作者
Maria Widmar, Metin Keskin, Paul Strombom, Pedro Beltran, Oliver S Chow, J Joshua Smith, Garrett M Nash, Jinru Shia, David Russell, Julio Garcia‐Aguilar
发表日期
2017/10
期刊
Colorectal disease
卷号
19
期号
10
页码范围
888-894
简介
Aim
Studies have demonstrated a relationship between lymph node (LN) yield and survival after colectomy for cancer. The impact of surgical technique on LN yield has not been well explored.
Method
This is a retrospective study of right colectomy (RC) for cancer at a single institution from 2012 to 2014. Exclusion criteria were previous colectomy and emergent and palliative operations. All data were collected by chart review. Primary outcomes were LN yield and the LN to length of surgical specimen (LN‐LSS) ratio. Multivariable mixed models were created with surgeon and pathologist as random effects. Sensitivity analyses were performed to exclude Stage IV cancers and to analyse groups on an ‘as‐treated’ basis.
Results
We identified 181 open (O‐RC), 163 laparoscopic (L‐RC) and 119 robotic (R‐RC) right colectomies. O‐RC was more commonly performed in women with metastatic disease. The mean LN …
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