Invited Commentary

To bring surgical management of appendiceal carcinoids into the 21st century, Heller and colleagues, from the Yale School of Medicine, took a clever approach using the National Cancer Database (NCDB) to evaluate surgeon adherence to the current guidelines and the impact of any deviation on overall survival. The authors identified 3,189 patients in the NCDB with appendiceal carcinoid who underwent either appendectomy (n  = 1,893) or right hemicolectomy (n = 1,305) as their definitive treatment. Contrary to National Comprehensive Cancer Network (NCCN) and North American Neuroendocrine Tumor Society (NANETS) guidelines, 32.4% of tumors ≤ 2 cm were treated with right hemicolectomy and 31.3% of tumors> 2 cm were treated with appendectomy alone.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: New England surgical society article Source Type: research