Division of Cardiothoracic Surgery, Oregon Health and Sciences University, Portland, Oregon 97239-3098, USA.
Semin Thorac Cardiovasc Surg. 2012 Summer;24(2):99-105. doi: 10.1053/j.semtcvs.2012.06.002.
The effect of surgeon volume, hospital volume, and surgeon specialty on operative outcomes has been reported in numerous studies. Short-term and long-term outcome comparisons for pulmonary resection for lung cancer have been performed between general surgeons (GS), cardiothoracic surgeons (CTS), and general thoracic surgeons (TS), using large administrative and inpatient databases. In the United States, general surgeons perform more pulmonary resection than thoracic surgeons. Studies have found that in cases involving thoracic surgeons, there is a lower operative mortality and morbidity, improved long-term survival, better adherence to established practice standards, and a lower cost compared with cases involving general surgeons. Some specific processes of care that account for these improved economic, operative, and oncological outcomes have been identified. Others are not yet specifically known and associated with specialization in thoracic surgery.
外科医生的数量、医院的数量和外科医生的专业对手术结果的影响在众多研究中都有报道。已经使用大型行政和住院患者数据库对肺癌肺切除术的短期和长期结果进行了比较，比较的对象包括普通外科医生（GS）、心胸外科医生（CTS）和普通胸外科医生（TS）。在美国，普通外科医生比胸外科医生进行更多的肺切除术。研究发现，在涉及胸外科医生的病例中，手术死亡率和发病率较低，长期生存率提高，对既定实践标准的依从性更好，与涉及普通外科医生的病例相比，成本更低。已经确定了一些导致这些改善的经济、手术和肿瘤学结果的特定护理过程。其他过程尚未具体确定，并且与胸外科的专业化相关。
