BACKGROUNDS/AIMS: Recent studies have shown that pancreaticoduodenectomy (PD) can be performed quite safely. @entity3124 ( @entity3124 ) has been one of the key tools used to achieve excellent outcomes in high-quality, high-volume centers. This study was designed to evaluate the impact of @entity3124 for PD @entity1 . METHODS: The important components of @entity3124 for PD @entity1 include the early start of an oral diet and removal of the abdomen drain following follow-up computed tomography, with the intention of shortening the postoperative hospital stay. The study group ( @entity3124 group) comprised of 88 @entity1 who underwent pylorus-preserving or classical PD from January 2009 to December 2010. The control group (pre- @entity3124 group) was 185 @entity1 who underwent PD between January 2005 and December 2008. RESULTS: The two groups did not show significant differences in demographic profiles and the primary diagnosis. The incidences of overall postoperative complications such as delayed @entity356 , @entity292 , and @entity548 were similar or decreased in the @entity3124 group (54% vs. 40.9%). The incidence of clinically significant complications also showed a similar rate (5.4% vs. 4.5%) between the two groups. The nutritional status at discharge and re-admission rates were not different. The @entity3124 group showed a significantly shorter postoperative hospital stay (20.2  9.2 days vs. 14.9  5.1 days, p<0.001) and the total medical costs were also significantly reduced, by 15% (p<0.001). CONCLUSIONS: The results of this study indicated that the implementation of @entity3124 for PD @entity1 can decrease the length of hospital stay and reduce medial costs, with maintenance or improvement of @entity1 outcomes. Further investigation is necessary to validate the actual impact of @entity3124 for PD through multi-center high-volume studies.

Impact of critical pathway implementation on hospital stay and costs in XXXX undergoing pancreaticoduodenectomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity3124 :: ('MESH:D016638', 'Disease') :: ['Critical pathway', 'CP', 'CP implementation'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric emptying']
@entity1 :: (9606,Species) :: ['patients']
