelly SB; Northern Region Colorectal Cancer Audit Group (NORCCAG). Involvement of surgical trainees in surgery for colorectal cancer and their effect on outcome. Colorectal Dis. 2008 Oct; 10(8): 837-845.
18. Chaudhuri N, Grayson AD, Grainger R, Mediratta NK, Carr MH, Soorae AS, Page RD. Effect of training on patient outcomes following lobectomy. Thorax 2006 Apr; 61(4): 327-30.
19. Praseedom RK, Paisley A, Madhavan KK, Garden OJ, Carter DC, Paterson-Brown S. Supervised surgical trainees can perform pancreatic resections safely. R Coll Surg Edinb 1999 Feb; 44: 16-18.
20. Paisley AM, Madhavan KK, Paterson-Brown S, Praseedom RK, Garden OJ. Role of the surgical trainee in upper gastrointestinal resectional surgery. Ann R Coll Surg Engl 1999 Jan; 81(1): 40-45.
21. Talamonti M. Borderline resectable pancreatic cancer: a new classification for an old challenge. Ann Surg Oncol. 2006 Aug; 13(8): 1019-1020.
22. Chalmers CR, Joshi S, Bentley PG, Boyle NH. The lost generation: impact of the 56-hour EWTD on current surgical training. Ann R Coll Surg Engl (Suppl) 2010; 92: 102-106.
23. Morris-Stiff GJ, Sarasin S, Edwards P, Lewis WG, Lewis MH. The European working time directive: one for all and all for one? Surgery 2005; 137: 293-297.
24. Horrocks M, Ahmed-Little Y, Johnston M. Working Time Directive 2009: Meeting the challenge in surgery. London: Royal College of Surgeons; June 2008.
25. Morris-Stiff G., Ball E., Torkington J., Foster M. E., Lewis M. H., Havard T. J. Registrar operating experience over a 15-year period: more, less or more or less the same. The Surgeon 2004; 2: 161-164.
26. Crofts TJ, Griffiths JM, Sharma S et al. Surgical training: an objective assessment of recent changes for a single health board. BMJ 1997 Mar 22; 314: 891-95.
27. Dixon H, Siciliani L. Waiting-time targets in the healthcare sector: how long are we waiting? J Health Econ. 2009 Dec; 28(6): 1081-1098.
28. Clark W, Hernandez J, McKeon BA, Kahn A, Morton C, Toomey P, Mullinax J, Ross S, Rosemurgy A. Surgery residency training programmes have greater impact on outcomes after pancreaticoduodenectomy than hospital volume or surgeon frequency. HPB (Oxford). 2010 Feb; 12(1): 68-72.