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Against this background, from 2000 to 2004 Kube and his coauthors collected data on more than 31 000 patients in 346 German hospitals. From this data pool they extracted statements about the quality of care. Moreover, patients in which the surgeon had intraoperatively convert an endoscopic to an open procedure, a lower oncological result. The authors analysis produced new indicators of possible complication risks. For example, leakage from bowel sutures resulted in a significantly worse long-term outcomes of patients.View PDF of this item at:Source: Karen of honey Journal of Clinical Investigation JCI line earlier table of contents: 15.