000165635 001__ 165635
000165635 005__ 20260113234334.0
000165635 0247_ $$2doi$$a10.1007/s00595-015-1214-3
000165635 0248_ $$2sideral$$a92235
000165635 037__ $$aART-2015-92235
000165635 041__ $$aeng
000165635 100__ $$aCall, S.
000165635 245__ $$aImpact of inappropriate lymphadenectomy on lung metastasectomy for patients with metastatic colorectal cancer
000165635 260__ $$c2015
000165635 5203_ $$aPurpose: To evaluate the characteristics of lymph node assessment in the Spanish Colorectal Metastasectomy Registry (GECMP-CCR) and to analyze and compare the survival of patients with pathological absence or presence of lymph node metastases (LNM) with the survival of those with uncertain lymph node status (uLNs). Methods: A total of 522 patients with lung metastases from colorectal carcinoma were prospectively registered from 2008 to 2010. To confirm the pathologic absence of LNM, systematic nodal dissection or systematic sampling was required, or the lymph node status was coded as uncertain. Disease-specific survival and disease-free survival were calculated by the Kaplan–Meier method with the log-rank test for comparisons. Results: Lymphadenectomy was performed in 250 (48 %) patients. LNM was found in 25 (10 %) of the patients who had lymph node assessment done. The 3- and 5-year disease-specific survival rates according to lymph node status were 73.5 and 58.3 % in the absence of LNM, 50.5 and 24.8 % when LNM was confirmed, and 69 and 44 % for those with uLNs, respectively (p = 0.006). Conclusions: The presence of LNM and uLNs is associated with an increased risk of death. The association of nodal assessment at the time of metastasectomy to identify LNM helps us to refine the postoperative prognosis//therefore, its impact should be properly studied in a prospective clinical trial.
000165635 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000165635 590__ $$a1.329$$b2015
000165635 591__ $$aSURGERY$$b115 / 200 = 0.575$$c2015$$dQ3$$eT2
000165635 592__ $$a0.673$$b2015
000165635 593__ $$aSurgery$$c2015$$dQ2
000165635 593__ $$aMedicine (miscellaneous)$$c2015$$dQ2
000165635 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165635 700__ $$aRami-Porta, R.
000165635 700__ $$0(orcid)0000-0003-0249-3104$$aEmbún, R.
000165635 700__ $$aCasas, L.
000165635 700__ $$aRivas, J. J.$$uUniversidad de Zaragoza
000165635 700__ $$aMolins, L.
000165635 700__ $$aBelda-Sanchís, J.
000165635 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Cirugía
000165635 773__ $$g(2015), [8 pp.]$$pSurg. today$$tSURGERY TODAY$$x0941-1291
000165635 8564_ $$s1087681$$uhttps://zaguan.unizar.es/record/165635/files/texto_completo.pdf$$yVersión publicada
000165635 8564_ $$s1562923$$uhttps://zaguan.unizar.es/record/165635/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165635 909CO $$ooai:zaguan.unizar.es:165635$$particulos$$pdriver
000165635 951__ $$a2026-01-13-22:04:36
000165635 980__ $$aARTICLE