Journal of Gastrointestinal Surgery

, Volume 13, Issue 8, pp 1459–1463

Colorectal Surgical Specimen Lymph Node Harvest: Improvement of Lymph Node Yield with a Pathology Assistant

  • Jeffery A. Reese
  • Christopher Hall
  • Kelly Bowles
  • Robert C. Moesinger
2008 SSAT Poster Presentation Manuscript

DOI: 10.1007/s11605-009-0820-z

Cite this article as:
Reese, J.A., Hall, C., Bowles, K. et al. J Gastrointest Surg (2009) 13: 1459. doi:10.1007/s11605-009-0820-z

Abstract

Introduction

Adequate lymph node harvest from colorectal cancer specimens has become a standard of care, influencing both staging and survival. To improve lymph node harvests at our hospital, a pathology assistant was trained to meticulously harvest lymph nodes from colorectal cancer specimens. An analysis of trends in lymph node harvests over time is presented.

Methods

The number of harvested lymph nodes from 391 consecutive colorectal cancer pathology reports was retrospectively reviewed from a single community hospital over 8 years (1999–2006). This spanned 4 years prior to the training of the pathology assistant and 4 years after.

Results

From 1999–2002, the mean number of harvested lymph nodes varied from 12.2 to 14.4. The percentage of specimens achieving 12 lymph nodes was 50–67%. From 2003–2006, the mean number of harvested lymph nodes increased to 18.4–20.7, while the percentage of specimens achieving 12 lymph nodes was 83–87%. Both of these improvements achieved statistical significance with p values of <0.00001.

Conclusions

Over time, lymph node harvests at our hospital dramatically improved. The training of a pathology assistant to harvest the lymph nodes from colorectal cancer specimens dramatically affected lymph node harvests and can be a crucial component of pathologic analysis of these specimens.

Keywords

Colorectal neoplasms Lymph node excision Pathology Surgical 

Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Jeffery A. Reese
    • 1
  • Christopher Hall
    • 2
  • Kelly Bowles
    • 2
  • Robert C. Moesinger
    • 3
    • 4
  1. 1.Department of RadiologyMcKay-Dee Hospital CenterOgdenUSA
  2. 2.Department of PathologyMcKay-Dee Hospital CenterOgdenUSA
  3. 3.Department of SurgeryMcKay-Dee Hospital CenterOgdenUSA
  4. 4.OgdenUSA