Abstract
The Pancreatic Cancer Practice Guidelines (2019 edition) recommend that surgical treatment for pancreatic cancer be performed at facilities with large numbers of surgical cases. Although our hospital is not a so-called high-volume center, we have been actively performing challenging hepatobiliary and pancreatic operations for patients who wish to be treated in our department. We investigated factors including surgery-related factors, perioperative complications, and long-term prognosis, in 78 cases of pancreaticoduodenectomy performed during the 10-year period from 2010 to 2019. There were no surgery-related deaths, the 5-year survival rate for surgical cases of pancreatic head cancer was a relatively good 31%, and the postoperative outcomes and long-term prognoses were comparable to those of high-volume centers. As a regional core hospital, we must continue to provide safe and high-quality medical care.
