Related Experiment Videos
Influence of surgeon's volume on early outcome after total gastrectomy
Tetsujl Fujita1, Yoji Yamazaki
1Department of Surgery, Jikei University School of Medicine, Nishishinbashi, Minato-ku, Tokyo, Japan.
Objective:
To examine correlation between number of total gastrectomies done by each of 21 surgeons and the early outcome of these operations.
Design:
Retrospective case series.
Setting:
University hospital, Japan.
Patients:
136 patients treated by total gastrectomy for gastric cancer during a 4-year period.
Intervention:
Univariate and multivariate analyses of the effect of each surgeon's volume on the early outcome of total gastrectomy.
Main Outcome Measures:
Differences in the morbidity and mortality after total gastrectomy between high-volume and low-volume surgeons.
Results:
There was a significant difference in the incidence of major complications of total gastrectomy between high-volume (7/66, 11%) and low-volume (17/70, 24%) surgeons (p = 0.04).
Conclusion:
Possible reasons for differences in outcome between high-volume and low-volume surgeons should be investigated in an attempt to define and describe the methods that are associated with the best outcome.