Forum für Wissenschaft, Industrie und Wirtschaft

Hauptsponsoren:     3M 
Datenbankrecherche:

 

Surgical skill increases survival for oesophageal cancer surgery

13.04.2004


Resection of the oesophagus for cancer should no longer be an operation with a high mortality rate provided experienced surgeons are involved as part of a multidisciplinary team”, according to Mr Subhajit Dutta Roy, Clinical Research Fellow at the Surgical Research Unit, Leighton Hospital, Crewe in the United Kingdom. Mr Dutta Roy was speaking at the 12th Congress of the European Society of Surgical Oncology in Budapest.

Oesophageal cancer is closely associated with alcohol consumption and tobacco smoking. The UK has one of the highest incidences of oesophageal cancer in Europe and each year there are around 4,200 deaths from the disease[1].

The mainstay of treatment for oesophageal cancer is surgery to remove the oesophagus, a procedure known as ‘oesophagectomy’. However, the procedure is known for having a relatively high mortality rate.



Mr Dutta Roy and his colleagues used the Hospital Episodes Statistics database to examine the outcome of 6,950 oesophagectomies in England over a four year period from 1997 - 2001. They found that in those hospitals with high oesophagectomy case-loads there was a corresponding, and statistically significant, improvement in operative survival. Mr Dutta Roy acknowledged that in-hospital mortality can arise from a number of factors, and assessing outcome measures for all types of complex surgical procedures is inherently difficult. “However, the statistics show a clear survival benefit where experienced surgeons perform the procedure”, he added.

These results mirror those found in other studies and further suggest that surgical skill is a major factor in successful outcome of surgical procedures for a range of cancers, and may also suggest a potential beneficial effect of centralization of oesophageal cancer surgery in England.

There are currently no specialist oesophageal centers in the UK and Mr Dutta Roy cautions against steps to develop them on the basis of these results alone. “Centralizing the resources for one specific procedure in a specialist center may, in fact, make matters worse as better results from high volume centres lack specificity and may be due to inherent structures and processes in place in ‘bigger’ hospitals”. “It would make more sense to develop specialized, regional centers for all complex surgical procedures”, said Mr Dutta Roy.

[1] Data obtained from the Globocan 2000 report – available through the International Agency for Research on Cancer (IARC) website

Stuart Bell | alfa

Weitere Nachrichten aus der Kategorie Medizin Gesundheit:

nachricht Aromatherapie bei COPD
12.05.2015 | Airnergy AG

nachricht Chronische Wunden können heilen
16.10.2017 | Universitätsklinik der Ruhr-Universität Bochum - Herz- und Diabeteszentrum NRW Bad Oeynhausen

Alle Nachrichten aus der Kategorie: Medizin Gesundheit >>>

Die aktuellsten Pressemeldungen zum Suchbegriff Innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Breaking: the first light from two neutron stars merging

Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.

Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....

Im Focus: Topologische Isolatoren: Neuer Phasenübergang entdeckt

Physiker des HZB haben an BESSY II Materialien untersucht, die zu den topologischen Isolatoren gehören. Dabei entdeckten sie einen neuen Phasenübergang zwischen zwei unterschiedlichen topologischen Phasen. Eine dieser Phasen ist ferroelektrisch: das bedeutet, dass sich im Material spontan eine elektrische Polarisation ausbildet, die sich durch ein äußeres elektrisches Feld umschalten lässt. Dieses Ergebnis könnte neue Anwendungen wie das Schalten zwischen unterschiedlichen Leitfähigkeiten ermöglichen.

Topologische Isolatoren zeichnen sich dadurch aus, dass sie an ihren Oberflächen Strom sehr gut leiten, während sie im Innern Isolatoren sind. Zu dieser neuen...

Im Focus: Smarte Sensoren für effiziente Prozesse

Materialfehler im Endprodukt können in vielen Industriebereichen zu frühzeitigem Versagen führen und den sicheren Gebrauch der Erzeugnisse massiv beeinträchtigen. Eine Schlüsselrolle im Rahmen der Qualitätssicherung kommt daher intelligenten, zerstörungsfreien Sensorsystemen zu, die es erlauben, Bauteile schnell und kostengünstig zu prüfen, ohne das Material selbst zu beschädigen oder die Oberfläche zu verändern. Experten des Fraunhofer IZFP in Saarbrücken präsentieren vom 7. bis 10. November 2017 auf der Blechexpo in Stuttgart zwei Exponate, die eine schnelle, zuverlässige und automatisierte Materialcharakterisierung und Fehlerbestimmung ermöglichen (Halle 5, Stand 5306).

Bei Verwendung zeitaufwändiger zerstörender Prüfverfahren zieht die Qualitätsprüfung durch die Beschädigung oder Zerstörung der Produkte enorme Kosten nach...

Im Focus: Smart sensors for efficient processes

Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).

When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...

Im Focus: Cold molecules on collision course

Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.

How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...

Alle Focus-News des Innovations-reports >>>

Anzeige

Anzeige

IHR
JOB & KARRIERE
SERVICE
im innovations-report
in Kooperation mit academics
Veranstaltungen

DFG unterstützt Kongresse und Tagungen - Dezember 2017

17.10.2017 | Veranstaltungen

Intelligente Messmethoden für die Bauwerkssicherheit: Fachtagung „Messen im Bauwesen“ am 14.11.2017

17.10.2017 | Veranstaltungen

Meeresbiologe Mark E. Hay zu Gast bei den "Noblen Gesprächen" am Beutenberg Campus in Jena

16.10.2017 | Veranstaltungen

 
VideoLinks
B2B-VideoLinks
Weitere VideoLinks >>>
Latest News

Plant escape from waterlogging

17.10.2017 | Life Sciences

Study suggests oysters offer hot spot for reducing nutrient pollution

17.10.2017 | Life Sciences

Breaking: the first light from two neutron stars merging

17.10.2017 | Physics and Astronomy