Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project)
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 ali...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/223663 |
| Acceso en línea: | https://hdl.handle.net/2445/223663 |
| Access Level: | acceso abierto |
| Palabra clave: | Pancreatografia Cirurgia digestiva Càncer de pàncrees Gastrointestinal surgery Pancreatography Pancreas cancer |
| id |
ES_c58548cf4bf09bdbdae8a3d209b6cfee |
|---|---|
| oai_identifier_str |
oai:diposit.ub.edu:2445/223663 |
| network_acronym_str |
ES |
| network_name_str |
España |
| spelling |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) Aparicio López, Daniel Ramia, Jose Manuel Villodre, Celia Rubio García, Juan J. Hernández, Belén Busquets, Juli Secanella Medayo, Luis Peláez, Núria Alkorta, Maialen Ariño Hervás, Itziar de Achalandabaso, Mar Toledo Martínez, Enrique Rotellar Sastre, Fernando Martí Cruchaga, Pablo Gómez Bravo, Miguel Ángel Suárez Artacho, Gonzalo Garcés Albir, Marina Sabater, Luis García Plaza, Gabriel Alcalá, Francisco J. Asensio Díaz, Enrique Pacheco Díaz, David Cugat Andorrà, Esteban Espín Álvarez, Francisco Galófre Recasens, María Sánchez Pérez, Belinda Santoyo, Julio Calvo, Jorge Loinaz, Carmelo García Domingo, María I. Sánchez Cabús, Santiago Martín Arnau, Belén Blanco Fernández, Gerardo Jaén Torrejimeno, Isabel Domingo del Pozo, Carlos Payá Llorente, Carmen González, Carmen Etxebarría, Eider López Andújar, Rafael Ballester, Cristina Vico Arias, Ana B. Zambudio Carroll, Natalia Estévez Fernández, Sergio Nogueira Sixto, Manuel Miota, José I. Conde, Belén Suárez Muñoz, Miguel Ángel Roldán De la Rua, Jorge Blanco Rodríguez, Angélica González Bermúdez, Manuel González de Chaves Rodríguez, Pilar E. Reyes Correa, Betsabé López Ben, Santiago Tió, Berta Mínguez, Javier Lasa Unzué, Inmaculada Miyar, Alberto Solar García, Lorena Burdío, Fernando Ielpo, Benedetto Carabias, Alberto Sanz Muñoz, María P. Escartín, Alfredo Vela, Fulthon Marqués, Elia Pérez, Adelino Palomares, Gloria Calvo Córdoba, Antonio Castell, José T. Castro, María José Manzanares, María Cristina Artigues, Enrique Blas, Juan Luis Díez, Luis Calero, Alicia Quiñones, José Rodríguez, Mario Alcázar, Cándido Serradilla Martín, Mario Pancreatografia Cirurgia digestiva Càncer de pàncrees Gastrointestinal surgery Pancreatography Pancreas cancer 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. MDPI AG https://hdl.handle.net/2445/223663 |
| title |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| spellingShingle |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) Aparicio López, Daniel Pancreatografia Cirurgia digestiva Càncer de pàncrees Gastrointestinal surgery Pancreatography Pancreas cancer |
| title_short |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| title_full |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| title_fullStr |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| title_full_unstemmed |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| title_sort |
Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project) |
| author |
Aparicio López, Daniel |
| author_facet |
Aparicio López, Daniel Ramia, Jose Manuel Villodre, Celia Rubio García, Juan J. Hernández, Belén Busquets, Juli Secanella Medayo, Luis Peláez, Núria Alkorta, Maialen Ariño Hervás, Itziar de Achalandabaso, Mar Toledo Martínez, Enrique Rotellar Sastre, Fernando Martí Cruchaga, Pablo Gómez Bravo, Miguel Ángel Suárez Artacho, Gonzalo Garcés Albir, Marina Sabater, Luis García Plaza, Gabriel Alcalá, Francisco J. Asensio Díaz, Enrique Pacheco Díaz, David Cugat Andorrà, Esteban Espín Álvarez, Francisco Galófre Recasens, María Sánchez Pérez, Belinda Santoyo, Julio Calvo, Jorge Loinaz, Carmelo García Domingo, María I. Sánchez Cabús, Santiago Martín Arnau, Belén Blanco Fernández, Gerardo Jaén Torrejimeno, Isabel Domingo del Pozo, Carlos Payá Llorente, Carmen González, Carmen Etxebarría, Eider López Andújar, Rafael Ballester, Cristina Vico Arias, Ana B. Zambudio Carroll, Natalia Estévez Fernández, Sergio Nogueira Sixto, Manuel Miota, José I. Conde, Belén Suárez Muñoz, Miguel Ángel Roldán De la Rua, Jorge Blanco Rodríguez, Angélica González Bermúdez, Manuel González de Chaves Rodríguez, Pilar E. Reyes Correa, Betsabé López Ben, Santiago Tió, Berta Mínguez, Javier Lasa Unzué, Inmaculada Miyar, Alberto Solar García, Lorena Burdío, Fernando Ielpo, Benedetto Carabias, Alberto Sanz Muñoz, María P. Escartín, Alfredo Vela, Fulthon Marqués, Elia Pérez, Adelino Palomares, Gloria Calvo Córdoba, Antonio Castell, José T. Castro, María José Manzanares, María Cristina Artigues, Enrique Blas, Juan Luis Díez, Luis Calero, Alicia Quiñones, José Rodríguez, Mario Alcázar, Cándido Serradilla Martín, Mario |
