个体外科医生数量对结直肠癌手术预后的影响。

IF 1.6 Q4 ONCOLOGY
International Journal of Surgical Oncology Pub Date : 2015-01-01 Epub Date: 2015-09-03 DOI:10.1155/2015/464570
Marleen Buurma, Hidde M Kroon, Marlies S Reimers, Peter A Neijenhuis
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引用次数: 26

摘要

背景:由大容量外科医生进行的手术可改善短期预后。然而,对长期影响的了解并不多。因此,我们进行了当前的研究,以评估大容量结肠直肠手术对生存率的影响。方法:我们对2004年至2011年间前瞻性收集的结直肠癌数据库进行回顾性分析。患者分为两组:大容量外科医生(>25例/年)和小容量外科医生(结果:774例患者行结直肠恶性肿瘤切除术)。13名小容量外科医生手术453例,4名大容量外科医生手术321例。各组术前特征分布均匀,除低容积组asa分级较高外。在多变量分析中,高容量外科医生被证明是无病生存的独立预后因素(P = 0.04)。虽然在单因素分析中总生存率有显著差异(P < 0.001),但在多因素分析中未达到统计学意义(P = 0.09)。结论:在我们的研究中,每位外科医生手术的结直肠病例数量越多,无病生存期越长。实施大容量手术可改善结直肠癌后的长期预后。
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 Individual Surgeon Volume on Oncological Outcome of Colorectal Cancer Surgery.

Influence of Individual Surgeon Volume on Oncological Outcome of Colorectal Cancer Surgery.

Influence of Individual Surgeon Volume on Oncological Outcome of Colorectal Cancer Surgery.

Background: Surgery performed by a high-volume surgeon improves short-term outcomes. However, not much is known about long-term effects. Therefore we performed the current study to evaluate the impact of high-volume colorectal surgeons on survival.

Methods: We conducted a retrospective analysis of our prospectively collected colorectal cancer database between 2004 and 2011. Patients were divided into two groups: operated on by a high-volume surgeon (>25 cases/year) or by a low-volume surgeon (<25 cases/year). Perioperative data were collected as well as follow-up, recurrence rates, and survival data.

Results: 774 patients underwent resection for colorectal malignancies. Thirteen low-volume surgeons operated on 453 patients and 4 high-volume surgeons operated on 321 patients. Groups showed an equal distribution for preoperative characteristics, except a higher ASA-classification in the low-volume group. A high-volume surgeon proved to be an independent prognostic factor for disease-free survival in the multivariate analysis (P = 0.04). Although overall survival did show a significant difference in the univariate analysis (P < 0.001) it failed to reach statistical significance in the multivariate analysis (P = 0.09).

Conclusions: In our study, a higher number of colorectal cases performed per surgeon were associated with longer disease-free survival. Implementing high-volume surgery results in improved long-term outcome following colorectal cancer.

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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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