Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review

The History Maker paper focuses on the extraordinary revolution that dramatically improved the surgical results for the Whipple procedure (pancreaticoduodenectomy) in the 1980s and identifies Dr. Cameron as the leader of this revolution, who reported a mortality rate of approximately 1%. The revolut...

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Main Authors: John L Cameron, Niloufar Shababi, John W Harmon, Bo Chang Wu, Jakub Wlodarczyk, Sanaz Nourmohammadi Abadchi
Format: Article
Language:English
Published: BMJ Publishing Group 2023-10-01
Series:eGastroenterology
Online Access:https://egastroenterology.bmj.com/content/1/2/e100014.full
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author John L Cameron
Niloufar Shababi
John W Harmon
Bo Chang Wu
Jakub Wlodarczyk
Sanaz Nourmohammadi Abadchi
author_facet John L Cameron
Niloufar Shababi
John W Harmon
Bo Chang Wu
Jakub Wlodarczyk
Sanaz Nourmohammadi Abadchi
author_sort John L Cameron
collection DOAJ
description The History Maker paper focuses on the extraordinary revolution that dramatically improved the surgical results for the Whipple procedure (pancreaticoduodenectomy) in the 1980s and identifies Dr. Cameron as the leader of this revolution, who reported a mortality rate of approximately 1%. The revolutionary reduction of postoperative mortality for the Whipple procedure was achieved by adherence to gentle and precise Halstedian surgical techniques with adequate drainage of pancreatico-jejunal anastomosis with closed-suction silastic drains, along with the development of high-volume surgeons and hospitals. Excellent teamwork in patient care, including but not limited to preoperative evaluation by multidisciplinary teams, intraoperative communication between surgeons and anaesthesiologists, and postoperative management, contributed to a successful Whipple procedure.
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series eGastroenterology
spelling doaj-art-6edf3fca36ef4c6eb162062451acfd4f2025-08-20T01:57:32ZengBMJ Publishing GroupeGastroenterology2766-01252976-72962023-10-011210.1136/egastro-2023-100014Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical reviewJohn L Cameron0Niloufar Shababi1John W Harmon2Bo Chang Wu3Jakub Wlodarczyk4Sanaz Nourmohammadi Abadchi51 Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA1 Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA1 Department of Surgery, Johns Hopkins University, Baltimore, Maryland, USA1 Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA1 Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA1 Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USAThe History Maker paper focuses on the extraordinary revolution that dramatically improved the surgical results for the Whipple procedure (pancreaticoduodenectomy) in the 1980s and identifies Dr. Cameron as the leader of this revolution, who reported a mortality rate of approximately 1%. The revolutionary reduction of postoperative mortality for the Whipple procedure was achieved by adherence to gentle and precise Halstedian surgical techniques with adequate drainage of pancreatico-jejunal anastomosis with closed-suction silastic drains, along with the development of high-volume surgeons and hospitals. Excellent teamwork in patient care, including but not limited to preoperative evaluation by multidisciplinary teams, intraoperative communication between surgeons and anaesthesiologists, and postoperative management, contributed to a successful Whipple procedure.https://egastroenterology.bmj.com/content/1/2/e100014.full
spellingShingle John L Cameron
Niloufar Shababi
John W Harmon
Bo Chang Wu
Jakub Wlodarczyk
Sanaz Nourmohammadi Abadchi
Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
eGastroenterology
title Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
title_full Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
title_fullStr Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
title_full_unstemmed Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
title_short Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review
title_sort revolutionary transformation lowering the mortality of pancreaticoduodenectomy a historical review
url https://egastroenterology.bmj.com/content/1/2/e100014.full
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