One hundred sixty pancreaticoduodenectomies for periampullary cancers in a growing-volume setting: a single-institution and a single-surgeon’s experience

Abstract Purpose: Many studies have concluded that cancer patients may have better outcomes when their surgery is performed in high-volume centers, especially when the procedure is pancreaticoduodenectomy (PD). However, some studies concluded that experienced surgeons or incorporation of expertise from high-volume centers may achieve satisfactory outcomes after PD in low-volume centers. Methods: I retrospectively collected and analyzed the outcomes of PD for periampullary cancers treated with curative intent in my center. Results: From August 2, 2005 to December 10, 2018,