Degree of specialisation of the surgeon influences lymph node yield after right-sided hemicolectomy
2013 (English)In: Digestive Surgery, ISSN 0253-4886, E-ISSN 1421-9883, Vol. 30, no 4-6, 362-367 p.Article in journal (Refereed) Published
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.
© 2013 S. Karger AG, Basel.
Place, publisher, year, edition, pages
Basel: S. Karger, 2013. Vol. 30, no 4-6, 362-367 p.
Specialisation; Case-load; Lymph node yield; Colon
IdentifiersURN: urn:nbn:se:umu:diva-83438DOI: 10.1159/000354857ISI: 000332591600015PubMedID: 24080680OAI: oai:DiVA.org:umu-83438DiVA: diva2:667148