Establishing a complex surgical oncology program with low morbidity and mortality at a community hospital - 13/03/15
Abstract |
Background |
We report our experience with a large volume of complex oncologic resections and describe the framework necessary to develop a program with low morbidity and mortality in a community hospital.
Methods |
From August 2010 to May 2014, 224 consecutive patients underwent abdominal oncological resection, at a community hospital by a single surgeon (R.N.B.). Cases included pancreatic, gastric, hepatobiliary, colorectal, hyperthermic intraperitoneal chemotherapy with cytoreduction, splenic, and sarcoma resections. We retrospectively reviewed our prospectively maintained database and evaluated postoperative complications.
Results |
There was no 0, 30-, 60-, or 90-day mortality. The complication rate was 44%, including 5% grade I, 28% grade II, 9% grade III, and 1% grade IV complications. The median length of stay was 8 days. Mean follow-up for the entire group was 643 days.
Conclusion |
Our study demonstrates that complex oncologic resections can be safely performed in the community setting if a well-organized, surgeon-led multidisciplinary team is assembled.
Le texte complet de cet article est disponible en PDF.Keywords : Morbidity, Mortality, Oncologic resection, Multidisciplinary team, Community hospital
Plan
Vol 209 - N° 3
P. 536-541 - mars 2015 Retour au numéro
Article précédent
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