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Impact of hospital case volume on short-term outcome after laparoscopic operation for colonic cancer

  • COLOR Study Group
Original article

Abstract

Background

High hospital case volume has been associated with improved outcome after open operation for colorectal malignancies.

Methods

To assess the impact of hospital case volume on short-term outcome after laparoscopic operation for colon cancer, we conducted an analysis of patients who underwent laparoscopic colon resection within the COlon Cancer Laparoscopic or Open Resection (COLOR) trial.

Results

A total of 536 patients with adenocarcinoma of the colon were included in the analysis. Median operating time was 240, 210 and 188 min in centers with low, medium, and high case volumes, respectively (p < 0.001). A significant difference in conversion rate was observed among low, medium, and high case volume hospitals (24% vs 24% vs 9%; p < 0.001). A higher number of lymph nodes were harvested at high case volume hospitals (p < 0.001). After operation, fewer complications (p = 0.006) and a shorter hospital stay (p < 0.001) were observed in patients treated at hospitals with high caseloads.

Conclusions

Laparoscopic operation for colon cancer at hospitals with high caseloads appears to be associated with improved short-term results.

Keywords

Laparoscopy Colon cancer Case volume Caseload Cancer 

Notes

Acknowledgments

We are grateful to Ethicon Endo-Surgery for its support of the trial and to J. G. van Duuren–van Pelt for management of the data.

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  1. 1.Department of SurgeryErasmus University Medical Center RotterdamThe Netherlands

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