Updates in Surgery

, Volume 63, Issue 3, pp 147–150 | Cite as

Should esophageal resections for cancer be performed in high-volume centers only?

  • Carlo V. Feo
  • Victoria M. Villaflor
  • Marco G. Patti
Review Article


Esophageal resection remains the only curative option for esophageal cancer, and therefore, improving the outcome of surgery is the best method of reducing mortality. Several studies have evaluated the postoperative morbidity and mortality after esophageal resection, analyzing the relationship between volume or surgical experience and operative mortality. In this article, the evidence supporting the referral of esophageal surgery to centers with a greater experience (i.e., high-volume centers) is reviewed in order to establish the best practice.


Esophageal cancer Esophagectomy Hospital mortality Postoperative complications Treatment outcome 



Italian Network of Cancer Registries


Coronary artery bypass graft


Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Carlo V. Feo
    • 1
    • 4
  • Victoria M. Villaflor
    • 2
  • Marco G. Patti
    • 3
  1. 1.Department of SurgeryUniversity of Ferrara and University Hospital of FerraraFerraraItaly
  2. 2.Section of Hematology/OncologyUniversity of Chicago Pritzker School of MedicineChicagoUSA
  3. 3.Department of SurgeryUniversity of Chicago Pritzker School of MedicineChicagoUSA
  4. 4.Clinica ChirurgicaAzienda Ospedaliero-Universitaria di FerraraFerraraItaly

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