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Aim: The optimum surgical approach to splenic flexure cancers (SFCs) remains uncertain. The aim of this survey was to explore the opinions of an international surgical community on the management and outcomes of SFC. Method: A questionnaire was constructed comprising five sections (information about respondents; definition and prognosis of SFC; operative approach; approach in specific scenarios; outcomes) and circulated through an international dissemination committee and social media. Results: The survey received 576 responses over 4 weeks across 50 countries. There was no consensus regarding the definition of the splenic flexure, whilst the proportion of respondents who did and did not think that patients with SFC had a worse outcome was equal. The overall preferred operative approach was left hemicolectomy [203 (35.2%)], followed by segmental resection [167 (29%)], extended right hemicolectomy [126 (21.9%)] and subtotal colectomy [7 (12%)]. The stated pedicles for ligation varied between resection types and also within the same resection. One hundred and sixty-six (28.8%) respondents thought a segmental resection was associated with the worst survival and 190 (33%) thought it was associated with the best quality of life. Conclusion: This survey confirms a lack of consensus across all aspects SFC treatment. The differing approaches described are likely to represent different beliefs around the variable anatomy of this region and the associated lymphatic drainage. Future studies are required to address such inconsistencies and identify the optimum surgical strategy, whilst also incorporating quality-of-life metrics and patient-reported outcomes. A one-size-fits-all approach is probably not appropriate with SFC, and a more bespoke approach is required.
SF‐CORNER (splenic flexure colorectal cancer): an international survey of operative approaches and outcomes for cancers of the splenic flexure / A Tidjane, N Dudi-Venkata, H Mohan, T Sammour, E Samadov, G Van Ramshorst, G M Gomes, G A Laporte, M Slavchev, D O'Reilly, I Sallam, M Shalaby, E Duchalais, B Seeliger, W Hohenberger, U Ronellenfitsch, F Gyamfi, I Katsoulis, K Stamou, A Mehuj, S Rajan, J Larkin, E Ryan, E Baldini, M Campanell, G Canonico, G Capolupo, M Caricato, F Colombo, P DeNardi, C Feo, R Galleano, P Lapolla, G Lisi, V Lizzi, D Matteo, S Novello, F Pata, T Perra, E Pinotti, M Romano, F Rosa, M Rottoli, P Sileri, A Taddei, L Tirloni, H Ueno, F Fa, A Dulskas, N Samalavicius, A Souadka, M Benitez, E Divan, C Soule, H Kroon, A Adeyeye, J G Makama, H L Thorsen, F Grama, I Negoi, A Vardanyan, J Escartin, M Estaire-Gómez, M H Garcia, F Mendoza-Moreno, M Prats, M Rutegard, S Atici, E Colak, M Tanal, D Keller, S Wexner, N Djelali, A Hebbar, S Mesli, Y Arafat, N Blefari, T Chittleborough, Y H Lam, S Stevens, E van Eetvelde, A Awad, M Coura, C da Silva Cardial, M Ebrahim, H Elfeki, D Gill, A Sakr, F M Vieira, A Castaldi, J Loriau, C Niki, M Pocard, N Regent, J J Tuech, R Awoonor-Williams, M Frountazas, N Michalopoulos, D Schizas, T Sidiropoulos, M Sotiropoulou, A Syllaios, P Vassiliu, R Cahill, M Flanagan, M Kelly, N Lynch, L O'Connell, J Ryan, G Alemanno, M Ardu, G Cerino, G Gallo, F Ghignone, I Iannone, A Mingoli, I Montroni, T Nelli, G Pellino, M V Papa, A Porcu, D Sasia, S Di Saverio, N Tamini, C Tanda, P Ziprin, M Piccoli, D Venskutonis, M Thanapal, M Trego-Avila, M Anass, M Hamid, A Lin, A Adejumo, O Adewunmi, O Adeyemi, B Aminu, I Chukwu, I Garzali, S Irmiya, N A Khan, H B Hernandez, N Figueiredo, E A Bonci, O Gingina, S T Makkai-Popa, A M Musina, D Lutrin, S Sifuba, J M Alegre, M Alvarez-Gallego, P Baños, V Carneros, C J Gómez-Díaz, S Jeri-McFarlane, B Matias, C Placer-Galán, P Tejedor, V Vigorita, K Tsimogiannis, C Akyol, O Bozbiyik, O Duzgun, E Kamer, A Isik, S Leventoglu, N Okkabaz, I Ozata, V Ozben, A Ozcan, O Ozkan, A Şanli, E Sivrikoz, H Ulgur, P Okeny, P Barrow, A Beggs, A Bhowmick, S Chapman, J Davies, G Faulkner, N Heywood, A Renwick, K Sahnan, M H Siddique, C Smart, P Sutton, D Watt, L W Wheldon, M Whiteford. