[Gastrointestinal surgery--why specialisation?].
Recent international data have documented improved postoperative outcome in relation to hospital and surgeon volume. Nation-wide Danish data have documented a high mortality and long hospital stay after abdominal cancer surgery, which is performed in a large number of departments. It is concluded that reorganisation with fewer surgical departments is required to improve outcome after major gastrointestinal surgery.
Kehlet
Henrik
H
H:S Rigshospitalet, Juliane Marie Centret, Enhed for Kirurgisk Patofysiologi, København Ø. henrik.kehlet@rh.dk
Laurberg
Søren
S
D002497:Centralized Hospital Services / Q000458:organization & administration / Q000592:standards*; D002983:Clinical Competence; D015179:Colorectal Neoplasms / Q000401:mortality / Q000601:surgery; D003718:Denmark; D013505:Digestive System Surgical Procedures / Q000379:methods / Q000534:rehabilitation / Q000592:standards*; D004630:Emergencies; D017052:Hospital Mortality; D006754:Hospital Restructuring; D006801:Humans; D007902:Length of Stay; D013038:Specialization; D013503:Surgery Department, Hospital / Q000458:organization & administration / Q000592:standards*