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Adenocarcinoma of the Esophagogastric Junction pp 101–105Cite as

Hospital Volume and Centralization in EGJ Cancer

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Abstract

Surgical procedures for cancer of the esophagus are complex operations, with considerable perioperative morbidity and mortality that require high use of resources. Recent reports indicate better results with centralization of these procedures consisting of case referral to high-volume hospitals with surgeons and staff specifically committed to the management of these patients. Many studies have demonstrated a significant relation between the number of resections performed and reduction of mortality rate and a parallel inverse relation between volume of esophagectomies in single hospitals and length of postoperative stay.

Operative volume seems also to relate to late survival after esophagectomy.

Centralization of care on a regional level and standardized clinical pathways of diagnosis and care at single healthcare organizations and professionals should be implemented in order to improve clinical results in patients affected by esophageal and cardia cancer.

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Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, San Raffaele Hospital and Vita-Salute University School of Medecine, Via Olgettina 60, Milan, 20132, Italy

    Riccardo Rosati MD, FACS

  2. Unit of Upper Gastrointestinal Surgery, Humanitas Clinical and Research Hospital, Via Manzoni 56, Rozzano, 20089, Italy

    Uberto Fumagalli Romario MD

Authors
  1. Riccardo Rosati MD, FACS
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  2. Uberto Fumagalli Romario MD
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Corresponding authors

Correspondence to Riccardo Rosati MD, FACS or Uberto Fumagalli Romario MD .

Editor information

Editors and Affiliations

  1. Upper Gastrointestinal and General Surgery, University of Verona, Verona, Italy

    Simone Giacopuzzi

  2. Upper Gastrointestinal and General Surgery, University of Verona, Verona, Italy

    Andrea Zanoni

  3. Upper Gastrointestinal and General Surgery, University of Verona, Verona, Italy

    Giovanni de Manzoni

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Rosati, R., Romario, U.F. (2017). Hospital Volume and Centralization in EGJ Cancer. In: Giacopuzzi, S., Zanoni, A., de Manzoni, G. (eds) Adenocarcinoma of the Esophagogastric Junction. Springer, Cham. https://doi.org/10.1007/978-3-319-28776-8_12

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  • DOI: https://doi.org/10.1007/978-3-319-28776-8_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28774-4

  • Online ISBN: 978-3-319-28776-8

  • eBook Packages: MedicineMedicine (R0)

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