{"title":"手术容积对全胃切除术早期预后的影响。","authors":"Tetsujl Fujita, Yoji Yamazaki","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine correlation between number of total gastrectomies done by each of 21 surgeons and the early outcome of these operations.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>University hospital, Japan.</p><p><strong>Patients: </strong>136 patients treated by total gastrectomy for gastric cancer during a 4-year period.</p><p><strong>Intervention: </strong>Univariate and multivariate analyses of the effect of each surgeon's volume on the early outcome of total gastrectomy.</p><p><strong>Main outcome measures: </strong>Differences in the morbidity and mortality after total gastrectomy between high-volume and low-volume surgeons.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Influence of surgeon's volume on early outcome after total gastrectomy.\",\"authors\":\"Tetsujl Fujita, Yoji Yamazaki\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine correlation between number of total gastrectomies done by each of 21 surgeons and the early outcome of these operations.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>University hospital, Japan.</p><p><strong>Patients: </strong>136 patients treated by total gastrectomy for gastric cancer during a 4-year period.</p><p><strong>Intervention: </strong>Univariate and multivariate analyses of the effect of each surgeon's volume on the early outcome of total gastrectomy.</p><p><strong>Main outcome measures: </strong>Differences in the morbidity and mortality after total gastrectomy between high-volume and low-volume surgeons.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":22411,\"journal\":{\"name\":\"The European journal of surgery = Acta chirurgica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2002-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The European journal of surgery = Acta chirurgica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The European journal of surgery = Acta chirurgica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Influence of surgeon's volume on early outcome after total gastrectomy.
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.