Equipamiento. Experiencia. Estándares de calidad: Fast-track en cirugía pancreática

Introduction: pancreatic adenocarcinoma is the fourth cause of mortality in Spain and the United States, with surgical resection being the only treatment that increases survival. It is always a challenge for the surgeon due to the technical difficulty of the procedure, and although mortality has been reduced in recent years, surgical complications are still quite high. Introduction: pancreatic adenocarcinoma is the fourth cause of mortality in Spain and the United States, with surgical resection being the only treatment that increases survival. It is always a challenge for the surgeon due to the technical difficulty of the procedure, and although mortality has been reduced in recent years, surgical complications are still quite high. Methods: the research process was carried out based on a systematic search based on clinical guidelines, consensus conferences, reviews and national and international publications on pancreatic oncological surgery carried out in the last decade. Results: the need to establish a Multidisciplinary Team for decision making has been determined. The need to overcome a learning curve in this type of surgery so demanding to reduce morbidity and mortality. The importance of establishing quality standards to assess the quality of the treatment provided, standardize the work methodology to be able to measure results and be able to compare these with other groups and specialized units and the importance of establishing improvement recovery protocols for a fast and early improvement of patients undergoing pancreatic surgery. Conclusion: pancreatic oncological resection is an intervention of great technical complexity and with a high incidence of postoperative complications, so the need for decision making of expert teams, identification of quality standards and the need to apply common protocols are elements of great importance to reduce variability in surgical practice, improve results and obtain maximum optimization of available resources. Introducción: el adenocarcinoma de páncreas constituye la cuarta causa de mortalidad en España y en Estados Unidos, siendo la resección quirúrgica el único tratamiento que logra aumentar la supervivencia. Se trata siempre de un reto para el cirujano debido a la dificultad técnica del procedimiento, y a pesar de que la mortalidad, se ha reducido en los últimos años, aún es bastante elevada las complicaciones quirúrgicas. Métodos: el proceso de investigación se ha realizado a partir de una búsqueda sist