手术容积对全胃切除术早期预后的影响。

Tetsujl Fujita, Yoji Yamazaki
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引用次数: 0

摘要

目的:探讨21位外科医生的全胃切除术次数与手术早期预后的关系。设计:回顾性病例系列。地点:日本大学医院。患者:4年间136例胃癌患者行全胃切除术。干预:单因素和多因素分析每位外科医生的体积对全胃切除术早期结果的影响。主要观察指标:大容量和小容量全胃切除术后发病率和死亡率的差异。结果:全胃切除术大容积(7/66,11%)与小容积(17/70,24%)术者主要并发症发生率差异有统计学意义(p = 0.04)。结论:应该调查大容量和小容量手术结果差异的可能原因,试图定义和描述与最佳结果相关的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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