Impact of centralization of pancreaticoduodenectomy coupled with fast track recovery protocol: a comparative study from India.

Background: Fast track strategy in the management of patients undergoing intra-abdominal surgery of various types has emerged as a landmark approach to reduce surgical stress and accelerate recovery. This study was to evaluate the effect of fast track strategy on patients subjected to pancreaticoduodenectomy (PD) from an individual unit during transit from low to a high volume center.

Methods: A total of 142 PD patients who had been subjected to fast track strategy between June 2008 and September 2012 were compared with 46 patients who had received conventional surgery between January 2006 and May 2008.

Omental flaps reduces complications after pancreaticoduodenectomy.

Background: Major complications after pancreaticoduodenectomy are usually caused by a leaking pancreaticojejunal anastomosis. Omental flaps around various anastomoses were used to prevent the formation of fistula.

Methods: We reviewed 147 patients who had undergone pancreaticoduodenectomy between March 2006 and March 2012.