Workload and surgeon´s specialty for outcome after colorectal cancer surgery

Archampong, David; Borowski, David W; Wille‐Jørgensen, Peer; Iversen, Lene Hjerrild

doi:10.1002/14651858.cd005391.pub3

Cited by 214 publications

(216 citation statements)

References 121 publications

Supporting

Mentioning

203

Contrasting

Unclassified

Order By: Relevance

“…Higher-volume hospitals are better capable to prevent, detect and treat complications, in part because of their higher level of supportive care. The institution constitutes an independent prognostic factor, and both higher surgeon and hospital volumes are associated with lower mortality and better outcomes in colorectal cancer surgery [40]. …”

Section: Resultsmentioning

confidence: 99%

Qualitative and Quantitative Issues of Lymph Nodes as Prognostic Factor in Colon Cancer

Veen¹,

Nedrebø²,

Stormark³

et al. 2013

Dig Surg

View full text Add to dashboard Cite

For patients undergoing curative resections for colon cancer, the nodal status represents the strongest prognostic factor, yet at the same time the most disputed issue as well. Consequently, the qualitative and quantitative aspects of lymph node evaluation are thus being scrutinized beyond the blunt distinction between ‘node positive' (pN+) and ‘node negative' (pN0) disease. Controversy ranges from a minimal or ‘least-unit' strategy as exemplified by the ‘sentinel node' to a maximally invasive or ‘all inclusive' approach by extensive surgery. Ranging between these two extremes of node sampling strategies are factors of quantitative and qualitative value, which may be subject to modification. Qualitative issues may include aspects of lymph node harvest reflected by surgeon, pathologist and even hospital performance, which all may be subject to modification. However, patient's age, gender and genotype may be non-modifiable, yet influence node sample. Quantitative issues may reflect the balance between absolute numbers and models investigating the relationships of positive to negative nodes (lymph node ratio; log odds of positive lymph nodes). This review provides an updated overview of the current controversies and a state-of-the-art perspective on the qualitative and quantitative aspects of using lymph nodes as a prognostic marker in colon cancer.

show abstract

Section: Resultsmentioning

confidence: 99%

Qualitative and Quantitative Issues of Lymph Nodes as Prognostic Factor in Colon Cancer

Veen¹,

Nedrebø²,

Stormark³

et al. 2013

Dig Surg

View full text Add to dashboard Cite

show abstract

“…The Cochrane review by Archampong et al considered the impact of caseload and specialisation on outcomes of colorectal cancer surgery and found a positive relationship between high surgeon volume and better outcomes 21 .…”

Section: Discussionmentioning

confidence: 99%

“…There is some evidence in literature that higher surgeon volume can result in lower stoma rate 20,21 and better disease free and overall survival following colon cancer surgery 21 . The results of all elective laparoscopic colectomies were studied.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic colectomy in a district hospital: the single surgeon can be safe

Khushal

Parkin

Bates

2017

Acta Chirurgica Belgica

View full text Add to dashboard Cite

“…A műtéttechnika minőségét mára önálló prognosztikai faktorként tartják számon mind a vastagbél, mind a vég-bél sebészetében [6][7][8].…”

Section: Eredeti Közleményunclassified

Új távlatok a végbélrák sebészetében: Transanalis teljes mesorectum excisio. Kezdeti eredményeink

et al. 2018

View full text Add to dashboard Cite

Bevezetés: Hazánkban a colorectalis carcinoma a második leggyakoribb daganatos halálozási ok. Legfontosabb prognosztikai tényező a teljes túlélés szempontjából az operabilitás, valamint a műtét technikai minősége. A végbélrák műtéti "gold standardja" a teljes mesorectum excisio, mely a betegek egy részénél alkati sajátságokból és anatómiai viszonyokból adódóan laparoszkópos módszerrel gyakran nehezen vagy inkomplett módon kivitelezhető. Egy új műtéti koncepció, a transanalis teljes mesorectum excisio (TaTME) azonban megoldást jelenthet erre a problémára, felhasználva a legmodernebb sebészeti technika nyújtotta lehetőségeket. Célkitűzés: Az új műtéti technika hazai bevezetésének, kezdeti tapasztalatainak bemutatása. Módszer: Az új eljárást Magyarországon az elsők között két munkacsoport alkalmazta. Egyéves esetsorozatuk tapasztalatait retrospektíve elemeztük. Eredmények: A szerzői munkacsoportok összesen 17 transanalis teljes mesorectum excisio (TaTME) műtétet végez-tek. Súlyos intra-vagy posztoperatív szövődmény 2 esetben fordult elő. Perioperatív halálozás nem történt. Végleges colostoma képzésére 3 esetben került sor. Következtetés: Közleményünk az alsó és középső harmadi végbéldaganatok transanalis teljes mesorectalis excisiójával szerzett első hazai tapasztalatokat ismerteti. A korai klinikai eredmények a rectumcarcinoma sebészetének egy forradalmian új korszakát vetítik előre. Orv Hetil. 2018; 159(1): 16-22.Kulcsszavak: végbélrák, műtét, TaTME, transanalis, teljes mesorectum excisio New perspectives in rectal cancer surgery: Transanal total mesorectal excision Initial experiencesIntroduction: Colorectal cancer is the second most frequent cause of oncologic mortality. Its key prognostic factors are operability and surgical quality. Total mesorectal excision is the gold standard of rectal cancer surgery, however, it is hardly achievable with the laparoscopic technique in a number of cases due to anatomical issues. Transanal total mesorectal excision (TaTME) is a new operative concept, which may address this technical problem. Aim: We aimed to present the initial Hungarian experiences with the new technique. Method: Retrospective analysis of clinical data of the first year case series at two Hungarian centers initiating the technique. Results: A total of 17 transanal total mesorectal excision (TaTME) operations were performed at two centers. Major perioperative complications happened in two cases. There was no 30-day mortality. Conclusions: Early Hungarian experiences with transanal total mesorectal excision (TaTME) give hope of a brand new era of rectal cancer surgery.

show abstract

Workload and surgeon´s specialty for outcome after colorectal cancer surgery

Cited by 214 publications

References 121 publications

Qualitative and Quantitative Issues of Lymph Nodes as Prognostic Factor in Colon Cancer

Qualitative and Quantitative Issues of Lymph Nodes as Prognostic Factor in Colon Cancer

Laparoscopic colectomy in a district hospital: the single surgeon can be safe

Új távlatok a végbélrák sebészetében: Transanalis teljes mesorectum excisio. Kezdeti eredményeink

Contact Info

Product

Resources

About