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Degree of Specialis...
Degree of Specialisation of the Surgeon Influences Lymph Node Yield after Right-Sided Hemicolectomy
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- Brännstrom, Fredrik (författare)
- Umeå universitet,Uppsala universitet,Gastrointestinalkirurgi,Kirurgi,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden and Department of Surgical Sciences, Karolinska Institute, Stockholm, Sweden
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- Jestin, Pia (författare)
- Uppsala universitet,Kolorektalkirurgi,Department of Surgical Sciences, Uppsala University, Uppsala, bDepartment of Surgical Sciences, Karolinska Institute, Stockholm
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- Matthiessen, P. (författare)
- Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Gunnarsson, Ulf, 1967- (författare)
- Karolinska Institutet,Umeå universitet,Kirurgi,Department of Surgical Sciences, Karolinska Institute, Stockholm
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(creator_code:org_t)
- 2013-09-30
- 2013
- Engelska.
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Ingår i: Digestive Surgery. - Basel : S. Karger AG. - 0253-4886 .- 1421-9883. ; 30:4-6, s. 362-367
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Aim: To investigate the degree to which specialisation or case-load of the surgeon is associated with the number of lymph nodes isolated from pathology specimens after right-sided hemicolectomy. Method: Data from 6 hospitals with well-defined catchment areas included in the Uppsala/Orebro Regional Oncology Centre Colon Cancer Register 1997-2006 were used to assess 821 patients undergoing right-sided hemicolectomy for stages I Ill colon cancer. Factors influencing the lymph node yield were evaluated. Results: A surgeon with colorectal accreditation and a university pathology department were both associated with a significantly higher proportion of patients having 12 or more lymph nodes isolated from surgical specimens after right-sided hemicolectomy in both unadjusted and multivariate analyses. Emergency surgery did not affect the lymph node yield. Conclusion: The degree of specialisation of the surgeon influences the number of lymph nodes isolated from specimens obtained during routine right-sided colon cancer surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Specialisation
- Case-load
- Lymph node yield
- Colon cancer
- Hemicolectomy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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