Impact of Fellow Versus Resident Assistance on Outcomes Following Pancreatoduodenectomy

Rosalie A. Carr, Catherine W. Chung, Christian M. Schmidt, Andrea Jester, Molly E. Kilbane, Michael G. House, Nicholas J. Zyromski, Attila Nakeeb, C. Max Schmidt, Eugene P. Ceppa

Research output: Contribution to journalArticle

3 Scopus citations


Background: Participation by surgical trainees in complex procedures is key to their development as future practicing surgeons. The impact of surgical fellows versus general surgery resident assistance on outcomes in pancreatoduodenectomy (PD) has not been well studied. The purpose of this study was to determine differences in patient outcomes based on level of surgical trainee. Methods: Consecutive cases of PD (n = 254) were reviewed at a single high-volume institution over a 2-year period (July 2013–June 2015). Thirty-day outcomes were monitored through the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP) and Quality In-Training Initiative. Patient outcomes were compared between PD assisted by general surgery residents versus hepatopancreatobiliary fellows. Results: The hepatopancreatobiliary surgery fellows and general surgery residents participated in 109 and 145 PDs, respectively. The incidence of each individual postoperative complication (renal, infectious, pancreatectomy-specific, and cardiopulmonary), total morbidity, mortality, and failure to rescue were the same between groups. Conclusions: Patient operative outcomes were the same between fellow- and resident-assisted PD. These results suggest that hepatopancreatobiliary surgery fellows and general surgery residents should be offered the same opportunities to participate in complex general surgery procedures.

Original languageEnglish (US)
Pages (from-to)1025-1030
Number of pages6
JournalJournal of Gastrointestinal Surgery
Issue number6
StatePublished - Jun 1 2017


  • Fellow
  • Pancreatoduodenectomy
  • Resident
  • Surgical education

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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