Should Pediatric Surgical Oncologists Receive Training in Vascular Surgery ? A Practice Survey Report From the International Society of Paediatric Surgical Oncology (IPSO)
Issued Date
2024-01-01
Resource Type
ISSN
00223468
eISSN
15315037
Scopus ID
2-s2.0-85187973410
Pubmed ID
38485535
Journal Title
Journal of Pediatric Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Pediatric Surgery (2024)
Suggested Citation
Raj P., Losty P.D., Corbally M.T. Should Pediatric Surgical Oncologists Receive Training in Vascular Surgery ? A Practice Survey Report From the International Society of Paediatric Surgical Oncology (IPSO). Journal of Pediatric Surgery (2024). doi:10.1016/j.jpedsurg.2024.02.019 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97743
Title
Should Pediatric Surgical Oncologists Receive Training in Vascular Surgery ? A Practice Survey Report From the International Society of Paediatric Surgical Oncology (IPSO)
Author(s)
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Is vascular training in paediatric surgical oncology considered desirable ? Methods: A voluntary survey of work practice was undertaken with the surgeon membership of The International Society Of Paediatric Surgical Oncology (IPSO) using a structured designed questionnaire. Results: A total of 149 IPSO surgeon members completed the survey. 57% (N = 84) of surgeons surveyed had no specific training in vascular surgery. 43% surgeons (N = 63) stated they had acquired some skills in residency training and/or with transplantation surgery. 65% (N = 96) of respondent surgeons stated that vascular surgical training must be incorporated into pediatric surgical oncology training and 27% (N = 40) agreed that it was considered desirable. 89% (N = 133) of surgeon respondents had encountered major vascular injury during work practice while operating on pediatric solid tumors. Vascular injury repairs were undertaken and attempted by pediatric surgeons though expert assistance of vascular surgeons proved crucially essential in many instances. Emergent operations included patch repairs, vessel ligation techniques and insertion of vascular graft prostheses. Interventional radiology services to arrest life-threatening hemorrhage were also reportedly utilized by respondents. Conclusion: Vascular injuries have significant potential for devastating patient outcomes including never event ‘mortality’. The IPSO surgeon survey highlights that there are visible ‘gaps’ in skills training. Training to be a pediatric oncology surgeon must incorporate acquisition of skill sets proficiency in vascular surgery.