{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:29:18Z","timestamp":1773012558344,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oesophageal cancer is a highly aggressive malignancy with poor survival rates. The treatment approach is multimodal, employing endoscopy and chemoradiotherapy; however, surgical resection remains a mainstay of management. Centres with high volumes of resections are associated with improved outcomes, but an optimal number for annual caseload is not defined. International benchmarks for morbidity and mortality have been established by the Oesophageal Complications Consensus Group (ECCG) using data from high\u2010volume centres. This study compared data from a New Zealand low\u2010volume centre against these.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included all patients undergoing oesophagectomy at Tauranga Hospital between 2014 and 2023, with primary analysis comparing mortality and complications to the ECCG benchmarks. Secondary analysis stratified data by age, ethnicity, comorbidity, and preoperative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010one patients underwent oesophagectomy, with a 30\u2010day mortality of 0% and a 90\u2010day mortality of 1.6%, both below the ECCG benchmarks. However, complication rates were higher, with anastomotic leak (16.4%) and Clavien\u2010Dindo \u22653B complications (26.2%) exceeding the benchmark rates. There were no significant differences in outcomes stratified by demographic or clinical subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study finds better mortality outcomes and poorer morbidity outcomes than the benchmark. These results suggest that low\u2010volume centres which concurrently perform similar complex oncological resections and have access to dedicated Intensive Care, interventional radiology, and endoscopy may have comparable results to high\u2010volume centres. If similar centres achieve good outcomes, consideration must be given to keeping regional oesophagectomy services to reduce inequities and improve access to healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70137","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T07:44:07Z","timestamp":1745221447000},"page":"1732-1735","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ten\u2010year review of oesophagectomy in a regional New Zealand hospital: making the case for a low\u2010volume centre"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7586-1380","authenticated-orcid":false,"given":"Cain","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Veitch","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binura","family":"Lekamalage","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Mafi","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9359-8579","authenticated-orcid":false,"given":"Jeremy","family":"Rossaak","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barnaby","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riteshkumar","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgery Tauranga Hospital  Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"SEER Stat Fact Sheets:Esophagus; Survival and Stage [Internet]. 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