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| 1 | Whipple’s pancreaticoduodenectomy at a resource-poor,low-volume center in Trinidad and Tobago显示文摘BACKGROUND Many authorities advocate for Whipple’s procedures to be performed in highvolume centers,but many patients in poor developing nations cannot access these centers.We sought to determine whether clinical outcomes were acceptable when Whipple’s procedures were performed in a low-volume,resource-poor setting in the West Indies.AIM To study outcomes of Whipple’s procedures in a pancreatic unit in the West Indies over an eight-year period from June 1,2013 to June 30,2021.METHODS This was a retrospective study of all patients undergoing Whipple’s procedures in a pancreatic unit in the West Indies over an eight-year period from June 1,2013 to June 30,2021.RESULTS This center performed an average of 11.25 procedures per annum.There were 72 patients in the final study population at a mean age of 60.2 years,with 52.7%having American Society of Anesthesiologists scores≥III and 54.1%with Eastern Cooperative Oncology Group scores≥2.Open Whipple’s procedures were performed in 70 patients and laparoscopic assisted procedures in 2.Portal vein resection/reconstruction was performed in 19(26.4%)patients.In patients undergoing open procedures there was 367±54.1 min mean operating time,1394±656.8 mL mean blood loss,5.24±7.22 d mean intensive care unit stay and 15.1±9.53 d hospitalization.Six(8.3%)patients experienced minor morbidity,10(14%)major morbidity and there were 4(5.5%)deaths.CONCLUSION This paper adds to the growing body of evidence that volume alone should not be used as a marker of quality for patients requiring Whipple’s procedures.Low volume centers in resource poor nations can achieve good short-term outcomes.This is largely due to the process of continuous,adaptive learning by the entire hospital. | Shamir O Cawich Dexter A Thomas Neil W Pearce Vijay Naraynsingh | 2022 | World Journal of Clinical Oncology2022，13，9： | 2 |
| 2 | Hillslope stability and land use显示文摘 | SIDLE R C PEARCE A J O' LOUGHLIN C L | 1985 | Geological Magazine1985，123，6： | 1 |
| 3 | Heat stress reduces barrier function and alters intestinal metabolism in growing pigs 显示文摘 | Pearce S C Mani V Boddicker R L et o/ | 2012 | Joumal of Animal Science2012，90，： | 1 |
| 4 | Miniature Co-C Eutectic Fixed-Point Cells for Self-Validating Thermocouples显示文摘 | Ongrai O Pearce J V Machin G | 2011 | Measurement Science and Technology2011，22，01： | 1 |
| 5 | Regulation of the rat serotonin-1 A receptor gene by corticosteroids 显示文摘 | Wissink S Meijer O Pearce D | 2000 | J Biol Chem2000，275，2： | 1 |
| 6 | Medial unicompartmental knee replacement in the under-50s显示文摘 | Parratte S Argenson JN Pearce O | 2009 | J Bone Joint Surg Br2009，91，3： | 1 |
| 7 | Effects of stocking density, ration, and temperature on growth of early post-settled juveniles of the basket cockle, Clinocardium nuttaUii 显示文摘 | LIU W PEARCE C M ALABI A O | 2011 | Aquacuhure2011，320，12： | 1 |
| 8 | An evaluation of the clinical performance of newly qualified nurses:A competency based assessment显示文摘 | O'Connor SE Pearce J Smith RL | 2001 | Nurse Edue Today2001，21，： | 1 |
| 9 | Regulation of the rat serotonin-1A receptor gene by corticosteroids显示文摘 | Wissink S Meijer O Pearce D | 2000 | J Biol Chem2000，275，2： | 1 |
| 10 | Regulation of the rat serotonin-1A receptor gene by corticosteroids 显示文摘 | Wissink S Meijer O Pearce D | 2000 | J Biol Cham2000，275，2： | 1 |
| 11 | The nature of stacking faults within iron- chromium carbide of the type (Fe, Cr)7C3 显示文摘 | Carpenter S D Carpenter D E O S Pearce J T H | 2010 | JournalofAlloysandCompounds2010，，494： | 1 |
| 12 | Three distinct D-amino acid substitutions confer potent antiangiogenic activity on an inactive pep- tide derived from a thrombospondin-1 type 1 re- peat显示文摘 | DAWSON D W VOLPERT O V PEARCE S F | 1999 | Mol Pharmacol1999，55，2： | 1 |
| 13 | Relationship between birth weight and blood pressure variability in children 显示文摘 | PEARCE MS O'SULLIVAN JJ | 2003 | J Hum Hypertens2003，17，10： | 1 |
| 14 | In vivo effects of dentine matrix on angiogenesis in rat skeletal muscle 显示文摘 | Pearce SC Hudlicka O Smith AJ | 1996 | J Dent Res1996，，： | 1 |
| 15 | Influence of fluctuating temperatures on emergence of shattercane (Sorghum bicolor) and giant Ioxtail (Setaria faberi) 显示文摘 | Kegode G O Pearce R B Bailey T B | 1998 | Weed Science1998，46，3： | 1 |
| 16 | Custom cement-less stem improves hip function in young patients at 15-yearfollowup 显示文摘 | Flecher X Pearce O Parratte S | 2010 | Clin Orthop Relat Res2010，468，3： | 1 |
| 17 | Initiation of subduction zones as a consequence of lateral compositional buoyancy contrast within the lithosphere: a petrological perspective显示文摘 | Niu Y O'hara M J Pearce J A | 2003 | Journal of Petrology2003，44，： | 1 |
| 18 | Initiation of subduetion zones as a consequence of lateral compositional buoyancy contrast within the lithosphere: A petrologic perspective显示文摘 | Niu Y L O' Hara M J Pearce JA | 2003 | Journal of Petrology2003，44，： | 1 |
| 19 | Anti-thronbotic therapy to prevent stroke in patients with atrial fibrillation : h meta-analysis显示文摘 | Hart RG Benavente O McBride R Pearce LA | 1999 | AnnInternMed1999，131，49： | 1 |
| 20 | Capital theory and the measurement of sustainable development: an indicator of weak sustainability 显示文摘 | Pearce D W Atkinson O D | 1993 | Ecological Economics1993，8，2： | 1 |
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