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, 2022 – December 31, 2022

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 Mortality470.00%0.22%
30 Day Morbidity476.38%15.40%
Cardiac472.13%0.98%
Pneumonia472.13%2.27%
Unplanned Intubation472.13%0.71%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus470.00%4.13%
Surgical Site Infection (SSI)474.26%11.49%
Sepsis472.13%3.16%
Unplanned Reoperation472.13%3.13%
Length of Stay4422.73%20.84%
Unplanned Readmission472.13%15.42%
Fistula472.13%8.50%
Delayed Gastric Emptying470.00%3.70%

American College of Surgeons National Surgical Quality Improvement Program, 2023.
ACS NSQIP® Semiannual Report July 3, 2023, Chicago: American College of Surgeons.

Whipple Pancreatectomy ACS NSQIP Outcomes

January 1, 2022 – December 31, 2022

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 Mortality932.15%2.05%
30 Day Morbidity9315.05%27.05%
Cardiac932.15%2.52%
Pneumonia931.08%2.25%
Unplanned Intubation934.30%3.20%
Ventilator > 48 Hours933.23%2.22%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus932.15%2.66%
Renal Failure931.08%4.26%
Surgical Site Infection (SSI)928.70%16.99%
Sepsis933.23%8.58%
Unplanned Reoperation933.23%4.34%
Length of Stay7723.38%16.71%
Unplanned Readmission9311.83%17.99%
Fistula937.53%12.61%
Delayed Gastric Emptying935.38%16.16%

American College of Surgeons National Surgical Quality Improvement Program, 2023.
ACS NSQIP® Semiannual Report July 3, 2023, Chicago: American College of Surgeons.