| author_role |
author |
| author2 |
Ramia, Jose Manuel Villodre, Celia Rubio García, Juan J. Hernández, Belén Busquets, Juli Secanella Medayo, Luis Peláez, Núria Alkorta, Maialen Ariño Hervás, Itziar de Achalandabaso, Mar Toledo Martínez, Enrique Rotellar Sastre, Fernando Martí Cruchaga, Pablo Gómez Bravo, Miguel Ángel Suárez Artacho, Gonzalo Garcés Albir, Marina Sabater, Luis García Plaza, Gabriel Alcalá, Francisco J. Asensio Díaz, Enrique Pacheco Díaz, David Cugat Andorrà, Esteban Espín Álvarez, Francisco Galófre Recasens, María Sánchez Pérez, Belinda Santoyo, Julio Calvo, Jorge Loinaz, Carmelo García Domingo, María I. Sánchez Cabús, Santiago Martín Arnau, Belén Blanco Fernández, Gerardo Jaén Torrejimeno, Isabel Domingo del Pozo, Carlos Payá Llorente, Carmen González, Carmen Etxebarría, Eider López Andújar, Rafael Ballester, Cristina Vico Arias, Ana B. Zambudio Carroll, Natalia Estévez Fernández, Sergio Nogueira Sixto, Manuel Miota, José I. Conde, Belén Suárez Muñoz, Miguel Ángel Roldán De la Rua, Jorge Blanco Rodríguez, Angélica González Bermúdez, Manuel González de Chaves Rodríguez, Pilar E. Reyes Correa, Betsabé López Ben, Santiago Tió, Berta Mínguez, Javier Lasa Unzué, Inmaculada Miyar, Alberto Solar García, Lorena Burdío, Fernando Ielpo, Benedetto Carabias, Alberto Sanz Muñoz, María P. Escartín, Alfredo Vela, Fulthon Marqués, Elia Pérez, Adelino Palomares, Gloria Calvo Córdoba, Antonio Castell, José T. Castro, María José Manzanares, María Cristina Artigues, Enrique Blas, Juan Luis Díez, Luis Calero, Alicia Quiñones, José Rodríguez, Mario Alcázar, Cándido Serradilla Martín, Mario |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| topic |
Pancreatografia Cirurgia digestiva Càncer de pàncrees Gastrointestinal surgery Pancreatography Pancreas cancer |
| topic_facet |
Pancreatografia Cirurgia digestiva Càncer de pàncrees Gastrointestinal surgery Pancreatography Pancreas cancer |
| 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. |
| publishDate |
2025 |
| format |
article |
| status_str |
publishedVersion |
| url |
https://hdl.handle.net/2445/223663 |
| eu_rights_str_mv |
openAccess |
| publisher |
MDPI AG |
| institution |
Universidad de Barcelona |
| collection |
Dipòsit Digital de la UB |
| reponame_str |
Dipòsit Digital de la UB |
| instname_str |
Universidad de Barcelona |
| _version_ |
1878440493528907776 |
| publishDateSort |
2025 |
| author_browse |
Achalandabaso, Mar Alcalá, Francisco J. Alcázar, Cándido Alkorta, Maialen Aparicio López, Daniel Ariño Hervás, Itziar de Artigues, Enrique Asensio Díaz, Enrique Ballester, Cristina Blanco Fernández, Gerardo Blanco Rodríguez, Angélica Blas, Juan Luis Burdío, Fernando Busquets, Juli Calero, Alicia Calvo Córdoba, Antonio Calvo, Jorge Carabias, Alberto Castell, José T. Castro, María José Conde, Belén Cugat Andorrà, Esteban Domingo del Pozo, Carlos Díez, Luis Escartín, Alfredo Espín Álvarez, Francisco Estévez Fernández, Sergio Etxebarría, Eider Galófre Recasens, María Garcés Albir, Marina García Domingo, María I. García Plaza, Gabriel González Bermúdez, Manuel González de Chaves Rodríguez, Pilar E. González, Carmen Gómez Bravo, Miguel Ángel Hernández, Belén Ielpo, Benedetto Jaén Torrejimeno, Isabel Lasa Unzué, Inmaculada Loinaz, Carmelo López Andújar, Rafael López Ben, Santiago Manzanares, María Cristina Marqués, Elia Martí Cruchaga, Pablo Martín Arnau, Belén Miota, José I. Miyar, Alberto Mínguez, Javier Nogueira Sixto, Manuel Pacheco Díaz, David Palomares, Gloria Payá Llorente, Carmen Peláez, Núria Pérez, Adelino Quiñones, José Ramia, Jose Manuel Reyes Correa, Betsabé Rodríguez, Mario Roldán De la Rua, Jorge Rotellar Sastre, Fernando Rubio García, Juan J. Sabater, Luis Santoyo, Julio Sanz Muñoz, María P. Secanella Medayo, Luis Serradilla Martín, Mario Solar García, Lorena Suárez Artacho, Gonzalo Suárez Muñoz, Miguel Ángel Sánchez Cabús, Santiago Sánchez Pérez, Belinda Tió, Berta Toledo Martínez, Enrique Vela, Fulthon Vico Arias, Ana B. Villodre, Celia Zambudio Carroll, Natalia |
| publisherStr |
MDPI AG |
| score |
6,924472 |