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