International survey on opinions and use of minimally invasive surgery in small bowel neuroendocrine neoplasms
| Autor: | Kaçmaz, Enes, Engelsman, Anton F., Bemelman, Willem A., Tanis, Pieter J., Nieveen van Dijkum, Elisabeth J.M., Serrablo, Alejandro, Proud, David, Mackrill, David, Toth, Dezso, Coetzee, Emile, Bertani, Emilio, van Ramshorst, Gabriëlle, Kroon, Hidde M., Hassan, Iyad, Hennings, Joakim, Muñoz de Nova, José Luis, Daskalakis, Kosmas, Brunaud, Laurent, Puccini, Marco, Matthey-Giè, Marie-Laure, Katsamakas, Michail, Norlen, Olov, Stalberg, Peter, Shina, Rebecca, Ford, Samuel, Jancewicz, Stephen, Glyn, Tamara, Obadiel, Yasser, Özkan, Zeynep, of Small bowel neuroendocrine neoplasm Surgery, International Study Group |
|---|---|
| Přispěvatelé: | Graduate School, Surgery, CCA - Cancer Treatment and Quality of Life, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA - Imaging and biomarkers |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
RESECTION Future studies medicine.medical_treatment Resection Minimally invasive surgery Neoplasms Surveys and Questionnaires Medicine and Health Sciences medicine Humans Minimally Invasive Surgical Procedures Survey business.industry Kirurgi General surgery International survey General Medicine TUMORS Standard technique Colorectal surgery Endocrine surgery Attitude Oncology CONSENSUS-GUIDELINES Neuroendocrine neoplasms Invasive surgery Laparoscopy Surgery Lymphadenectomy business |
| Zdroj: | EUROPEAN JOURNAL OF SURGICAL ONCOLOGY European journal of surgical oncology, 48(6), 1251-1257. W.B. Saunders Ltd |
| ISSN: | 0748-7983 1532-2157 |
| Popis: | Introduction Although minimally invasive surgery is becoming the standard technique in gastrointestinal surgery, implementation for small bowel neuroendocrine neoplasms (SB-NEN) is lagging behind. The aim of this international survey was to gain insights into attitudes towards minimally invasive surgery for resection of SB-NEN and current practices. Methods An anonymous survey was sent to surgeons between February and May 2021 via (neuro)endocrine and colorectal societies worldwide. The survey consisted of questions regarding experience of the surgeon with minimally invasive SB-NEN resection and training. Results A total of 58 responses from five societies across 20 countries were included. Forty-one (71%) respondents worked at academic centers. Thirty-seven (64%) practiced colorectal surgery, 24 (41%) endocrine surgery and 45 (78%) had experience in advanced minimally invasive surgery. An open, laparoscopic or robotic approach was preferred by 23 (42%), 24 (44%), and 8 (15%) respondents, respectively. Reasons to opt for a minimally invasive approach were mainly related to peri-operative benefits, while an open approach was preferred for optimal mesenteric lymphadenectomy and tactile feedback. Additional training in minimally invasive SB-NEN resection was welcomed by 29 (52%) respondents. Forty-three (74%) respondents were interested in collaborating in future studies, with a cumulative median (IQR) annual case load of 172 (86-258). Conclusions Among respondents, 69% applies minimally invasive surgery for resection of SB-NEN. Arguments for specific operative approaches differ, and insufficient training in advanced laparoscopic techniques seems to be a barrier. Future collaborative studies can provide better insight in selection criteria and optimal technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect