Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children

Terui K 1 , Tachimori H 2 , Oita S 3 , Fujiogi M 4 , Fujishiro J 5 , Hirahara N 6 Show all authors , Miyata H 2 , Hishiki T 3

Affiliations 

  • 1 Department of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. kta@cc.rim.or.jp
  • 2 Endowed Course for Health System Innovation, Keio University School of Medicine, Tokyo, Japan
  • 3 Department of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan
  • 4 Department of Surgery, National Center for Child Health and Development, Tokyo, Japan
  • 5 Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
  • 6 Digital Health and Innovation Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
Surg Today, 2024 May;54(5):419-427.
PMID: 37615756 DOI: 10.1007/s00595-023-02742-5

Abstract

PURPOSE: To clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.

METHODS: We collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes of various institutions were classified into three groups: low (average number of surgeries for gastrointestinal perforation/year 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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