Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project)
| Title: | Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
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| Authors: | Daniel Aparicio-López; José M. Ramia; Celia Villodre; Juan J. Rubio-García; Belén Hernández; Juli Busquets; Luis Secanella; Nuria Peláez; Maialen Alkorta; Itziar de-Ariño-Hervás; Mar Achalandabaso; Enrique Toledo-Martínez; Fernando Rotellar; Pablo Martí-Cruchaga; Miguel A. Gómez-Bravo; Gonzalo Suárez-Artacho; Marina Garcés-Albir; Luis Sabater; Gabriel García-Plaza; Francisco J. Alcalá; Enrique Asensio; David Pacheco; Esteban Cugat; Francisco Espín; María Galófre-Recasens; Belinda Sánchez-Pérez; Julio Santoyo-Santoyo; Jorge Calvo; Carmelo Loinaz; María I. García-Domingo; Santiago Sánchez-Cabús; Belén Martín-Arnau; Gerardo Blanco-Fernández; Isabel Jaén-Torrejimeno; Carlos Domingo-del-Pozo; Carmen Payá; Carmen González; Eider Etxebarría; Rafael López-Andújar; Cristina Ballester; Ana B. Vico-Arias; Natalia Zambudio-Carroll; Sergio Estévez; Manuel Nogueira-Sixto; José I. Miota; Belén Conde; Miguel A. Suárez-Muñoz; Jorge Roldán-de-la-Rua; Angélica Blanco-Rodríguez; Manuel González; Pilar E. González-de-Chaves-Rodríguez; Betsabé Reyes-Correa; Santiago López-Ben; Berta Tió; Javier Mínguez; Inmaculada Lasa-Unzué; Alberto Miyar; Lorena Solar; Fernando Burdío; Benedetto Ielpo; Alberto Carabias; María P. Sanz-Muñoz; Alfredo Escartín; Fulthon Vela; Elia Marqués; Adelino Pérez; Gloria Palomares; Antonio Calvo-Córdoba; José T. Castell; María J. Castro; María C. Manzanares; Enrique Artigues; Juan L. Blas; Luis Díez; Alicia Calero; José Quiñones; Mario Rodríguez; Cándido F. Alcázar-López; Mario Serradilla-Martín |
| Source: | Journal of Clinical Medicine ; Volume 14 ; Issue 17 ; Pages: 6013 |
| Publisher Information: | Multidisciplinary Digital Publishing Institute |
| Publication Year: | 2025 |
| Collection: | MDPI Open Access Publishing |
| Subject Terms: | left pancreatectomy; volume; outcomes; surgery; regionalization |
| Description: | Background/Objectives: Like many other countries, the management of pancreatic cancer in Spain has developed in a fragmented manner. This study analyzes clinical outcomes related to patient volume at different centers after left pancreatectomy (LP). Our goal is to determine whether our practices align with the standards established in the literature and assess whether centralization’s advantages significantly outweigh its disadvantages. Methods: The SPANDISPAN Project (SPANish DIStal PANcreatectomy) is an observational, prospective, multicenter study focused on LP conducted in Spanish Hepato-Pancreato-Biliary (HPB) Surgery Units from 1 February 2022 to 31 January 2023. HPB units were defined as high volume if they performed more than 10 LPs annually. Results: This study included 313 patients who underwent LP at 42 centers across Spain over the course of a year. A total of 40.3% of the procedures were performed in high-volume centers. Significant differences in preoperative variables were only observed in ASA scores, which were higher in the high-volume group. Intraoperatively, minimally invasive surgical techniques were performed more frequently in high-volume centers. Postoperatively, the administration of somatostatin, major complications, and B and C postoperative pancreatic fistula (POPF) were more frequent in low-volume hospitals. Conclusions: The findings revealed that high-volume centers had a higher rate of minimally invasive surgery, lower intraoperative bleeding, fewer complications, and reduced POPFs compared to low-volume centers. However, it is important to note that low-volume centers still demonstrated acceptable outcomes. Thus, the selective referral of more complex laparoscopic procedures could initiate a gradual centralization of surgical practices. |
| Document Type: | text |
| File Description: | application/pdf |
| Language: | English |
| Relation: | Gastroenterology & Hepatopancreatobiliary Medicine; https://dx.doi.org/10.3390/jcm14176013 |
| DOI: | 10.3390/jcm14176013 |
| Availability: | https://doi.org/10.3390/jcm14176013 |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.D8101B39 |
| Database: | BASE |