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Pan-European survey on the implementation of minimally invasive pancreatic surgery with emphasis on cancer

Pan-European survey on the implementation of minimally invasive pancreatic surgery with emphasis on cancer
Pan-European survey on the implementation of minimally invasive pancreatic surgery with emphasis on cancer
Background: Minimally invasive (MI) pancreatic surgery appears to be gaining popularity, but its implementation throughout Europe and the opinions regarding its use in pancreatic cancer patients are unknown.

Methods: A 30-question survey was sent between June and December 2014 to pancreatic surgeons of the European Pancreatic Club, European-African Hepato-Pancreato-Biliary Association and 5 European national pancreatic societies. Incomplete responses were excluded.

Results: In total, 237 pancreatic surgeons responded. After excluding 34 incomplete responses, 203 responses from 27 European countries were included. 164 (81%) surgeons were employed at a university hospital, 184 (91%) performed advanced MI surgery and 148 (73%) performed MI distal pancreatectomy. MI pancreatoduodenectomy was performed by 42 (21%) surgeons, whereas 9 (4.4%) surgeons had performed more than 10 procedures. Robot-assisted MI pancreatic surgery was performed by 28 (14%) surgeons. 63 (31%) surgeons expected MI distal pancreatectomy for cancer to be inferior to open distal pancreatectomy concerning oncological outcomes. 151 (74%) surgeons expected to benefit from training in MI distal pancreatectomy and 149 (73%) were willing to participate in a randomized trial on this topic.

Conclusions: MI distal pancreatectomy is a common procedure, although its use for cancer is still disputed. MI pancreatoduodenectomy is still an uncommon procedure. Specific training and a randomized trial regarding MI pancreatic cancer surgery are welcomed.
1365-182X
170-176
de Rooij, Thijs
21deafb8-ac09-49c1-960c-86dd350f1e86
Besselink, Marc G
5161301c-7dd8-4806-ad35-b721762506ae
Shamali, Awad
a9db10ba-2cf3-452f-9902-bc5428972034
Butturini, Giovanni
99a20832-9016-4b1c-a9fc-5b6c090b7d30
Busch, Olivier R
0c2b5a89-6f4b-4586-a376-01cb24189a2d
Edwin, Bjørn
b04994d3-928a-49ad-8bdf-183c7e7a08d2
Troisi, Roberto
dc2d730b-ec5e-4431-888c-e7fd80ff919a
Fernández-Cruz, Laureano
a4a06b0f-46dd-4550-bb2b-f051fbf44cf3
Dagher, Ibrahim
312c6f59-9764-45d0-a050-cb27a3100f23
Bassi, Claudio
247ade4b-d6a6-4816-ade1-292031a4ec92
Abu Hilal, Mohammad
384e1c60-8519-4eed-8e92-91775aad4c47
de Rooij, Thijs
21deafb8-ac09-49c1-960c-86dd350f1e86
Besselink, Marc G
5161301c-7dd8-4806-ad35-b721762506ae
Shamali, Awad
a9db10ba-2cf3-452f-9902-bc5428972034
Butturini, Giovanni
99a20832-9016-4b1c-a9fc-5b6c090b7d30
Busch, Olivier R
0c2b5a89-6f4b-4586-a376-01cb24189a2d
Edwin, Bjørn
b04994d3-928a-49ad-8bdf-183c7e7a08d2
Troisi, Roberto
dc2d730b-ec5e-4431-888c-e7fd80ff919a
Fernández-Cruz, Laureano
a4a06b0f-46dd-4550-bb2b-f051fbf44cf3
Dagher, Ibrahim
312c6f59-9764-45d0-a050-cb27a3100f23
Bassi, Claudio
247ade4b-d6a6-4816-ade1-292031a4ec92
Abu Hilal, Mohammad
384e1c60-8519-4eed-8e92-91775aad4c47

de Rooij, Thijs, Besselink, Marc G, Shamali, Awad, Butturini, Giovanni, Busch, Olivier R, Edwin, Bjørn, Troisi, Roberto, Fernández-Cruz, Laureano, Dagher, Ibrahim, Bassi, Claudio and Abu Hilal, Mohammad (2016) Pan-European survey on the implementation of minimally invasive pancreatic surgery with emphasis on cancer. HPB, 18 (2), 170-176. (doi:10.1016/j.hpb.2015.08.005). (PMID:20063016)

Record type: Article

Abstract

Background: Minimally invasive (MI) pancreatic surgery appears to be gaining popularity, but its implementation throughout Europe and the opinions regarding its use in pancreatic cancer patients are unknown.

Methods: A 30-question survey was sent between June and December 2014 to pancreatic surgeons of the European Pancreatic Club, European-African Hepato-Pancreato-Biliary Association and 5 European national pancreatic societies. Incomplete responses were excluded.

Results: In total, 237 pancreatic surgeons responded. After excluding 34 incomplete responses, 203 responses from 27 European countries were included. 164 (81%) surgeons were employed at a university hospital, 184 (91%) performed advanced MI surgery and 148 (73%) performed MI distal pancreatectomy. MI pancreatoduodenectomy was performed by 42 (21%) surgeons, whereas 9 (4.4%) surgeons had performed more than 10 procedures. Robot-assisted MI pancreatic surgery was performed by 28 (14%) surgeons. 63 (31%) surgeons expected MI distal pancreatectomy for cancer to be inferior to open distal pancreatectomy concerning oncological outcomes. 151 (74%) surgeons expected to benefit from training in MI distal pancreatectomy and 149 (73%) were willing to participate in a randomized trial on this topic.

Conclusions: MI distal pancreatectomy is a common procedure, although its use for cancer is still disputed. MI pancreatoduodenectomy is still an uncommon procedure. Specific training and a randomized trial regarding MI pancreatic cancer surgery are welcomed.

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More information

Accepted/In Press date: 18 August 2015
e-pub ahead of print date: 16 December 2015
Published date: February 2016
Organisations: Cancer Sciences

Identifiers

Local EPrints ID: 400306
URI: http://eprints.soton.ac.uk/id/eprint/400306
ISSN: 1365-182X
PURE UUID: 8b492b9a-1bf3-4989-ae13-988f3dd8a577

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Date deposited: 13 Sep 2016 15:22
Last modified: 15 Mar 2024 02:13

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Contributors

Author: Thijs de Rooij
Author: Marc G Besselink
Author: Awad Shamali
Author: Giovanni Butturini
Author: Olivier R Busch
Author: Bjørn Edwin
Author: Roberto Troisi
Author: Laureano Fernández-Cruz
Author: Ibrahim Dagher
Author: Claudio Bassi
Author: Mohammad Abu Hilal

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