Increased lymph node harvest in patients operated on for right-sided colon cancer: a population-based study.

摘要: Aim  In recent decades, the focus has been on treatment of rectal cancer with improved surgical techniques. This resulted in results for patients cancer. Recently, shifted to colon surgery introduction preoperative staging, new techniques, quality control and enhanced recovery programmes. The change operative techniques most pronounced tumours right side colon, more extensive resections proximal ligations vessels. aim this study was assess number analysed lymph nodes metastatic index (MI) operated right-sided Stockholm area between 1996 2009. Method  All January December 2009 were divided into three groups based year which they (period 1, 1996–1999; period 2, 2000–2004; 3, 2005–2009). node status analysed. Results  total, 3536 during period. There a significantly lower proportion emergency operations third time mean examined increased overall (seven 11 2 18 3; P < 0.001). A significant drop MI seen (0.25, compared 0.40 1 2; P < 0.001). Conclusion  During there an increase decrease after hemicolectomies. Further investigations are needed evaluate potential impact short-term long-term outcome.