Morbidity and mortality after hepatic and pancreatic resections: results from one surgeon at a low-volume urban hospital over thirty years
Gary S. Schwartz, Ryan Z. Swan, Lucy Ruangvoravat, Fadi F. Attiyeh
20110301
2011 Apr 1
Am J Surg
Morbidity and mortality after hepatic and pancreatic resections: results from one surgeon at a low-volume urban hospital over thirty years
Am J Surg. 2011 Apr;201(4):438-444, Gary S. Schwartz, Ryan Z. Swan, Lucy Ruangvoravat, Fadi F. Attiyeh
Abstract
BackgroundRecent reviews of state and national databases suggest that hospital volume is inversely proportional to morbidity after hepatic and pancreatic resection. Volume may be a surrogate marker for factors such as coordination of care and surgeon training. The authors hypothesized that low-volume centers can obtain acceptable outcomes if these requirements are satisfied.MethodsA retrospective review was performed of all hepatic and pancreatic resections performed from 1978 to 2008 by 1 surgeon...