Pancreaticobiliary Disease

Pancreatectomy

Cleveland Clinic pancreatic surgeons treat a wide array of disease processes. These consist of both benign and malignant diseases of the pancreas, duodenum, bile ducts, and gallbladder. Multiple multidisciplinary teams expand to experts in Radiology, Oncology, Gastroenterology, Pathology, and Psychology, allowing the team to determine the best tailored treatment plan for each individual patient.

Distal Pancreatectomy ACS NSQIP Outcomes

January 1, 2024 – December 31, 2024

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall distal pancreatectomy ACS NSQIP performance benchmarked against 163 participating sites.

Distal Pancreatectomy (163 Sites)NObservedExpected
30 Day Mortality492.04%14.74%
30 Day Morbidity492.04%2.49%
Cardiac492.04%1.04%
Pneumonia494.08%1.91%
Unplanned Intubation492.04%10.04%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus490.00%1.45%
Surgical Site Infection (SSI)492.04%10.04%
Sepsis492.04%1.28%
Unplanned Reoperation494.08%2.21%
Length of Stay4621.74%18.68%
Unplanned Readmission4910.20%15.58%
Fistula490.00%9.25%
Delayed Gastric Emptying494.08%2.40%

American College of Surgeons National Surgical Quality Improvement Program, 2025.
ACS NSQIP® Semiannual Report July, 2025, Chicago: American College of Surgeons.

Whipple Pancreatectomy ACS NSQIP Outcomes

January 1, 2024 – December 31, 2024

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall Whipple Pancreatectomy ACS NSQIP performance benchmarked against 164 participating sites.

Cleveland Clinic has been rated as ‘exemplary’ on three primary Whipple Pancreatectomy outcomes: morbidity, surgical site infection (SSI) and fistula and is rated as the single best in the US based on overall morbidity data.

Whipple Pancreatectomy (164 Sites)NObservedExpected
30 Day Mortality890.00%0.85%
30 Day Morbidityᵇ8910.11%23.18%
Cardiac890.00%1.52%
Pneumonia891.12%2.29%
Unplanned Intubation891.12%2.35%
Ventilator > 48 Hours892.25%1.60%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus894.49%3.65%
Renal Failure892.25%3.13%
Urinary Tract Infection (UTI)890.00%1.54%
Surgical Site Infection (SSI)ᵇ896.74%16.92%
Sepsis890.00%4.20%
C.diff Colitis891.12%0.72%
Unplanned Reoperation892.25%3.09%
Length of Stay7815.38%19.79%
Unplanned Readmission898.99%17.66%
Fistula896.74%11.94%
Delayed Gastric Emptying897.87%14.90%

American College of Surgeons National Surgical Quality Improvement Program, 2025.
ACS NSQIP® Semiannual Report July, 2025, Chicago: American College of Surgeons.

ᵃIdentified as a statistical outlier (higher than expected) by the ACS NSQIP hierarchical model.

ᵇIdentified as a statistical outlier (lower than expected) by the ACS NSQIP hierarchical model.