Worldwide survey on opinions and use of minimally invasive pancreatic resection

Worldwide survey on opinions and use of minimally invasive pancreatic resection

Abstract Background The introduction of minimally invasive pancreatic resection (MIPR) into surgical practice has been slow. The worldwide utilization of MIPR and attitude towards future perspectives of MIPR remains unknown. Methods An anonymous survey on MIPR was sent to the members of six internat...

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Bibliographic Details
Published in:HPB (Oxford, England) Vol. 19; no. 3; pp. 190 - 204
Main Authors: van Hilst, Jony, de Rooij, Thijs, Abu Hilal, Mohammed, Asbun, Horacio J, Barkun, Jeffrey, Boggi, Uggo, Busch, Olivier R, Conlon, Kevin C.P, Dijkgraaf, Marcel G, Han, Ho-Seong, Hansen, Paul D, Kendrick, Michael L, Montagnini, Andre L, Palanivelu, Chinnusamy, Røsok, Bård I, Shrikhande, Shailesh V, Wakabayashi, Go, Zeh, Herbert J, Vollmer, Charles M, Kooby, David A, Besselink, Marc G.H
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-03-2017
Subjects:
Adult
Attitude of Health Personnel
Clinical Competence
Education, Medical, Continuing
Education, Medical, Graduate
Gastroenterology and Hepatology
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Laparoscopy - education
Laparoscopy - trends
Middle Aged
Pancreatectomy - education
Pancreatectomy - trends
Pancreaticoduodenectomy - education
Pancreaticoduodenectomy - trends
Practice Patterns, Physicians' - trends
Robotic Surgical Procedures - education
Robotic Surgical Procedures - trends
Surgeons - psychology
Surgeons - trends
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Summary:Abstract Background The introduction of minimally invasive pancreatic resection (MIPR) into surgical practice has been slow. The worldwide utilization of MIPR and attitude towards future perspectives of MIPR remains unknown. Methods An anonymous survey on MIPR was sent to the members of six international associations of Hepato-Pancreato-Biliary (HPB) surgery. Results The survey was completed by 435 surgeons from 50 countries, with each surgeon performing a median of 22 (IQR 12–40) pancreatic resections annually. Minimally invasive distal pancreatectomy (MIDP) was performed by 345 (79%) surgeons and minimally invasive pancreatoduodenectomy (MIPD) by 124 (29%). The median total personal experience was 20 (IQR 10–50) MIDPs and 12 (IQR 4–40) MIPDs. Current superiority for MIDP was claimed by 304 (70%) and for MIPD by 44 (10%) surgeons. The most frequently mentioned reason for not performing MIDP (54/90 (60%)) and MIPD (193/311 (62%)) was lack of specific training. Most surgeons (394/435 (90%)) would consider participating in an international registry on MIPR. Discussion This worldwide survey showed that most participating HPB surgeons value MIPR as a useful development, especially for MIDP, but the role and implementation of MIPD requires further assessment. Most HPB surgeons would welcome specific training in MIPR and the establishment of an international registry.
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ISSN:1365-182X
1477-2574
DOI:10.1016/j.hpb.2017.01.011