title: Worldwide survey on opinions and use of minimally invasive pancreatic resection.
abstract: The introduction of minimally invasive pancreatic resection (MIPR) into surgical practice has been slow. The worldwide utilization of MIPR and attitude towards future perspectives of MIPR remains unknown.
  
  
  
  An anonymous survey on MIPR was sent to the members of six international associations of Hepato-Pancreato-Biliary (HPB) surgery.
  
  
  
  The survey was completed by 435 surgeons from 50 countries, with each surgeon performing a median of 22 (IQR 12-40) pancreatic resections annually. Minimally invasive distal pancreatectomy (MIDP) was performed by 345 (79%) surgeons and minimally invasive pancreatoduodenectomy (MIPD) by 124 (29%). The median total personal experience was 20 (IQR 10-50) MIDPs and 12 (IQR 4-40) MIPDs. Current superiority for MIDP was claimed by 304 (70%) and for MIPD by 44 (10%) surgeons. The most frequently mentioned reason for not performing MIDP (54/90 (60%)) and MIPD (193/311 (62%)) was lack of specific training. Most surgeons (394/435 (90%)) would consider participating in an international registry on MIPR.
  
  
  
  This worldwide survey showed that most participating HPB surgeons value MIPR as a useful development, especially for MIDP, but the role and implementation of MIPD requires further assessment. Most HPB surgeons would welcome specific training in MIPR and the establishment of an international registry.
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Jony
authors.initials: J
authors.lastname: van Hilst
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Thijs
authors.initials: T
authors.lastname: de Rooij
authors.affiliation: Department of Surgery, Southampton University Hospital, Southampton, UK.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Abu Hilal
authors.affiliation: Department of Surgery, The Mayo Clinic Florida, Jacksonville, FL, USA.
authors.forename: Horacio J
authors.initials: HJ
authors.lastname: Asbun
authors.affiliation: Department of Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Barkun
authors.affiliation: Department of Surgery, University of Pisa, Pisa, Italy.
authors.forename: Uggo
authors.initials: U
authors.lastname: Boggi
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Olivier R
authors.initials: OR
authors.lastname: Busch
authors.affiliation: Department of Surgery, The University of Dublin, Trinity College, Dublin, Ireland.
authors.forename: Kevin C P
authors.initials: KC
authors.lastname: Conlon
authors.affiliation: Clinical Research Unit, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Marcel G
authors.initials: MG
authors.lastname: Dijkgraaf
authors.affiliation: Department of Surgery, Seoul National University Bundang Hospital, SeongNam si, Korea.
authors.forename: Ho-Seong
authors.initials: HS
authors.lastname: Han
authors.affiliation: Department of Surgery, Portland Providence Cancer Center, Portland, Orlando, USA.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Hansen
authors.affiliation: Department of Surgery, The Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Kendrick
authors.affiliation: Department of Surgery, Universidade de Sao Paulo, Sao Paulo, Brazil.
authors.forename: Andre L
authors.initials: AL
authors.lastname: Montagnini
authors.affiliation: Department of Surgery, GEM Hospital & Research Center, Coimbatore, Tamil Nadu, India.
authors.forename: Chinnusamy
authors.initials: C
authors.lastname: Palanivelu
authors.affiliation: Department of Surgery, Oslo University Hospital, Oslo, Norway.
authors.forename: Bård I
authors.initials: BI
authors.lastname: Røsok
authors.affiliation: Department of Surgery, Tata Memorial Centre, Mumbai, India.
authors.forename: Shailesh V
authors.initials: SV
authors.lastname: Shrikhande
authors.affiliation: Department of Surgery, Ageo Central General Hospital, Saitama, Japan.
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
authors.affiliation: Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Herbert J
authors.initials: HJ
authors.lastname: Zeh
authors.affiliation: Department of Surgery, The University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Charles M
authors.initials: CM
authors.lastname: Vollmer
authors.affiliation: Department of Surgery, Emory University, Atlanta, GA, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Kooby
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands. Electronic address: m.g.besselink@amc.nl.
authors.forename: Marc G H
authors.initials: MG
authors.lastname: Besselink
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004502:Education, Medical, Continuing; D004503:Education, Medical, Graduate; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010535:Laparoscopy / Q000193:education / Q000639:trends*; D008875:Middle Aged; D010180:Pancreatectomy / Q000193:education / Q000639:trends*; D016577:Pancreaticoduodenectomy / Q000193:education / Q000639:trends*; D010818:Practice Patterns, Physicians' / Q000639:trends*; D065287:Robotic Surgical Procedures / Q000193:education / Q000639:trends*; D066231:Surgeons / Q000523:psychology / Q000639:trends*