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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