|The Impact Factor, often abbreviated IF, is a measure reflecting the average number of citations to recent articles published in science and social science journals. IF is calculated by dividing the number of citations in the Journal Citation Reports year by the total number of articles published in the two previous years. High impact factor for a particular journal implies good number of citations and quality of work. Because of the open access journals, impact factors are improving. Open access journal articles are essentially peer-reviewed and available for access through the directory of Open Access journals. Each open access journal delivers the latest updates in the respected research area in various formats so that subscribers can access the same through various options. With the growing number of scientific enthusiasts and readers by a large margin, the efficacy of open access publishing has witnessed an assertive impact.
Data from multiple institutions performing minimally invasive pancreaticoduodenectomy (MIPD) and participating in the National Surgical Quality Improvement Program (ACS-NSQIP) Pancreatectomy Demonstration Project was analyzed by Nakeeb et al. A total of 1,781 patients underwent pancreaticoduodenectomy at 43 institutions. MIDP was initiated on 131 (7.4%) of these patients at 21 institutions. Patients who underwent open pancreaticoduodenectomy and MIDP were similar in age, gender, race, cardiopulmonary disease and other comorbidities. Half of the attempted MIDP were converted to open procedures. Analysis showed MIDP was associated with statistically significant increase in operative time (7.5 vs. 6.1 h), septic shock (11.5 vs. 3.5%), reoperation (11.0 vs. 3.5%), major morbidity (55.0 vs. 44.4%) and mortality (4.7 vs. 1.8%). This data suggests that, at the present time, MIDP is associated with higher complication, morbidity and mortality. Before this procedure becomes generalizable, further training paradigms may be required.
Citation: Nakeeb A, Parmar A, Riall TS, Kilbane EM, Hall BL, Pitt HA. Minimally Invasic Pancreatoduodenectomy: Is the Learning Curve Surmountable? Paper presented at the 48th Annual Meeting of the Pancreas Club; May 2014; Chicago, Illinois, USA.