The impact of complications after pancreaticoduodenectomy in elderly patients: a review of the Nationwide Inpatient Sample database

Hospital procedure volume has been shown to have a major impact on postoperative morbidity and mortality rate after PD in numerous studies. [...]the ACS advocates that patients who meet the criteria for PD have it done at hospitals or centers that perform a high volume of this procedure annually because of the better postoperative outcomes at these high-volume centers compared with low-volume centers. [...]we could not ascertain the pathological tumor stage, grade, or lymph node status of the malignant neoplasm because this information was unavailable in the database.