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Upper Gastrointestinal Tract ·

High hospital volume lowers mortality in esophageal and gastric surgery

Higher hospital surgical volume leads to significantly better outcomes for esophagectomy and gastrectomy patients.

  • 30-day mortality drops to 51% lower (odds ratio 0.51) at high-volume hospitals performing 4-239 resections/year.
  • 90-day mortality reduced by 35% (odds ratio 0.65) and fewer complications observed (odds ratio 0.83).

Surgical teams should consider hospital volume when planning procedures.

  • Optimal volume thresholds identified: 43 cases/year for esophagectomy and 15 for gastrectomy, beyond which outcomes plateau.

Journal Article by Kooij CD, Zuin IS (…) Goense L et 4 al. in Ann Surg Oncol

© 2026. The Author(s).

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