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Degree of Specialisation of the Surgeon Influences Lymph Node Yield after Right-Sided Hemicolectomy
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Colorectal Surgery.
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
Abstract [en]

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/Orebro Regional Oncology Centre Colon Cancer Register 1997-2006 were used to assess 821 patients undergoing right-sided hemicolectomy for stages I Ill 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.

Place, publisher, year, edition, pages
2013. Vol. 30, no 4-6, 362-367 p.
Keyword [en]
Specialisation, Case-load, Lymph node yield, Colon cancer, Hemicolectomy
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-223591DOI: 10.1159/000354857ISI: 000332591600015OAI: oai:DiVA.org:uu-223591DiVA: diva2:713345
Available from: 2014-04-22 Created: 2014-04-22 Last updated: 2017-12-05Bibliographically approved

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Brännstrom, FredrikJestin, Pia

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