Impact of hospital case volume on short-term outcome after laparoscopic operation for colonic cancer

被引：113

作者：

Bonjer, HJ ^{[1
]}

Haglind, E ^{[1
]}

Jeekel, J ^{[1
]}

Kazemier, G ^{[1
]}

Pahlman, L ^{[1
]}

Monson, JRT ^{[1
]}

Quircke, P ^{[1
]}

Trede, M ^{[1
]}

Stijnen, T ^{[1
]}

Kuhry, E ^{[1
]}

Hop, WCJ ^{[1
]}

Veldkamp, R ^{[1
]}

Cuesta, MA ^{[1
]}

Jeckel, J ^{[1
]}

Morino, M ^{[1
]}

Lacy, A ^{[1
]}

Delgado, S ^{[1
]}

Wittich, P ^{[1
]}

Hazebroek, E ^{[1
]}

Gholghesaei, M ^{[1
]}

Hellberg, R ^{[1
]}

Nordgren, SR ^{[1
]}

Lindgren, PG ^{[1
]}

Lindholm, E ^{[1
]}

Dahlberg, M ^{[1
]}

Raab, Y ^{[1
]}

Anderberg, B ^{[1
]}

Ewerth, S ^{[1
]}

Janson, M ^{[1
]}

Åkerlund, JE ^{[1
]}

Smedh, K ^{[1
]}

Montgomery, A ^{[1
]}

Skullman, S ^{[1
]}

Nyström, PO ^{[1
]}

Kald, A ^{[1
]}

Wärnström, A ^{[1
]}

Dàlen, J ^{[1
]}

Svedberg, I ^{[1
]}

Edlund, G ^{[1
]}

Kressner, U ^{[1
]}

Öberg, A ^{[1
]}

Lundberg, O ^{[1
]}

Lindmark, GE ^{[1
]}

Heikkinen, T ^{[1
]}

Morino, M ^{[1
]}

Giraudo, G ^{[1
]}

Lacy, A ^{[1
]}

Delgado, S ^{[1
]}

Sanz, EM ^{[1
]}

Diez, JM ^{[1
]}

机构：

[1] Erasmus Univ, Med Ctr, Dept Surg, NL-3015 GD Rotterdam, Netherlands

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2005年 / 19卷 / 05期

关键词：

laparoscopy; colon cancer; case volume; caseload; cancer;

D O I：

10.1007/s00464-004-8920-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: High hospital case Volume has been associated with improved Outcome after open operation for colorectal malignancies. Methods: To assess the impact of hospital case Volume on short-term outcome after laparoscopic operation for colon cancer, we conducted an analysis of patients who underwent laparoscopic colon resection within the COlon Cancer Laparoscopic or Open Resection (COLOR) trial. Results: A total of 536 patients with adenocarcinoma of the colon were included in the analysis. Median operating time was 240. 210 and 188 min in centers with low, medium. and high case volumes, respectively (p < 0.001). A significant difference in conversion rate was observed among low, medium, and high case volume hospitals (24% vs 24% vs 9%; p < 0.001). A higher number of lymph nodes were harvested at high case volume hospitals (p < 0.001). After operation, fewer complications(p = 0.006) and a shorter hospital stay (p < 0.001) were observed in patients treated at hospitals with high caseloads. Conclusions: Laparoscopic operation For colon cancer at hospitals with high caseloads appears to be associated with improved short-term results.

引用

页码：687 / 692

页数：6

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