Influence of surgeon's volume on early outcome after total gastrectomy.

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To examine correlation between number of total gastrectomies done by each of 21 surgeons and the early outcome of these operations.Retrospective case series.University hospital, Japan.136 patients treated by total gastrectomy for gastric cancer during a 4-year period.Univariate and multivariate analyses of the effect of each surgeon's volume on the early outcome of total gastrectomy.Differences in the morbidity and mortality after total gastrectomy between high-volume and low-volume surgeons.There was a significant difference in the incidence of major complications of total gastrectomy between high-volume (7/66, 11%) and low-volume (17/70, 24%) surgeons (p = 0.04).Possible reasons for differences in outcome between high-volume and low-volume surgeons should be investigated in an attempt to define and describe the methods that are associated with the best outcome.

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