Comparison of open and minimally invasive approaches to colon cancer resection in compliance with 12 regional lymph node harvest quality measure
| Autor: | Sumedh Kakade, Tian Sun, Austin D. Williams, Sandra L. Wong, Ned Z Carp, Lawrence N. Shulman |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Subset Analysis medicine.medical_specialty Colectomies Adolescent Databases Factual Colorectal cancer medicine.medical_treatment Hospitals Community 030230 surgery Young Adult 03 medical and health sciences 0302 clinical medicine medicine Colon cancer resection Humans Minimally Invasive Surgical Procedures Stage (cooking) Lymph node Colectomy Aged Quality Indicators Health Care Retrospective Studies Aged 80 and over business.industry Cancer General Medicine Middle Aged Prognosis medicine.disease Surgery Survival Rate medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Colonic Neoplasms Lymph Node Excision Female Laparoscopy Lymphadenectomy Lymph Nodes business Follow-Up Studies |
| Zdroj: | Journal of Surgical Oncology. 123:986-996 |
| ISSN: | 1096-9098 0022-4790 |
| Popis: | BACKGROUND There has been a growing trend toward minimally invasive surgery (MIS) for colon cancer. Pathological analysis of a minimum of 12 lymph nodes (LNs) is a benchmark for adequate resection. Here, we present a comparison of surgical techniques in achieving a full oncologic resection. METHODS Patients undergoing surgery for Stage I-III colon cancer (2010-2016) were identified from the National Cancer Database. Cases were stratified by surgical approach. Trends in approach were assessed, including whether the 12-LN benchmark was met. Uni- and multivariate regression was used to assess overall survival (OS). RESULTS A total of 290,776 colectomies were analyzed. MIS increased from 32.8% to 57.2% from 2010 to 2016 (p |
| Databáze: | OpenAIRE |
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