Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Dig Surg. 2013;30(4-6):362-7. doi: 10.1159/000354857. Epub 2013 Sep 30.
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.
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.
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.
The degree of specialisation of the surgeon influences the number of lymph nodes isolated from specimens obtained during routine right-sided colon cancer surgery.
研究外科医生的专业程度或病例量与右半结肠切除术后从病理标本中分离出的淋巴结数量之间的关联程度。
该研究的数据来自于乌普萨拉/厄勒布鲁地区肿瘤中心结肠癌登记处 1997 年至 2006 年期间纳入的 6 家具有明确集水区的医院，共纳入 821 例接受右半结肠切除术的 I-III 期结肠癌患者。评估了影响淋巴结产量的因素。
在未调整和多变量分析中，具有结直肠认证和大学病理科的外科医生，其右半结肠切除术后从手术标本中分离出 12 个或更多淋巴结的患者比例明显更高。急诊手术不会影响淋巴结产量。
外科医生的专业化程度影响了常规右半结肠癌手术中从标本中分离出的淋巴结数量。
