The Usefulness of a Multidisciplinary Team Approach in Decision Making For Pancreatic Serous Cystic Neoplasms

  • Claudio Ricci Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Riccardo Casadei Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Giovanni Taffurelli Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Carlo Ingaldi Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Marielda D’Ambra Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Carlo Alberto Pacilio Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Nico Pagano Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Lucia Calculli Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Carla Serra Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Donatella Santini Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
  • Francesco Minni Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Policlinico S. Orsola-Malpighi. Bologna, Italy
Keywords: General Surgery, Neoplasms, Cystic, Mucinous, and Serous, Pancreas

Abstract

Context Serous cystic neoplasms of the pancreas are regarded as benign entities with rare malignant potential and are frequently resected. Objective The purpose of the study was to evaluate the usefulness of a multidisciplinary team (MDT) approach in decision making regarding the diagnosis and management of pancreatic serous cystic neoplasms. Methods A retrospective study of a prospective database involving 43 patients with serous cystic neoplasms was carried out. Patients who underwent multidisciplinary team evaluation (Group 1) were compared with patients who did not (Group 2) as regards demographic, clinical, radiological, surgical and pathological data. Uni-multivariate analyses were carried out. Results Uni-multivariate analysis showed that a multidisciplinary team approach was significantly related to the type of management, suggesting that MDT evaluation independently reduced the odds of surgery (odds ratio (OR) 0.1; 95% confidence interval (CI) 0.02-0.8; P=0.027). Age, second level imaging techniques, latero-lateral diameter, cranio-caudal diameter and Wirsung duct size differed between the two groups; however, the differences were not statistically significant. Conclusions A multidisciplinary team approach seems to be useful in proper decision making regarding the diagnosis and management of pancreatic serous cystic neoplasms.

Image: Multidisciplinary team.

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References

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Multidisciplinary team.
Published
2014-11-28
How to Cite
RicciC., CasadeiR., TaffurelliG., IngaldiC., D’AmbraM., PacilioC., PaganoN., CalculliL., SerraC., SantiniD., & MinniF. (2014). The Usefulness of a Multidisciplinary Team Approach in Decision Making For Pancreatic Serous Cystic Neoplasms. JOP. Journal of the Pancreas, 15(6), 577-580. https://doi.org/10.6092/1590-8577/2830
Section
ORIGINAL ARTICLES