Does specialized surgical training increase lymph node yield in colon cancer?

Nicholl, Michael B., Wright, Byron E., Conway, W. Charles, Aarnes-Leong, Trista, Sim, Myung-Shin and Faries, Mark B. (2009). Does specialized surgical training increase lymph node yield in colon cancer?. In: 20th Annual Scientific Meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, CA, United States, (887-891). 16-18 January 2009.

Author Nicholl, Michael B.
Wright, Byron E.
Conway, W. Charles
Aarnes-Leong, Trista
Sim, Myung-Shin
Faries, Mark B.
Title of paper Does specialized surgical training increase lymph node yield in colon cancer?
Conference name 20th Annual Scientific Meeting of the Southern California Chapter of the American College of Surgeons
Conference location Santa Barbara, CA, United States
Conference dates 16-18 January 2009
Journal name American Surgeon   Check publisher's open access policy
Place of Publication Cumming, GA, United States
Publisher Southeastern Surgical Congress
Publication Year 2009
Sub-type Fully published paper
ISSN 0003-1348
1555-9823
Volume 75
Issue 10
Start page 887
End page 891
Total pages 4
Language eng
Formatted Abstract/Summary
Most colon cancer resections do not meet the 12-lymph node minimum recommended in 2001 National Cancer Institute (NCI) panel guidelines. Previous reports suggest surgical training influences lymph node recovery. We hypothesized that recent trends show improved results for lymphadenectomy regardless of specialty. The cancer registry database at a large community hospital with an academic surgical oncology training program was queried to identify resections performed for colon cancer before (1995 to 2000) and after (2001 to 2006) NCI guideline publication. There were no changes in pathology procedures between 374 early and 411 later procedures. The later period brought increases in mean total lymph nodes (15.4 vs 10.4, P < 0.0001), total positive nodes (1.8 vs 1.2, P = 0.005), and the percentage of procedures yielding 12 or more nodes (overall: 65.9 vs 36.0%, P < 0.0001; Stage II and III disease: 73.0 vs 41.4%, P < 0.003). In addition, mean nodal yield increased (P < 0.0001) for fellowship-trained surgeons (16.7 vs 11.2) and nonfellowship-trained surgeons (14.9 vs 10.2). Single-registry data show that since 2001, most colon resections exceed minimum recommendations for lymph node recovery regardless of surgical training. The increased rate of adequate lymphadenectomy for Stage II and III disease is encouraging because this patient population will benefit most by accurate staging of colon cancer.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

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Created: Mon, 14 Mar 2011, 08:52:54 EST