Cancer: thirteen doctors say stop to illegal surgeries

Thirteen doctors denounce illegal cancer surgeries in a tribune.

"The surgery of a cancer requires a technical expertise that only intensive and specialized teaching and training can produce (...) We do well in surgery what we do often, we do well in cabinet making what we do often". In a forum * published on Europe 1thirteen doctors denounce illegal cancer surgeries.

"A specialized surgical exercise"

Thousands of surgical procedures to cure cancer are performed illegally every year in France, that is to say by structures that operate without having permissions. In 2014, 115 of the 571 services that billed breast cancer operations were, for example, not allowed to do so due to lack of sufficient expertise.
"The increased knowledge of these diseases has revealed a great deal of complexity and a great diversity.We are no longer talking about breast cancer but multiple subtypes of breast cancer, we do not speak of a sarcoma but of multiple subtypes of sarcomas, we do not speak of a colon cancer but of multiple subtypes of colon cancer, the same for all solid tumors.This great diversity brings us to a specialized surgical exercise. , exclusively devoted to these diseases ", argue the specialists.

Reorganize care

According to a recent study by the Health Insurance, the mortality rate of these illegal operations after one year is twice as high as that of authorized operations. For the former, the number of deaths is on average 29 for 1000 operations, against 14.4 for those who have the necessary authorization. The goal here is to reorganize care in order to offer the best possible care for cancer patients.
"We call for a major reorganization of cancer surgery, which is not intended to exclude surgeons who wish to practice in this specialty, but rather to include all practitioners wishing to contribute to the care of these patients", concludes the tribune. For ten years, in order to achieve the removal of a cancerous tumor, it is necessary to have an authorization. To obtain it, it is necessary to practice a minimum of annual operations: 30 for breast, digestive, urological and thoracic cancers, and 20 for gynecological, otorhinolaryngologic and maxillofacial cancers.

* The signatories of the tribune:
Prof. Fabien Reyal, Head of Department of Surgery for Seniors, Gynecology and Reconstrucers, Institut Curie, Paris
Professor Fabrice Lecuru, Head of Gynecological and Breast Cancer Surgery, Georges Pompidou European Hospital, APHP, Paris
Pr Christophe Pomel, Head of Oncology Surgery, Center Jean Perrin, Clermont-Ferrand
Dr. Sylvie Bonvalot, Head of Sarcomas and Complex Tumors, Institut Curie, Paris
Prof. Sebastien Albert, Head and Neck Surgery Department, Bichat Hospital, Aphp, Paris
Pr Gilles Houvenaeghel, Head of the Department of Surgery for Seniors, Gynecology and Reconstructiveness, Institut Paoli Calmettes, Marseille
Pr Philippe Rouanet, Head of Department of Surgery, Montpellier Regional Cancer Institute
Prof. Michel Rivoire, Head of Surgery Department, Léon Bérard Center, Lyon
Pr Olivier Glehen, head of department of digestive and endocrine surgery, hospices civils de Lyon
Pr Diane Goéré, Department of Visceral Surgery, Cancer and Endocrine Hospital Saint-Louis, APHP, Paris
Pr Eric Rullier, Colorectal Surgery Unit, Hôpital Haut Lévèque, Pessac
Pr Nathalie Cassoux, Head of Department, Institut Curie, Paris
Dr. Pascale Mariani, Head of Visceral and Digestive Surgery, Institut Curie, Paris

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