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - ELETTRONICO. - epub ahead of print:(2024), pp. 1-9. [10.1111/codi.16895]
SF‐CORNER (splenic flexure colorectal cancer): an international survey of operative approaches and outcomes for cancers of the splenic flexure
Aim: The optimum surgical approach to splenic flexure cancers (SFCs) remains uncertain. The aim of this survey was to explore the opinions of an international surgical community on the management and outcomes of SFC. Method: A questionnaire was constructed comprising five sections (information about respondents; definition and prognosis of SFC; operative approach; approach in specific scenarios; outcomes) and circulated through an international dissemination committee and social media. Results: The survey received 576 responses over 4 weeks across 50 countries. There was no consensus regarding the definition of the splenic flexure, whilst the proportion of respondents who did and did not think that patients with SFC had a worse outcome was equal. The overall preferred operative approach was left hemicolectomy [203 (35.2%)], followed by segmental resection [167 (29%)], extended right hemicolectomy [126 (21.9%)] and subtotal colectomy [7 (12%)]. The stated pedicles for ligation varied between resection types and also within the same resection. One hundred and sixty-six (28.8%) respondents thought a segmental resection was associated with the worst survival and 190 (33%) thought it was associated with the best quality of life. Conclusion: This survey confirms a lack of consensus across all aspects SFC treatment. The differing approaches described are likely to represent different beliefs around the variable anatomy of this region and the associated lymphatic drainage. Future studies are required to address such inconsistencies and identify the optimum surgical strategy, whilst also incorporating quality-of-life metrics and patient-reported outcomes. A one-size-fits-all approach is probably not appropriate with SFC, and a more bespoke approach is required.
SF‐CORNER (splenic flexure colorectal cancer): an international survey of operative approaches and outcomes for cancers of the splenic flexure / A Tidjane, N Dudi-Venkata, H Mohan, T Sammour, E Samadov, G Van Ramshorst, G M Gomes, G A Laporte, M Slavchev, D O'Reilly, I Sallam, M Shalaby, E Duchalais, B Seeliger, W Hohenberger, U Ronellenfitsch, F Gyamfi, I Katsoulis, K Stamou, A Mehuj, S Rajan, J Larkin, E Ryan, E Baldini, M Campanell, G Canonico, G Capolupo, M Caricato, F Colombo, P DeNardi, C Feo, R Galleano, P Lapolla, G Lisi, V Lizzi, D Matteo, S Novello, F Pata, T Perra, E Pinotti, M Romano, F Rosa, M Rottoli, P Sileri, A Taddei, L Tirloni, H Ueno, F Fa, A Dulskas, N Samalavicius, A Souadka, M Benitez, E Divan, C Soule, H Kroon, A Adeyeye, J G Makama, H L Thorsen, F Grama, I Negoi, A Vardanyan, J Escartin, M Estaire-Gómez, M H Garcia, F Mendoza-Moreno, M Prats, M Rutegard, S Atici, E Colak, M Tanal, D Keller, S Wexner, N Djelali, A Hebbar, S Mesli, Y Arafat, N Blefari, T