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Table 8 Surgeons’ knowledge and opinion toward the management of PC

From: Surgeons’ knowledge regarding the diagnosis and management of pancreatic cancer in China: a cross-sectional study

Knowledge and opinion Agree (%) Disagree (%) Unsure (%) Missing (%)
Preoperative procedures
 No routine use of preoperative biliary drainage 632(89.7) 56(7.9) 1(0.1) 16(2.3)
 The role of preoperative adjuvant therapy is to increase surgical resectability for R0 stage PC 536(76.0) 134(19.0) 2(0.3) 33(4.7)
Surgery for PC
 Laparoscopy might accurately detect peritoneal and hepatic dissemination 588(83.4) 89(12.6) 1(0.1) 27(3.8)
 FNA can improve the diagnosis of PC 616(87.4) 60(8.5) 2(0.3) 27(3.8)
 The scope of radical pancreatectomy
  (1) Bile duct beneath the middle of common hepatic duct and Peripheral lymph node 626(88.8) 59(8.4) 4(0.6) 16(2.3)
  (2) The distal half of stomach, duodenum and 10 cm jejunum 576(81.7) 91(12.9) 4(0.6) 34(4.8)
  (3) The soft tissues at the right side of superior mesenteric artery 557(79.0) 105(14.9) 2(0.3) 41(5.8)
  (4) The soft tissues and peritoneum anterior to the inferior vena cava and partial aorta 513(72.8) 128(18.2) 3(0.4) 61(8.7)
 Pancreatic stump management
  (1) Pancreaticojejunostomy is the canonical anastomosis. 638(90.5) 53(7.5)   14(2.0)
  (2) If the pancreatic duct is dilated, pancreatic duct-to-mucosa anastomosis is feasible. 556(78.9) 92(13.1) 3(0.4) 54(7.7)
  (3) If the stump of pancreas is soft with nondilated pancreatic duct, invaginated pancreaticojejunostomy is feasible. 587(83.3) 63(8.9) 4(0.6) 51(7.3)
Chemotherapy
 5-FU is the first-line chemotherapy 535(75.9) 126(17.9) 5(0.7) 39(5.5)
 Gemcitabine is the first-line chemotherapy 589(83.6) 77(10.9) 6(0.9) 33(4.7)
 Gemcitabine can improve the overall survival of advanced PC patients 546(77.5) 84(11.9) 6(0.9) 69(9.8)
 Chemoradiation combined with chemotherapy will contribute to better outcomes than chemo- radiation therapy only 563(80.0) 75(10.6) 6(0.9) 61(8.7)