TABLE 3.
Surgeon specific characteristics |
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Previous surgical experience in the field of pancreatic surgery |
Number of pancreatic procedures (total and with the used access/technique) |
Years of surgical experience |
Specific HPB training and procedure specific training (dry-/wet lab). Proctoring/Mentoring |
Institutional characteristics |
Annual pancreatic case volume |
Team familiarity |
Patient characteristics |
Age |
BMI |
Previous extensive upper abdominal surgery |
ASA |
Disease characteristics |
Resectability status |
Size of the lesion |
Neoadjuvant treatment |
Pathology |
Complicating factors such as acute pancreatitis or cavernous transformation |
Complexity of pancreatoduodenectomy 32 |
Type 1 (Standard PD) |
Type 2 (PD + PV) |
Type 3 (PD + additional organ) |
Type 4 (PD + artery) |
Complexity of pancreatic anastomoses 33 |
Type A (Non-soft texture and MPD > 3 mm) |
Type B (Non-soft texture and MPD < 3 mm) |
Type C (Soft texture and MPD > 3 mm) |
Type D (Soft texture and MPD < 3 mm) |
Complexity of distal pancreatectomy 34 |
Type of operation |
DP for benign disease |
Spleen preserving DP |
Radical antegrade modular pancreatosplenectomy |
Pancreatic resection line |
Portal vein |
Pancreatic tail |
Tumor close to major vessels |
Tumor extension to peripancreatic tissue |
Left-sided portal hypertension and splenomegaly |
ASA, American society of anesthesiologists; BMI, body mass index; MPD, main pancreatic duct; PD, pancreatoduodenectomy; PV, portal vein.