Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 5/2005

01-05-2005 | Original article

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

Author: COLOR Study Group

Published in: Surgical Endoscopy | Issue 5/2005

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
Beart, RW, Steele, GD,Jr, Menck, HR, Chmiel, JS, Ocwieja, KE, Winchester, DP 1995Management and survival of patients with adenocarcinoma of colon and rectum: a national survey of the Commission on CancerJ Am Coll Surg181225236PubMed
2.
Bennett, CL, Stryker, SJ, Ferreira, MR, Adams, J, Beart, RW,Jr 1997The learning curve for laparoscopic colorectal surgery: preliminary results of a prospective analysis of 1194 laparoscopic-assisted colectomiesArch Surg1324144PubMed
3.
Berends, FJ, Kazemier, G, Bonjer, HJ 1994Subcutaneous metastases after laparoscopic colectomyLancet34458CrossRef
4.
Birkmeyer, JD, Siewers, AE, Finlayson, EV, Stukel, TA, Lucas, FL, Batista, I, Welch, HG,  et al. 2002Hospital volume and surgical mortality in the United StatesN Engl J Med34611281137PubMed
5.
.,  2004A comparison of laparoscopically assisted and open colectomy for colon cancerN Engl J Med35020502059PubMed
6.
Delgado, S, Lacy, AM, Garcia Valdecasas, JC, Balague, C, Pera, M, Salvador, L, Momblan, D,  et al. 2000Could age be an indication for laparoscopic colectomy in colorectal cancer?Surg Endosc142226CrossRefPubMed
7.
Dimick, JB, Cowan, JA,Jr, Upchurch, GR,Jr, Colletti, LM 2003Hospital volume and surgical outcomes for elderly patients with colorectal cancer in the United StatesJ Surg Res1145056PubMed
8.
Fleming, ID, Cooper, JS, Henson, DE, Hutler, RVP, Kennedy, BJ, Murphy, GP, O’Sullivan, B, Yarbro, JW 1997AJCC cancer staging manual5Wiley-LissNew York
9.
Harmon, JW, Tang, DG, Gordon, TA, Bowman, HM, Choti, MA, Kaufman, HS, Bender, JS,  et al. 1999Hospital volume can serve as a surrogate for surgeon volume for achieving excellent outcomes in colorectal resectionAnn Surg230404413PubMed
10.
Kee, F, Wilson, RH, Harper, C, Patterson, CC, McCallion, K, Houston, RF, Moorehead, RJ,  et al. 1999Influence of hospital and clinical workload on survival from colorectal cancer: cohort studyBMJ31813811386PubMed
11.
Lacy Am, , Garcia-Valdecacas, JC, Delgado, S, Castells, A, Taurá, P, Piqué, JM, Visa, J 2002Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trialLancet35922242229PubMed
12.
Meyerhardt, JA, Tepper, JE, Niedzwiecki, D, Hollis, DR, Schrag, D, Ayanian, JZ, O’Connell, MJ,  et al. 2004Impact of hospital procedure volume on surgical operation and long-term outcomes in high-risk curatively resected rectal cancer: findings from the Intergroup 0114 StudyJ Clin Oncol22166174PubMed
13.
Nduka, CC, Monson, JR, Menzies-Gow, N 1994Abdominal wall metastases following laparoscopyBr J Surg81648652
14.
Phillips, EH, Franklin, M, Carroll, BJ, Falls, MJ, Ramos, R, Rosenthal, D 1992Laparoscopic colectomyAnn Surg216702707
15.
Schlachta, CM, Mamazza, J, Seshadri, PA, Cadeddu, M, Gregoire, R, Poulin, EC 2001Defining a learning curve for laparoscopic colorectal resectionDis Colon Rectum44217222PubMed
16.
Schrag, D, Cramer, LD, Bach, PB, Cohen, AM, Warren, JL, Begg, CB 2000Influence of hospital volume on outcomes following surgery for colon cancerJAMA28430283035PubMed
17.
Simons, AJ, Anthone, GJ, Ortega, AE, Franklin, M, Fleshman, J, Geis, WP, Beart, RW,Jr 1995Laparoscopic-assisted colectomy learning curveDis Colon Rectum38600603PubMed
18.
Simons, AJ, Ker, R, Groshen, S, Gee, C, Anthone, GJ, Ortega, AE, Vukasin, P,  et al. 1997Variations in treatment of rectal cancer: the influence of hospital type and caseloadDis Colon Rectum40641646PubMed
19.
Weeks, JC Nelson, H Gelber, S Sargent, D Schroeder, G Clinical Outcomes of Surgical Therapy (COST) Study Group2002Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trialJAMA287321328CrossRefPubMed
20.
Zingmond, D, Maggard, M, O’Connell, J, Liu, J, Etzioni, D, Ko, C 2003What predicts serious complications in colorectal cancer resection?Am Surg69369974
Metadata
Title
Impact of hospital case volume on short-term outcome after laparoscopic operation for colonic cancer
Author
COLOR Study Group
Publication date
01-05-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8920-z

Other articles of this Issue 5/2005

Surgical Endoscopy 5/2005 Go to the issue

Original article

Self-reported versus observed scores in laparoscopic skills training

Original article

The effect of delayed visual feedback on telerobotic surgery

Original article

The value of endoscopic diagnosis and the treatment of pancreas injuries following blunt abdominal trauma

Original article

Technique and survival after laparoscopically assisted right hemicolectomy

OriginalPaper

Diagnostic laparoscopy improves staging of pancreatic cancer deemed locally unresectable by Computed Tomography

Letter to the editor

Extended indications of laparoscopic procedures to advanced gastric cancer