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Results of Esophagectomy in High- and Low-Volume Centers—Reply
Ioannis Rouvelas, MD, PhD;
Jesper Lagergren, MD, PhD
Arch Surg. 2007;142(11):1113-1114.
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In reply
We thank Dr Badruddoja for his valuable comments and suggestions triggering the dialogue of this hot topic. We totally agree that patients with esophageal cancer should be discussed and treated in a multidisciplinary setting and that esophageal cancer surgery, known for its complexity, should be performed in high-volume centers by skilled and experienced esophageal surgeons. This has been expressed in the current article and highlighted in a previous study published by our group.1
The short-term and long-term survival after esophageal cancer surgery has improved significantly in Sweden since 1987 with an overall 5-year survival rate reaching 31%,2 a figure well in line with the 28% presented in a recent overview of esophagectomy.3 According to our latest data, the overall 30-day mortality in Sweden is as low as 3%,4 which is in line or lower compared with other published data worldwide.
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AUTHOR INFORMATION
RELATED LETTER
Results of Esophagectomy in High- and Low-Volume Centers
M. Badruddoja
Arch Surg. 2007;142(11):1112-1113.
EXTRACT
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RELATED ARTICLE
Impact of Hospital Volume on Long-term Survival After Esophageal Cancer Surgery
Ioannis Rouvelas, Mats Lindblad, Wenyi Zeng, Pernilla Viklund, Weimin Ye, and Jesper Lagergren
Arch Surg. 2007;142(2):113-117.
ABSTRACT
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