Impact of Hospital Volume and Risk-Standardized Mortality Rate on Complex Oncologic Surgery Outcomes
High-volume and high-performance centers had lower risk-standardized mortality rates for hepato-pancreatobiliary procedures. Redistributing patients based on risk-standardized mortality rate may save more lives compared to volume-based redistribution. These findings suggest that risk-standardized mortality rate may be a superior measure of hospital quality in complex oncologic surgery.
Liver transplantation gave better 5-year survival than liver resection in combined hepatocellular-cholangiocarcinoma, including tumors within UCSF criteria.
Robotic liver resection using a close-to-open forceps technique was associated with no bile leakage and a shorter hospital stay than laparoscopic resection, even though more complex resections were performed in the robotic group.