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Developing a curriculum for advanced fellowship training in complex cancer for the UK.
Colorectal Dis
August 2024
Complex Cancer Clinic, St Mark's The National Bowel Hospital, London, UK.
Aim: Surgery for complex colorectal cancer is elaborate: preoperative assessment, patient selection, radiological interpretation, operative strategy, operative technical skills, operative standardization, postoperative care and management of complications are all critical components. Given this complexity, training that encompasses all these crucial aspects to generate suitably edified surgeons is essential. To date, no curriculum exists to guide training in advanced and recurrent pelvic malignancy, particularly for complex colorectal cancer.
View Article and Find Full Text PDFCLosure of Abdominal MidlineS Survey (CLAMSS): A national survey investigating current practice in the closure of abdominal midline incisions in UK surgical practice.
Colorectal Dis
August 2024
Department of Surgery, National Reference Centre for Intestinal Failure, Salford Royal NHS Foundation Trust, Manchester, UK.
Aim: Incisional herniation (IH) is a frequent complication following midline abdominal closure with significant associated morbidity. Randomized controlled trials have demonstrated that the small bites technique (SBT) and prophylactic mesh augmentation (PMA) may reduce IH compared to mass closure techniques, but data are lacking on their implementation in contemporary surgical practice. This survey aimed to evaluate the use of the SBT and PMA and to identify factors associated with their adoption.
View Article and Find Full Text PDFUK endoscopy trainer survey: perspectives on current endoscopy training delivery, experience, barriers and opportunities.
Frontline Gastroenterol
May 2024
Gastroenterology, QE Gateshead, Gateshead, Tyne and Wear, UK.
Objective: UK endoscopy training is delivered by trainers possessing well developed endoscopy and teaching skills to help learners perform high-quality endoscopy. Train The Trainer (TTT) courses are effective, but additional trainer support is variable with little formal quality assurance. We performed a survey to map UK endoscopy training, assess trainer perspectives on training delivery and identify factors that would enhance training.
View Article and Find Full Text PDFPatient and multidisciplinary team perspectives on watch and wait in rectal cancer.
Colorectal Dis
July 2023
ACPGBI Advanced Malignancy Subcommittee, London, UK.
This article adopts a multidisciplinary approach, including surgery, oncology, radiology and patient perspectives, to discuss the key points of debate surrounding a watch and wait approach. In an era of shared decision-making, discussion of watch and wait as an option in the context of complete clinical response is appropriate, although it is not the gold standard treatment. Key challenges are the difficulty in assessing for a complete clinical response, prediction of recurrence and access to timely diagnostics for surveillance.
View Article and Find Full Text PDFThe Dukes' Club fundamentals of colorectal surgery video series: A stepwise approach to laparoscopic right hemicolectomy- A video vignette.
Colorectal Dis
April 2023
Dukes' Club, Association of Coloproctology of Great Britain and Ireland, Royal College of Surgeons of England, London, UK.
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