RT Journal
A1 Schittek A
T1 NO anastomotic leaks after colorectal surgery in rural community hospitals
JF Archives of Surgery
JO Archives of Surgery
YR 2009
FD October 1
VO 144
IS 10
SP 977
OP 980
DO 10.1001/archsurg.2009.174
UL http://dx.doi.org/10.1001/archsurg.2009.174
AB 
My complete log of operations shows that my case volume of colorectal cases was relatively low, but I have had 0 anastomotic leaks. I counted all of my colorectal cases from December 1991 until March 2009. I was surprised at the small total number: only 102. The mean patient age was 68.2 years. I “brag” of my results to put perspective on the belief that “high volume translates in superior results.” But, in the “fish bowl,” one cannot afford a single mistake.