Morbilidad y Mortalidad de Cirugía de Páncreas - Morbidity and Mortality from Pancreatic Surgery
Michelle P. Peñaherrera,
Carlos A. López
Affiliation: Universidad Central del Ecuador, Quito, Ecuador
Keywords: Pancreatectomy, Hospital Surgical Volume, Surgeon Surgical Volume, Mortality, Morbidity
Categories: Demetrios Project, Medicine
Languages: Spanish, Castilian
To determine the relationship between the hospital and the surgeon volume with mortality and morbidity in pancreatic surgery, publications in which the subject of the study were patients undergoing pancreatic resections, were considered as inclusion criteria, the independent variables were the volume of the hospital and or the surgeon, the results were mortality and/or morbidity. Conference abstracts, case reports, studies in languages other than Spanish and English, from single center and studies in which they do not define a numerical value to determine the classification according to volume were excluded. A literature review was conducted from December 1, 2011 to December 1, 2021 on 4 search engines. A risk of bias assessment was performed with the ROBVIS tool, Microsoft Excel was used for the tabulation of the results, and IBM SPSS was used for statistical analyses. Results: 13 studies and 81114 patients were included in the review, the results showed an inversely proportional relationship between mortality in low versus high volume centers (Sig. <0,05); an inversely proportional correlation between morbidity and the volume of surgical centers was observed but was not statistically significant. The surgeon's volume: and its relationship to mortality and morbidity were not significant; however, this result can be given by the scarce data found. Conclusions: An inversely proportional relationship was found between mortality vs. the volume of the surgical centers.