The Need for Centralization for Small Intestinal Neuroendocrine Tumor Surgery: A Cohort Study from the GTE-Endocan-RENATEN Network, the CentralChirSINET Study

Background The concept of surgical centralization is becoming more and more accepted for specific surgical procedures. Objective The aim of this study was to evaluate the relationship between procedure volume and the outcomes of surgical small intestine (SI) neuroendocrine tumor (NET) resections. Me...

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Bibliographic Details
Published in:Annals of surgical oncology 2023-12, Vol.30 (13), p.8528-8541
Main Authors: Kalifi, Maroin, Deguelte, Sophie, Faron, Matthieu, Afchain, Pauline, de Mestier, Louis, Lecomte, Thierry, Pasquer, Arnaud, Subtil, Fabien, Alghamdi, Khalid, Poncet, Gilles, Walter, Thomas
Format: Article
Language:English
Subjects:
Cancer
Cholecystectomy
Cohort analysis
Endocrine Tumors
Human health and pathology
Hépatology and Gastroenterology
Life Sciences
Lymph nodes
Medicine
Medicine & Public Health
Neuroendocrine tumors
Oncology
Small intestine
Surgery
Surgical Oncology
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Summary:Background The concept of surgical centralization is becoming more and more accepted for specific surgical procedures. Objective The aim of this study was to evaluate the relationship between procedure volume and the outcomes of surgical small intestine (SI) neuroendocrine tumor (NET) resections. Methods We conducted a retrospective national study that included patients who underwent SI-NET resection between 2019 and 2021. A high-volume center (hvC) was defined as a center that performed more than five SI-NET resections per year. The quality of the surgical resections was evaluated between hvCs and low-volume centers (lvCs) by comparing the number of resected lymph nodes (LNs) as the primary endpoint. Results A total of 157 patients underwent surgery in 33 centers: 90 patients in four hvCs and 67 patients in 29 lvCs. Laparotomy was more often performed in hvCs (85.6% vs. 59.7%; p  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-023-14276-8