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September 10, 2025Zeitschrift für Gastroenterologie1 citations

Impact of merging two high-volume centers on patient outcome: 1000 consecutive pancreatoduodenectomies

IRIngmar F. RompenHeidelberg University JMJ.E. MensoAmsterdam UMC Location University of Amsterdam EIErik W. IngwersenAmsterdam Neuroscience

Key Points

Merging high-volume centers resulted in improved patient outcomes for pancreatoduodenectomies.
The study analyzed data from 1000 consecutive pancreatoduodenectomies to assess outcomes.
Observational analysis of patient outcomes indicated that center volume influences surgical success.
This research highlights the importance of maintaining high-volume procedures for better patient results.

Abstract

Background: Pancreatoduodenectomy (PD) has one of the strongest volume-outcome relationships in all of surgery. It is unclear whether this relationship has a plateau for a certain volume. If so, merging two high-volume centers would not lead to further improve patient outcomes. However, data are inappropriate as current studies on volume-outcome relationships are based on a relatively low annual center volumes of 10-50 PDs.

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