Degree of specialisation of the surgeon influences lymph node yield after right-sided hemicolectomy.

Abstract:

AIM:To investigate the degree to which specialisation or case-load of the surgeon is associated with the number of lymph nodes isolated from pathology specimens after right-sided hemicolectomy. METHOD:Data from 6 hospitals with well-defined catchment areas included in the Uppsala/Örebro Regional Oncology Centre Colon Cancer Register 1997-2006 were used to assess 821 patients undergoing right-sided hemicolectomy for stages I-III colon cancer. Factors influencing the lymph node yield were evaluated. RESULTS:A surgeon with colorectal accreditation and a university pathology department were both associated with a significantly higher proportion of patients having 12 or more lymph nodes isolated from surgical specimens after right-sided hemicolectomy in both unadjusted and multivariate analyses. Emergency surgery did not affect the lymph node yield. CONCLUSION:The degree of specialisation of the surgeon influences the number of lymph nodes isolated from specimens obtained during routine right-sided colon cancer surgery.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Brännström F,Jestin P,Matthiessen P,Gunnarsson U

doi

10.1159/000354857

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

362-7

issue

4-6

eissn

0253-4886

issn

1421-9883

pii

000354857

journal_volume

30

pub_type

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