The importance of volume in colorectal cancer surgery

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References (13)

  • FieldingL.P. et al.

    Surgeon-related variables and the clinical trial

    Lancet

    (1978)
  • DarbyC.R. et al.

    Management variability in surgery for colorectal emergencies

    Br J Surg

    (1992)
  • FieldingL.P. et al.

    Large-bowel obstruction caused by cancer: a prospective study

    Br Med J

    (1979)
  • KesslerH. et al.

    Operative mortality in carcinoma of the rectum. Results of the German multicentre study

    Int J Colorect Dis

    (1993)
  • LippertH. et al.

    Die chirurgische Qualitätssicherung am Beispiel der operativen Therapie des colorectalen Carcinoms

    Chirurg

    (1995)
  • McArdleC.S. et al.

    Impact of variability among surgeons on post-operative morbidity and mortality and ultimate survival

    Br Med J

    (1991)
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Cited by (77)

  • The surgeon as a prognostic factor in the surgical treatment of rectal cancer

    2007, Surgical Oncology
    Citation Excerpt :

    Usually in the literature the term “volume” has been especially evaluated from the quantitative point of view. For example, in a German study [13], a high-volume surgeon performs 1–2 radical rectal resections for month (16–18/year), in Canada a surgeon should perform at least 20 surgical procedures, otherwise he or she will get more perforated surgical specimens, more neoplastic dissemination and more local recurrences [14]. The mere quantitative aspect, however, is not enough; in our opinion, in order to achieve better results in the treatment of rectal cancer, a special interest in colorectal surgery is more important to survival than volume for itself, as confirmed by some data in the literature [15,16], but prospective randomized trials are necessary to show that better survival rates are present when a team of specialists performs a careful preoperative staging in order to select the patients that should undergo neoadjuvant treatment.

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