Volume-Outcome Relationship in Oncological Surgery

1 Introduction.- 2 A Brief Hystory of This Topic.- 3 Determinants of Outcome in Health Care.- 4 State of The Art in Italy : The Role of Agenas.- 5 Outcome and Quality Control in Surgery.- 6 Outcome in  Esophagogastric  Surgery.- 7  Outcome in Hepatobiliary  Surgery.- 8 Outcome in Pancreatic Surgery.- 9 Outcome in Colorectal Surgery.- 10 Outcome in Surgery of Sarcomas.- 11 Outcome in Breast Surgery.- 12 Outcome in Endocrine Surgery.- 13 Outcome in Thoracic Surgery.- 14 The Specific Role of Minimally Invasive Surgery  ( Lap And Robotics ).- 15 How to Tackle with this Problem in Different European Nations.- 16 Outcome in Usa.- 17 Outcome in Non Oncologic Surgery : is it Worth a Discussion?.- 18 Proposal and Solutions in Italy with Experiences from Different Regions.- 19 Conclusions and Call for Actions.

The book offers a comprehensive review of the relations between volumes and outcomes in oncological surgery especially in Italian hospitals, based on national and regional data. After illustrating the quality-control methodology and the determinants of surgical outcomes, it discusses the volume-outcome relationship in different fields of surgical oncology (cancers of the upper and lower gastrointestinal tract, hepatopancreatobiliary system, breast, sarcomas etc.) and suggests possible solutions. The latest findings from Europe and the USA are also presented.

Marco Montorsi is Full Professor of Surgery and Rector of Humanitas University, Pieve Emanuele, Milan, and Head of the Department of General Surgery,Humanitas Clinical and Research Center IRCCS, Rozzano, Milan (Italy). He served as President of the Italian Society of Surgery from 2016 to 2018. His research and clinical activity is focused on digestive diseases and the surgical treatment of conditions mainly involving the hepatopancreatobiliary system and colorectal tract, as well as on open and laparoscopic surgery of the abdominal wall.