title: Influence of surgeon's volume on early outcome after total gastrectomy.
abstract: OBJECTIVE
  To examine correlation between number of total gastrectomies done by each of 21 surgeons and the early outcome of these operations.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  University hospital, Japan.
  
  
  METHODS
  136 patients treated by total gastrectomy for gastric cancer during a 4-year period.
  
  
  METHODS
  Univariate and multivariate analyses of the effect of each surgeon's volume on the early outcome of total gastrectomy.
  
  
  METHODS
  Differences in the morbidity and mortality after total gastrectomy between high-volume and low-volume surgeons.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgery, Jikei University School of Medicine, Nishishinbashi, Minato-ku, Tokyo, Japan.
authors.forename: Tetsujl
authors.initials: T
authors.lastname: Fujita
authors.forename: Yoji
authors.initials: Y
authors.lastname: Yamazaki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002983:Clinical Competence / Q000706:statistics & numerical data*; D005260:Female; D005743:Gastrectomy / Q000401:mortality / Q000706:statistics & numerical data*; D013502:General Surgery / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011364:Professional Practice / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery