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Revista chilena de cirugía
versión On-line ISSN 0718-4026
Resumen
CSENDES J, Attila; ZAMORANO D, Marcelo; MATUS R, Jaime y CARDENAS, Galo. Abstract inverse relationship between intervention volume and complications of esophagectomy and pancreatectomy. A review. Rev Chil Cir [online]. 2016, vol.68, n.2, pp.194-200. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262016000200015.
Background: The prevalence of pancreatic cancer increased in Chile in the last decade, while that of esophageal cancer is decreasing. Both diseases are a surgical challenge due to their high mortality and rate of complications. Aim: To analyze the relationship between intervention volume and surgical complications. material and methods: We reviewed 19 papers analyzing the relationship between the number of interventions performed in a determinate hospital (yearly hospital volume), the number of interventions performed by each surgeon (yearly surgical volume) and the rates of mortality and complications of both conditions. Results: There is a clear inverse relationship between volumes and complications. There is also a higher five years survival in high volume hospitais. Conclusions: Intervention volume is inversely associated with rates of complications.
Palabras clave : Surgical volume; complications; pancreatectomy; esophagectomy.