Keywords: Gastric cancer Surgery

in the treatment of invasive cancer. However, the majority of pa-tients have advanced disease at presentation and require palliation. Several studies have demonstrated an inverse relationship be-tween operative mortality and hospital volume for high risk Kingdom, the CalmaneHine report [7] commissioned by the stablishment of a rove outcomes in efits are less clear has been recom-performed in high al community has ith the establish-lthough the main reason for the decline in gastric cancer mortality is the reduced incidence of gastric cancer, the contribution of surgical sub-specialisation and centralisation of gastric cancer resections to units with high volume has not been evaluated as a separate entity. The aim of this study was to compare deaths and adverse events contributing to surgical mortality in patients with gastric cancer dying under surgical care over two periods before and after specialisation in surgical practice and centralisation of gastric cancer surgery