Does specialized surgical training increase lymph node yield in colon cancer

摘要: Most colon cancer resections do not meet the 12-lymph node minimum recommended in 2001 National Cancer Institute (NCI) panel guidelines. Previous reports suggest surgical training influences lymph recovery. We hypothesized that recent trends show improved results for lymphadenectomy regardless of specialty. The registry database at a large community hospital with an academic oncology program was queried to identify performed before (1995 2000) and after (2001 2006) NCI guideline publication. There were no changes pathology procedures between 374 early 411 later procedures. period brought increases mean total nodes (15.4 vs 10.4, P < 0.0001), positive (1.8 1.2, = 0.005), percentage yielding 12 or more (overall: 65.9 36.0%, 0.0001; Stage II III disease: 73.0 41.4%, 0.003). In addition, nodal yield increased (P 0.0001) fellowship-trained surgeons (16.7 11.2) nonfellowshiptrained (14.9 10.2). Single-registry data since 2001, most exceed recommendations recovery training. rate adequate disease is encouraging because this patient population will benefit by accurate staging cancer.