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Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology
BACKGROUND: Standardized management of colorectal cancer is crucial for achieving an optimal clinical and oncological outcome. The present nationwide survey was designed to provide data about the surgical management of rectal cancer patients. In addition, we evaluated the standard approach for bowel...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497700/ https://www.ncbi.nlm.nih.gov/pubmed/37358643 http://dx.doi.org/10.1007/s00508-023-02227-y |
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author | Widmann, Kerstin M. Dawoud, Christopher Harpain, Felix Aigner, Felix Presl, Jaroslav Rosen, Harald Zitt, Matthias Schoppmann, Sebastian F. Emmanuel, Klaus Riss, Stefan |
author_facet | Widmann, Kerstin M. Dawoud, Christopher Harpain, Felix Aigner, Felix Presl, Jaroslav Rosen, Harald Zitt, Matthias Schoppmann, Sebastian F. Emmanuel, Klaus Riss, Stefan |
author_sort | Widmann, Kerstin M. |
collection | PubMed |
description | BACKGROUND: Standardized management of colorectal cancer is crucial for achieving an optimal clinical and oncological outcome. The present nationwide survey was designed to provide data about the surgical management of rectal cancer patients. In addition, we evaluated the standard approach for bowel preparation in all centers in Austria performing elective colorectal surgery. METHODS: The Austrian Society of Surgical Oncology (ACO[“Arbeitsgemeinschaft für chirurgische Onkonlogie”]-ASSO) conducted a multicenter questionnaire-based study comprising 64 hospitals between October 2020 and March 2021. RESULTS: The median number of low anterior resections performed annually per department was 20 (range 0–73). The highest number was found in Vienna, with a median of 27 operations, whereas Vorarlberg was the state with the lowest median number of 13 resections per year. The laparoscopic approach was the standard technique in 46 (72%) departments, followed by the open approach in 30 (47%), transanal total mesorectal excision (TaTME) in 10 (16%) and robotic surgery in 6 hospitals (9%). Out of 64 hospitals 51 (80%) named a standard for bowel preparation before colorectal resections. No preparation was commonly used for the right colon (33%). CONCLUSION: Considering the low number of low anterior resections performed in each hospital per year in Austria, defined centers for rectal cancer surgery are still scarce. Many hospitals did not transfer recommended bowel preparation guidelines into clinical practice. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s00508-023-02227-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-10497700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-104977002023-09-14 Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology Widmann, Kerstin M. Dawoud, Christopher Harpain, Felix Aigner, Felix Presl, Jaroslav Rosen, Harald Zitt, Matthias Schoppmann, Sebastian F. Emmanuel, Klaus Riss, Stefan Wien Klin Wochenschr Original Article BACKGROUND: Standardized management of colorectal cancer is crucial for achieving an optimal clinical and oncological outcome. The present nationwide survey was designed to provide data about the surgical management of rectal cancer patients. In addition, we evaluated the standard approach for bowel preparation in all centers in Austria performing elective colorectal surgery. METHODS: The Austrian Society of Surgical Oncology (ACO[“Arbeitsgemeinschaft für chirurgische Onkonlogie”]-ASSO) conducted a multicenter questionnaire-based study comprising 64 hospitals between October 2020 and March 2021. RESULTS: The median number of low anterior resections performed annually per department was 20 (range 0–73). The highest number was found in Vienna, with a median of 27 operations, whereas Vorarlberg was the state with the lowest median number of 13 resections per year. The laparoscopic approach was the standard technique in 46 (72%) departments, followed by the open approach in 30 (47%), transanal total mesorectal excision (TaTME) in 10 (16%) and robotic surgery in 6 hospitals (9%). Out of 64 hospitals 51 (80%) named a standard for bowel preparation before colorectal resections. No preparation was commonly used for the right colon (33%). CONCLUSION: Considering the low number of low anterior resections performed in each hospital per year in Austria, defined centers for rectal cancer surgery are still scarce. Many hospitals did not transfer recommended bowel preparation guidelines into clinical practice. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s00508-023-02227-y) contains supplementary material, which is available to authorized users. Springer Vienna 2023-06-26 2023 /pmc/articles/PMC10497700/ /pubmed/37358643 http://dx.doi.org/10.1007/s00508-023-02227-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Widmann, Kerstin M. Dawoud, Christopher Harpain, Felix Aigner, Felix Presl, Jaroslav Rosen, Harald Zitt, Matthias Schoppmann, Sebastian F. Emmanuel, Klaus Riss, Stefan Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title | Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title_full | Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title_fullStr | Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title_full_unstemmed | Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title_short | Standardization of rectal cancer surgery and bowel preparation in Austria: A multicenter nationwide survey by the Austrian Society of Surgical Oncology |
title_sort | standardization of rectal cancer surgery and bowel preparation in austria: a multicenter nationwide survey by the austrian society of surgical oncology |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497700/ https://www.ncbi.nlm.nih.gov/pubmed/37358643 http://dx.doi.org/10.1007/s00508-023-02227-y |
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