高容量中心——病例数量对癌症手术结局的影响。

High-volume centers--effect of case load on outcome in cancer surgery.

作者信息

Hölscher A H, Metzger R, Brabender J, Vallböhmer D, Bollschweiler E

机构信息

Department of Visceral and Vascular Surgery, University of Cologne, Germany.

出版信息

Onkologie. 2004 Aug;27(4):412-6. doi: 10.1159/000079099.

DOI:10.1159/000079099

PMID:15347901

Abstract

The detailed analysis of the literature of the past 10 years comprising 12 papers concerning pancreatic cancer and 10 dealing with esophageal cancer show a clear reduction of postoperative mortality with increasing case volume per year. Single papers have analyzed the main reasons for this phenomenon and showed that postoperative complication rates are lower in high-volume hospitals and their management of complications is more successful. Further long-term prognosis is also correlated to case volume. Surgery of pancreatic and esophageal cancer is a task for high-volume hospitals because they have less postoperative mortality and improved long-term prognosis compared to low-volume hospitals.

摘要

对过去10年文献的详细分析包括12篇关于胰腺癌的论文和10篇关于食管癌的论文，结果显示随着每年病例数量的增加，术后死亡率明显降低。单篇论文分析了这一现象的主要原因，结果表明，高容量医院的术后并发症发生率较低，且其并发症管理更为成功。进一步的长期预后也与病例数量相关。胰腺癌和食管癌手术是高容量医院的任务，因为与低容量医院相比，它们的术后死亡率更低，长期预后更好。