scholarly journals Same Surgeon: Different Centre Equals Differing Lymph Node Harvest following Colorectal Cancer Resection

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
M. D. Evans ◽  
S. Robinson ◽  
S. Badiani ◽  
A. Rees ◽  
J. D. Stamatakis ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Multivariate Analysis ◽  
Lymph Node ◽  
Surrogate Marker ◽  
National Standards ◽  
Case Mix ◽  
Surgical Quality ◽  
Cancer Resection ◽  
Colorectal Cancer Resection ◽  
Study Population

Introduction. The aim of this study was to examine the effect of surgeon relocation on lymph node (LN) retrieval in colorectal cancer (CRC) resection.Methods. The study population was 213 consecutive patients undergoing CRC resection by a single surgeon, at two units: unit one 110 operations (2002–2005) and unit two 103 (2005–2009). LN yields and case mix were compared.Results. Median LN harvests were significantly different between the two centres: unit 1: 13 nodes/patient and unit 2: 22 nodes/patient (). In unit one 42% of cases were LN positive and in unit two 48% (). There was no difference in case mix. Multivariate analysis identified unit () and pathologist () as independent predictors of harvest.Conclusions. A surgeon moving units can experience significantly different LN yield following CRC resection. Both units comply with national standards, but the “surgeon's results” at the two units appear to be pathologist dependent. This has implications for nodal harvest as a surrogate marker of surgical quality.

P13. Lymph node yield following colorectal cancer resection: does surgical approach matter?

2015 ◽  
Vol 41 (11) ◽  
pp. S272-S273
Author(s):  
Sreelakshmi Mallappa ◽  
Shyamala Fernandez ◽  
Faris Kubba ◽  
Mariasoosai Pathmarajah
Keyword(s):  
Colorectal Cancer ◽  
Lymph Node ◽  
Surgical Approach ◽  
Lymph Node Yield ◽  
Cancer Resection ◽  
Colorectal Cancer Resection ◽  
Node Yield

scholarly journals Comparing Survival and Recurrence in Curative Stage I to III Colorectal Cancer in Transfused and Nontransfused Patients

2014 ◽  
Vol 99 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Yumna Talukder ◽  
Andrew P. Stillwell ◽  
Simon K. Siu ◽  
Yik-Hong Ho
Keyword(s):  
Colorectal Cancer ◽  
Overall Survival ◽  
Multivariate Analysis ◽  
Curative Resection ◽  
Cancer Recurrence ◽  
Stage I ◽  
Blood Transfusions ◽  
Cancer Resection ◽  
Colorectal Cancer Resection ◽  
Related Survival

Abstract Evidence of the association between blood transfusions and its impact on prognostic outcomes in patients who undergo curative resection of colorectal cancer remains controversial. The aim of this study was to determine whether receiving peri-operative blood transfusions during curative colorectal cancer resection affected overall survival, cancer-related survival, and cancer recurrence. This retrospective study was undertaken at The Royal Brisbane and Women's Hospital, Australia, between 1984 and 2004. The outcomes of 1370 patients undergoing curative colorectal cancer resection for TNM stage I to III were analyzed. Four hundred twenty three patients (30.9%) required transfusion and 947 patients (69.1%) did not. Peri-operative transfusion was associated with higher rates of cancer recurrence on multivariate analysis (P = 0.024, RR, 1.257, 95% CI, 1.03–1.53); however, it was not independently associated with poorer overall or cancer-related survival. Where the aim is curative resection, this study contributes to a body of evidence that blood transfusions may be associated with poorer outcomes.

scholarly journals Abdominal lymph node recurrence from colorectal cancer: Resection should be considered as a curative treatment in patients with controlled disease

2020 ◽  
Vol 35 ◽  
pp. 206-210
Author(s):  
Alban Zarzavadjian Le Bian ◽  
Laurent Genser ◽  
Nicolas Tabchouri ◽  
Clari Fillol ◽  
Anais Laforest ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Lymph Node ◽  
Curative Treatment ◽  
Abdominal Lymph Node ◽  
Cancer Resection ◽  
Lymph Node Recurrence ◽  
Colorectal Cancer Resection
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