Chittleborough, Y H Lam, S Stevens, E van Eetvelde, A Awad, M Coura, C da Silva Cardial, M Ebrahim, H Elfeki, D Gill, A Sakr, F M Vieira, A Castaldi, J Loriau, C Niki, M Pocard, N Regent, J J Tuech, R Awoonor-Williams, M Frountazas, N Michalopoulos, D Schizas, T Sidiropoulos, M Sotiropoulou, A Syllaios, P Vassiliu, R Cahill, M Flanagan, M Kelly, N Lynch, L O'Connell, J Ryan, G Alemanno, M Ardu, G Cerino, G Gallo, F Ghignone, I Iannone, A Mingoli, I Montroni, T Nelli, G Pellino, M V Papa, A Porcu, D Sasia, S Di Saverio, N Tamini, C Tanda, P Ziprin, M Piccoli, D Venskutonis, M Thanapal, M Trego-Avila, M Anass, M Hamid, A Lin, A Adejumo, O Adewunmi, O Adeyemi, B Aminu, I Chukwu, I Garzali, S Irmiya, N A Khan, H B Hernandez, N Figueiredo, E A Bonci, O Gingina, S T Makkai-Popa, A M Musina, D Lutrin, S Sifuba, J M Alegre, M Alvarez-Gallego, P Baños, V Carneros, C J Gómez-Díaz, S Jeri-McFarlane, B Matias, C Placer-Galán, P Tejedor, V Vigorita, K Tsimogiannis, C Akyol, O Bozbiyik, O Duzgun, E Kamer, A Isik, S Leventoglu, N Okkabaz, I Ozata, V Ozben, A Ozcan, O Ozkan, A Şanli, E Sivrikoz, H Ulgur, P Okeny, P Barrow, A Beggs, A Bhowmick, S Chapman, J Davies, G Faulkner, N Heywood, A Renwick, K Sahnan, M H Siddique, C Smart, P Sutton, D Watt, L W Wheldon, M Whiteford. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - ELETTRONICO. - epub ahead of print:(2024), pp. 1-9. [10.1111/codi.16895]
A Tidjane, N Dudi-Venkata, H Mohan, T Sammour, E Samadov, G Van Ramshorst, G M Gomes, G A Laporte, M Slavchev, D O'Reilly, I Sallam, M Shalaby, E Duchalais, B Seeliger, W Hohenberger, U Ronellenfitsch, F Gyamfi, I Katsoulis, K Stamou, A Mehuj, S Rajan, J Larkin, E Ryan, E Baldini, M Campanell, G Canonico, G Capolupo, M Caricato, F Colombo, P DeNardi, C Feo, R Galleano, P Lapolla, G Lisi, V Lizzi, D Matteo, S Novello, F Pata, T Perra, E Pinotti, M Romano, F Rosa, M Rottoli, P Sileri, A Taddei, L Tirloni, H Ueno, F Fa, A Dulskas, N Samalavicius, A Souadka, M Benitez, E Divan, C Soule, H Kroon, A Adeyeye, J G Makama, H L Thorsen, F Grama, I Negoi, A Vardanyan, J Escartin, M Estaire-Gómez, M H Garcia, F Mendoza-Moreno, M Prats, M Rutegard, S Atici, E Colak, M Tanal, D Keller, S Wexner, N Djelali, A Hebbar, S Mesli, Y Arafat, N Blefari, T Chittleborough, Y H Lam, S Stevens, E van Eetvelde, A Awad, M Coura, C da Silva Cardial, M Ebrahim, H Elfeki, D Gill, A Sakr, F M Vieira, A Castaldi, J Loriau, C Niki, M Pocard, N Regent, J J Tuech, R Awoonor-Williams, M Frountazas, N Michalopoulos, D Schizas, T Sidiropoulos, M Sotiropoulou, A Syllaios, P Vassiliu, R Cahill, M Flanagan, M Kelly, N Lynch, L O'Connell, J Ryan, G Alemanno, M Ardu, G Cerino, G Gallo, F Ghignone, I Iannone, A Mingoli, I Montroni, T Nelli, G Pellino, M V Papa, A Porcu, D Sasia, S Di Saverio, N Tamini, C Tanda, P Ziprin, M Piccoli, D Venskutonis, M Thanapal, M Trego-Avila, M Anass, M Hamid, A Lin, A Adejumo, O Adewunmi, O Adeyemi, B Aminu, I Chukwu, I Garzali, S Irmiya, N A Khan, H B Hernandez, N Figueiredo, E A Bonci, O Gingina, S T Makkai-Popa, A M Musina, D Lutrin, S Sifuba, J M Alegre, M Alvarez-Gallego, P Baños, V Carneros, C J Gómez-Díaz, S Jeri-McFarlane, B Matias, C Placer-Galán, P Tejedor, V Vigorita, K Tsimogiannis, C Akyol, O Bozbiyik, O Duzgun, E Kamer, A Isik, S Leventoglu, N Okkabaz, I Ozata, V Ozben, A Ozcan, O Ozkan, A Şanli, E Sivrikoz, H Ulgur, P Okeny, P Barrow, A Beggs, A Bhowmick, S Chapman, J Davies, G Faulkner, N Heywood, A Renwick, K Sahnan, M H Siddique, C Smart, P Sutton, D Watt, L W Wheldon, M Whiteford
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.