Achtung:
Umleitung auf bevorzugte Datensatz-ID: asx:176460753 → asx:177467166
Intracorporeal anastomosis could be associated with a higher lymph node yield in right colon cancer surgery: Results of the ICA‐LATAM study, a retrospective, multicentre, comparative analysis in Latin America.
In: Colorectal Disease, Jg. 26 (2024-05-01), Heft 5, S. 940-948
Online
academicJournal
Zugriff:
Aim: The aim of this work was to compare lymph node (LN) yield in patients operated on for right colon cancer (RCC) using a laparoscopic approach between those receiving an intracorporeal (ICA) or extracorporeal anastomosis (ECA). Method: This is a retrospective multicentre study involving patients operated on for RCC in nine tertiary referral centres in Latin America during a 2‐year period. The main comparative outcome between groups was the number of LNs harvested between groups. Results: The study included 416 patients, 261 (62.7%) in the ECA group and 155 (37.3%) in the ICA group. Patients in the ECA group were elderly (66 vs. 61 years, p < 0.001). Patients receiving an ICA achieved a significantly higher LN yield than those receiving an ECA (24 vs. 18, p < 0.001). This group also had a lower percentage of patients achieving a substandard LN yield (<12 LNs) (10% vs. 24.8%, p = 0.001) and more patients achieving a high number of harvested LNs (>32 LNs) (15.5% vs. 8.3%, p = 0.039). In the multivariate analysis, ICA was independently related to the primary outcome (LN yield) (OR 3.28, p = 0.027, 95% CI 1.14–9.38). Conclusion: In this retrospective study, patients operated on for RCC who received an ICA achieved a higher LN yield. Further studies are needed to reconfirm these findings, and also to find an explanation for these results. [ABSTRACT FROM AUTHOR]
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Intracorporeal anastomosis could be associated with a higher lymph node yield in right colon cancer surgery: Results of the ICA‐LATAM study, a retrospective, multicentre, comparative analysis in Latin America.
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Autor/in / Beteiligte Person: | Patrón Uriburu, Juan C. ; Araujo, Sergio ; Mario, Abedrapo ; Billy, Jimenez ; Méndez, Ramón ; Rossi, Gustavo ; Rotholtz, Nicolás ; Luis, Romagnolo ; Avellaneda, Nicolas ; Melani, Armando |
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Zeitschrift: | Colorectal Disease, Jg. 26 (2024-05-01), Heft 5, S. 940-948 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 1462-8910 (print) |
DOI: | 10.1111/codi.16962 |
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