Volume-outcome relationship in rectal cancer surgery

• DOI: 10.1007/s12672-021-00406-9
• Publication Date: 2021-04-12T09:03:30Z
• Authors: L. Siragusa; B. Sensi; D. Vinci; M. Franceschilli; C. Pathirannehala...; G. Bagaglini; V. Bellato; M. Campanelli; G. S. Sica
• Keywords: Stoma (medicine); Colorectal Surgery

Hospital centralization effect is reported to lower complications and mortality for high risk complex surgery operations, including colorectal surgery. However, no linear relation between volume outcome has been demonstrated. Aim of the study was evaluate increased surgical on early outcomes patient undergoing laparoscopic restorative anterior rectal resection (ARR).A retrospective analysis all consecutive patients ARR with primary anastomosis November 2016 December 2020 after cancer cases in an academic Centre. Short-term are compared those operated same unit during previous 10 years before service centralization. The estimated anastomotic leak rate. Mean operative time, need conversion, postoperative use blood transfusion, radicality, in-hospital stay, number type complications, readmission reoperation rate, 1-year stoma persistence rates were evaluated as secondary outcomes.86 period 101 ten years. Difference significant two periods (p 0.019) rate significantly higher 0.047). transfusion stay < 0.05) also reduced Group A.This suggests that shift toward associated decreased Potentiation units may yield optimal perioperative outcomes.