The surgeon as a prognostic factor in the management of pancreatic cancer.

Improved results for pancreatic resection have been attributed to the concentration of pancreatic surgery in high-volume centers. The evidence supporting a relationship between hospital case volume and operative mortality for pancreatectomy is reviewed. The surgeon's case volume does not appear to influence mortality independently, but other surgeon-related characteristics, like specialized training, have not been examined. More research is needed to elucidate the factors that have contributed to reduced mortality for this complex surgery.