Institutional variants for lymph node counts after pancreatic resections - 16/08/17
Abstract |
Background |
Lymph node (LN) counts from pancreatectomy are postulated as quality metric for surgical therapy of pancreatic malignancy.
Methods |
Prospectively collected data from a single surgeon's pancreatectomy experience were analyzed for predictors of LN counts.
Results |
Of 315 consecutive patients (54% female, median age: 65, range 18–88), 239 had a proven cancer diagnosis (76%). Operations included pancreatoduodenectomy (69%), distal pancreatectomy (26%), total pancreatectomy (1%) and others (4%). Patients were treated in 4 different tertiary cancer center settings (Institution A: 11%; B: 46%; C: 27%; D: 16%) with consistent regional dissection standards. Mean total LN counts differed between institutions for malignancies (A: 18, B: 13, C: 26, D: 26, p < 0.0001) and benign diseases (p = 0.003). At least 15 LNs were reported in 63% of cancer patients (institution range: 34–92%, p < 0.0001).
Conclusions |
Pathologic processing should be standardized if LN numbers are to be adopted as quality metric for pancreatic cancer resections.
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Vol 214 - N° 3
P. 437-441 - septembre 2017 Retour au numéro
Article précédent
- Locally advanced primary recto-sigmoid cancers: Improved survival with multivisceral resection
- Graham Laurence, Vanita Ahuja, Ted Bell, Rod Grim, Nita Ahuja
- Increased pancreatic cancer survival with greater lymph node retrieval in the National Cancer Data Base
- Carlo M. Contreras, Chee Paul Lin, Robert A. Oster, Sushanth Reddy, Thomas Wang, Selwyn Vickers, Martin Heslin
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