Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

Pancreatic enzyme replacement therapy use in acute pancreatitis - a systematic review of current practice.

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026
Same authorSame journal

International consensus on mesopancreas and total mesopancreas excision (MESODELPHI).

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026
Same author

Intention to treat outcomes following management of locally advanced pancreatic ductal adenocarcinoma with curative intent: single centre cohort study.

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026
Same author

Surgical outcomes in gallbladder cancer: evidence from the UK nationwide CAPBIL study.

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026
Same author

Meta-analysis of Short-term Clinical and Survival Outcomes of Full-left-full-right Split Liver Transplantation for 2 Recipients.

Transplantation·2026
Same author

Effect of dual hepatic and portal vein embolization on future liver remnant function and volume prior to major hepatectomy.

Annals of hepato-biliary-pancreatic surgery·2026

Related Experiment Video

Updated: May 12, 2026

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
04:31

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

Postoperative pancreatic fistula rates decrease over the career of pancreatic surgeons: a longitudinal cohort study.

James M Halle-Smith1, Syed S Raza1, David C Bartlett1

  • 1Hepatobiliary and Pancreatic Surgery Unit, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, West Midlands, B15 2TT, UK.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|May 10, 2026
PubMed
Summary

Surgeon experience significantly reduces the rate of postoperative pancreatic fistula (POPF) after pancreatoduodenectomy. As surgeons perform more procedures, their risk-adjusted POPF rates decrease, improving patient outcomes.

More Related Videos

Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Related Experiment Videos

Last Updated: May 12, 2026

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
04:31

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Area of Science:

  • Surgical Outcomes Research
  • Pancreatic Surgery
  • Medical Education and Training

Background:

  • Postoperative pancreatic fistula (POPF) is a significant complication after pancreatoduodenectomy (PD).
  • While patient factors are known contributors, the impact of surgeon experience on POPF rates is not well-defined.
  • Understanding surgeon learning curves is crucial for optimizing surgical practice and patient safety.

Purpose of the Study:

  • To investigate the influence of surgeon experience on risk-adjusted postoperative pancreatic fistula rates.
  • To quantify the changes in POPF rates as pancreatic surgeons progress through their careers.
  • To identify potential learning curve effects in pancreatic surgery.

Main Methods:

  • Analysis of prospectively collected data from patients undergoing pancreatoduodenectomy (PD).
  • Utilized cumulative sum (CUSUM) analysis to track risk-adjusted POPF rates for individual surgeons over time.
  • Employed an externally validated POPF risk score to standardize outcome assessment.

Main Results:

  • Seven surgeons and 795 PD procedures were analyzed.
  • Risk-adjusted POPF rates demonstrated a consistent reduction across surgeons' careers.
  • Significant decreases in POPF rates were observed from early (0-50 PDs) to middle (51-100 PDs) and late (101-150 PDs) career stages, with relative reductions of 25% and 33% respectively.

Conclusions:

  • Surgeon experience is a critical factor in reducing the incidence of postoperative pancreatic fistula.
  • Risk-adjusted POPF rates improve significantly as surgeons gain experience.
  • Further research into the mechanisms of skill acquisition could accelerate surgeon development and improve patient outcomes.