ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <title>BOA3 - Improving the quality of colon cancer surgery through a multidisciplinary education programme</title> <meta name="Description" content="West Nicholas, Sutton Kate, Ingeholm Peter, Hagemann-Madsen Rikke, Hohenberger Werner, Quirke Philip"><link href="../main.css" rel="stylesheet" type="text/css" /> <!--[if IE]> <link href="../ie.css" rel="stylesheet" type="text/css" /> <![endif]--> <script type="text/javascript" src="../js/external.js"></script> <script type="text/javascript" src="../js/sf.js"></script> </head> <body> <div id="hide">NCRI Conference Abstracts</div> <div id="container"> <div id="nav"> <img src="../images/ncri_logo.gif" alt="NCRI Logo" /> <ul> <li><a href='../pages/1.htm' title='Poster Session A'>Poster Session A </a></li> <li><a href='../pages/2.htm' title='Poster Session B'>Poster Session B </a></li> <li><a href='../pages/3.htm' title='Poster Session C'>Poster Session C </a></li> <li><a href='../pages/4.htm' title='Proffered Paper Sessions'>Proffered Paper Sessions</a></li> <li><a href='../pages/5.htm' title='Plenary Speakers'>Plenary Speakers </a></li> <li><a href='../pages/6.htm' title='Symposia'>Symposia </a></li> <li><a href='../pages/7.htm' title='Parallel Sessions'>Parallel Sessions </a></li> <li><a href='../pages/8.htm' title='Clinical Trials Showcase'>Clinical Trials Showcase </a></li> </ul> <form method="get" action="../search.htm" > <p><input name="zoom_query" value="Search..." id="searchText" type="text" /> <input value="" id="searchInput" type="submit" /></p> </form> </div> <div id="header"> </div> <div id="content"> <span class="breadCrumb"><a href='../pages/3.htm' title = 'Poster Session C'>Poster Session C</a> ...<a href='../pages/PosterTue7.htm' title='PosterTue7'>BOA Young Investigator Award</a></span> <h1>BOA3</h1> <h1>Improving the quality of colon cancer surgery through a multidisciplinary education programme</h1> <h2><u>Nicholas West </u><sup>1</sup>,Kate Sutton <sup>1</sup>,Peter Ingeholm <sup>2</sup>,Rikke Hagemann-Madsen <sup>3</sup>,Werner Hohenberger <sup>4</sup>,Philip Quirke <sup>1</sup></h2> <h2>Leeds Institute of Molecular Medicine, Leeds, United Kingdom <sup>1</sup>,Hillerød Hospital, Copenhagen, Denmark <sup>2</sup>,Aarhus University Hospital, Aarhus, Denmark <sup>3</sup>,University Hospital of Erlangen, Erlangen, Germany <sup>4</sup></h2> <p><b>Background</b></p> <p>The importance of the plane of surgery in rectal cancer is well established, however, the evidence for a similar effect in colon cancer is limited. We have previously reported better outcomes with mesocolic plane surgery compared to specimens with significant defects and have shown that complete mesocolic excision with central vascular ligation (CME with CVL) produces an oncologically superior specimen. We aimed to assess the quality of the specimen produced after the adoption of CME with CVL.</p> <p><b>Method</b></p> <p>We received specimen photographs and clinicopathological data from a series of 263 primary resections for colon cancer; 93 from a single unit that had decided to implement CME with CVL as standard after actively seeking training, and 170 from units which had not introduced CME with CVL. The specimens were assessed using plane of surgery, tissue morphometry and lymph node yields.</p> <p><b>Results</b></p> <p>CME with CVL surgeons were more likely to operate in the mesocolic plane (75% vs. 48%, p<0.0001) and remove more lymph nodes per specimen (median 28 vs. 18, p<0.0001). 123 fresh and 145 fixed specimen photographs were suitable for morphometry. CME with CVL surgeons removed more tissue longitudinally in both the fresh (median 315 vs. 247mm, p<0.0001) and fixed (269 vs. 207mm, p<0.0001) specimens, and centrally between the tumour and the high vascular tie in both fresh (105 vs. 84mm, p=0.006) and fixed (82 vs. 67 mm, p=0.002).</p> <p><b>Conclusion</b></p> <p>We have shown that surgeons who seek to undertake CME with CVL are more likely to operate in the mesocolic plane, remove more tissue centrally and longitudinally, and achieve greater lymph node yields. This provides evidence for the oncological superiority of CME with CVL for surgeons actively seeking surgical education, and that training can directly influence the quality of the specimen produced.</p> <p><b>Acknowledgements</b></p> <i><p><em>The authors thank the pathologists and surgeons from all the hospitals who contributed photographs and data.</em></p></i> </div> <div id="footer"> <a class="inst" href="../instructions.html"><img src="../images/intro/instructions2.jpg" alt="Instructions" width="120" height="26" /> </a> <a class="exit" href="../exit.html"><img src="../images/intro/exit2.jpg" alt="Exit" width="120" height="26" /> </a><p class="footer">Abstract CD sponsored by the <i>BJC - Nature Publishing Group</i>.</p> </div> </div> </body> </html>