Nodal counts during pelvic lymph node dissection for prostate cancer: An objective indicator of quality under the influence of very subjective factors
Lymph Node Excision
• Without any intentional change in surgical technique or pathological processing, the number of lymph nodes removed in our radical prostatectomy experience increased. • This change coincided with an increased academic interest in the subject and highlights the positive feedback effect. • The change also raises concerns about unaccounted for confounding factors that could affect multi-institutional datasets and surgical clinical trials.