“…In recent years there has been steady improvement in outcome parameters including postoperative mortality following oesophagectomy for oesophageal cancer [50][51][52]. The reasons for this improvement are multi-factorial but include better patient selection, preoperative optimisation, centralisation of services, advances in surgical technique and improvements in perioperative care [17,53]. The centralisation of oesophageal cancer surgical services to high volume centres with the appropriate infrastructure to manage these complex patients and deliver a consistently high level of care has been shown to reduce oesophagectomy associated morbidity and mortality [43,44,54].…”