|
Regional Specialist Pancreatic Cancer Surgical centres
Studies ( eg Andren-Sandberg, Neoptolemos JP. Resection for pancreatic cancer in the
new millennium. Pancreatology 2002; 2: 431-439, Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002; 346:1128-1137. )
have shown that outcomes for patients in terms of reduced morbidity(complications) and mortality and improved survival result from surgery being perfomed in high volume, expert centres.
Specialists have agreed that in the UK pancreatic cancer surgery should only take place in specialist centres serving a population of at least 2million so that the team of surgeons deals with a high volume of patients - around 100 to 200 a year. The progress towards regionalization of pancreatic cancer surgery in the UK has been slow but is taking place.
Establishment of regional centres in England is due to be complete in 2007. Some centres are now established and in other areas the final location of the surgical centre has still to be decided so that the number of hospitals offering pancreatic cancer surgery will be reduced slightly. Centres are already agreed in Scotland but in Wales and Ireland the services have not yet been formally reorganized.
Below we provide a list of the current regional pancreatic cancer surgical centres and where possible we have provided links to the hospital web-sites and information on their services and consultants and medical teams treating pancreatic cancer. These services may be called HPB ie hepatopancreaticobiliary as the same specialists may deal with pancreatic, liver, gallbladder and bile duct cancers. As the regionalization of surgery is still being developed the hospitals designated to undertake surgery may change so we cannot guarentee that the list is totally up to date.
ENGLAND
Birmingham
Queen Elizabeth Medical Centre (Birmingham)
Who's who in the Liver Unit which also deals with pancreatic cancer surgery
Bristol Avon, Somerset and Wiltshire Cancer Services - United Bristol Healthcare Trust - Bristol Royal Infirmary - Upper GI Site Specific Group
Cambridge Addenbrooke's Hospital - pancreas, bile duct, gall bladder and liver surgery
Guildford Surrey, West Sussex and Hampshire (SWSH) Cancer Network Royal Surrey County Hospital, Guildford
Hull Castle Hill Hospital and Hull Royal Infirmary in Hull and East Yorkshire Hospitals NHS TRust
Ipswich and Norwich Ipswich Hospital (Mid Anglia Cancer Network) specialities and consultants (pancreatic surgery comes under general surgery)
and Norfolk and Norwich University Hospital - Upper Gi surgery(Norfolk and Waveney Cancer Network)
Leeds St James University Hospital
Leicester Leicester Royal Infirmary
Liverpool Royal Liverpool University Hospital - information on services and referrals
Department of Surgery and
webcam
London
North London Cancer Network, Royal Free/UCL Hospitals - upper GI tumour board
Services at Middlesex Hospital and University College London Hospital have all been combined on one site at the new University College Hospital at 235 Euston Road from Jan 2006. The North London Cancer Network has a joint Pancreatic Cancer Centre comprising the Royal Free Hospital and University College Hospital.
University College London Hospitals -
surgery and surgeons ,
gastroenterology and gastroenterologists ,
oncologists
Royal Free Hospital -
neuroendocrine tumour unit , information on services , cancer services
North East London: The Royal London Hospital: Barts and the London HPB Centre - info on consultants and services etc
information on services
St Barts and Royal London information on pancreatic cancer
South East London, Kings College Hospital
information on services
South West London Cancer Network - Royal Marsden Hospital, Chelsea
information on services
West London Cancer Network, Hammersmith Hospital
Liver and pancreas service
Manchester Manchester Royal Infirmary
Newcastle Northern Cancer Network -
pancreatic cancer information
surgery at Freeman Hospital, Newcastle -
info on Freeman Hospital
Nottingham Derby and Burton and Nottingham and Lincoln networks - from 1st May 2006 Queens
Medical Centre, Nottingham
Oxford Thames Valley Cancer Network - John Radcliffe Hospital, Oxford
Plymouth Peninsular Cancer Network for Devon and Cornwall - Derriford Hospital, Plymouth
Sheffield North Trent network - Royal Hallamshire Hospital
Southampton Wessex region -
Southampton General Hospital
info (needs macromedia flash player)
Stoke
University Hospital of North Staffordshire
SCOTLAND
Aberdeen and Dundee North of Scotland Cancer Network - Aberdeen Royal Infirmary and Ninewells Hospital, Dundee
Edinburgh
South-East Scotland Cancer Network -
Upper Gastro-Intestinal Cancer service information
patient Information, surgery at The New Royal Infirmary of Edinburgh , staff
Glasgow West of Scotland Cancer Network - Glasgow Royal Infirmary - West of Scotland Pancreatic Unit
WALES
North Wales - Royal Liverpool University Hospital
Royal Liverpool University Hospital - information on services and referrals
Department of Surgery and
webcam
oncology centre - Glan Clwyd Hospital
cancer services
Cardiff - University Hospital of Wales -
oncology centre - Velindre Trust - Velindre Cancer Centre
Swansea - Singleton or Morriston Hospital? Swansea NHS Trust
oncology centre - Singleton
NORTHERN IRELAND
Belfast - Belfast Hospitals Trust
EIRE
Dublin - Adelaide and Meath Hospital
reorganization of surgery into fewer large centres
|