AI Article Synopsis
- Previous research indicates that higher surgical volumes are linked to lower mortality rates, suggesting a need to centralize gastric surgery in fewer departments and among fewer surgeons.
- The study analyzed records of 93 patients who underwent surgery from 2000 to 2005, comparing outcomes based on surgeon experience, with a distinction made for those performing more than 15 or fewer than 5 operations.
- Findings revealed significantly higher mortality rates for patients treated by low-volume surgeons, supporting the recommendation for consolidating surgical procedures among a limited number of experienced surgeons.
Article Abstract
Introduction: Previous studies have shown an association between surgical volume and a decreased mortality rate for departments as a whole as well as for individual surgeons. The background for this study was to investigate whether it would be beneficial to centralize gastric surgery, not only in fewer departments but also in fewer hands in the department.
Materials And Methods: The study was based on the patient records of the 93 patients operated between 1 January 2000 and 1 September 2005. The surgeons were divided into two groups based on whether they had performed more than 15 or less than 5 operations during the period.
Results: Of the 93 operations, 3 surgeons performed 80 and 7 surgeons performed the remaining 13 operations. The mortality was significantly increased in patients operated by surgeons with a low operation volume, p = 0.0004. The 12 acute operations were performed as often by a surgeon with low operation volume as by a surgeon with high operation volume. Again, mortality increased when the operation was performed by a surgeon with low operation volume, p = 0.015.
Conclusion: The results argue for a centralization of gastric resections on a few surgeons and for an organisation of acute surgery so that these procedures are performed by only a few experienced surgeons.
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