{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:44Z","timestamp":1787071364533,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n Adequate lymph node (LN) retrieval is a key quality indicator in oncological colon surgery, with \u226512 LNs considered the benchmark for high-yield lymphadenectomy. Variability in surgical performance, particularly amongst early-career surgeons, can impact oncological outcomes. This study evaluates the impact of surgical preceptorship on LN yield in radical hemicolectomies through a before-and-after cohort analysis as part of a complete audit cycle.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n A retrospective audit was conducted at a tertiary care centre, analysing 99 radical hemicolectomies performed between February and November 2022. The primary objective was to assess the mean LN yield and proportion of cases achieving high-yield lymphadenectomy. Following analysis, a structured surgical preceptorship programme involving didactic sessions, hands-on training and standard operating protocols was implemented. A re-audit of 114 hemicolectomies performed between April and September 2023 was then conducted. Data were compared between pre- and post-intervention groups, including subgroup analyses for senior and junior consultants and open versus laparoscopic procedures.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean LN yield significantly improved from 15.4 \u00b1 7.8 to 17.5 \u00b1 6.5 postintervention (\n P<\/jats:italic>\n = 0.033). The proportion of high-yield cases increased from 69% to 80.7% (\n P<\/jats:italic>\n = 0.06). While senior and junior consultants had similar LN yields postintervention, a statistically significant improvement was noted in the junior group alone (14.6\u201317.69,\n P<\/jats:italic>\n = 0.014). No significant difference was observed between the open and laparoscopic groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Surgical preceptorship led to improved LN harvest across the team, particularly in junior consultants, demonstrating its effectiveness as a team-wide quality improvement tool beyond individual learning curves or surgical approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_246_25","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T14:00:49Z","timestamp":1775570449000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing lymph node harvest in hemicolectomies: A before-and-after study of surgical preceptorship and audit feedback"],"prefix":"10.4103","author":[{"given":"Prateek","family":"Arora","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raviraj","family":"Tilloo","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujitha Reddy","family":"Konda","sequence":"additional","affiliation":[{"name":"Clinical Operations, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeeshan","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev M.","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuradha","family":"Sekaran","sequence":"additional","affiliation":[{"name":"Department of Pathology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Rebala","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. V.","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"R2-20260407","doi-asserted-by":"crossref","first-page":"91","DOI":"10.4103\/cmrp.cmrp_65_20","article-title":"Incidence of colorectal cancers in India: A review from population-based cancer registries","volume":"11","author":"Asthana","year":"2021","journal-title":"Curr Med Res Pract"},{"key":"R3-20260407","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1007\/s10151-023-02853-8","article-title":"Complete mesocolic excision for right hemicolectomy: An updated systematic review and meta-analysis","volume":"27","author":"De","year":"2023","journal-title":"Tech 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