Blueprint for safe transition from a low- to high-volume pancreatic surgery center

Edward S. Cho, Michael E. Zenilman, Paul H. McClelland, Daniel Rodriguez, Justin Steele, Bashar Fahoum, Michael Wayne

Research output: Contribution to journalArticlepeer-review


We describe a straightforward model to implement a high volume specialty surgery program at a community hospital. Using pancreatic surgery as an example, we employed published processes in three arenas. First, mandatory multidisciplinary tumor board presentations captured all the patients considered for surgery. Then, perioperative protocols using tools such as enhanced recovery and teamwork in the perioperative arena created a reproducible and safe environment for complex surgery. We critically reviewed all complications using the Clavien-Dindo methodology, and confirmed our favorable outcomes via the targeted NSQIP program. These standard steps can be used for implementation of a new complex surgical procedure.

Original languageEnglish
Pages (from-to)156-157
Number of pages2
JournalSurgery Open Science
StatePublished - Oct 2022
Externally publishedYes


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