The effect of a multidisciplinary regional educational programme on the quality of colon cancer resection
| Autor: | Gemma E Sheehan-Dare, Claus Anders Bertelsen, Peter Ingeholm, Kate Marks, Phil Quirke, Nicholas P. West, E Tinkler-Hundal |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Surgical resection medicine.medical_specialty Colorectal cancer Denmark 03 medical and health sciences 0302 clinical medicine medicine Colon cancer resection Humans Ligation Lymph node Colectomy Aged High tie Aged 80 and over Surgeons business.industry Gastroenterology Middle Aged medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Colonic Neoplasms Lymph Node Excision Female 030211 gastroenterology & hepatology Clinical Competence Lymph Nodes business Mesocolon Program Evaluation |
| Zdroj: | Colorectal Disease. 20:105-115 |
| ISSN: | 1462-8910 |
| DOI: | 10.1111/codi.13830 |
| Popis: | Mesocolic plane surgery with central vascular ligation produces an oncologically superior specimen following colon cancer resection and appears to be related to optimal outcomes. Aim We aimed to assess whether a regional educational programme in optimal mesocolic surgery led to an improvement in the quality of specimens. Method Following an educational programme in the Capital and Zealand areas of Denmark, 686 cases of primary colon cancer resected across six hospitals were assessed by grading the plane of surgery and undertaking tissue morphometry. These were compared to 263 specimens resected prior to the educational programme. Results Across the region, the mesocolic plane rate improved from 58% to 77% (p |
| Databáze: | OpenAIRE |
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