ROME (ITALPRESS) – Redesigning the future of oncological surgery: this is the absolute priority highlighted by Professor Domenico D’Ugo, Cattolica-Gemelli surgeon, at the moment in which we begin to think about the post Covid. An operation that is cultural and organizational at the same time and that must be implemented quickly because the new normal will no longer be able to re-propose the schemes of the past. Starting with the training of the surgeon oncologist, the figure who must act as a counterbalance to that of the medical oncologist and the radiotherapist, and the priority in the surgical waiting lists. The expression ‘waiting list’ alone, for those suffering from cancer, represents nonsense, an oxymoron. Because the tumor cannot wait, being a time-dependent disease. “Between 2020 and 2021 – recalls Professor Domenico D’Ugo – several hundreds of thousands of scheduled surgeries have been canceled in Italy: it is clear how urgent it is to draw up a recovery plan for surgeries but, in re-evaluating the lists of ‘expectation, ethics, logic and clinical prognosis require giving absolute priority to the conditions for which a longer waiting time can result in a reduction in life expectancy or a pejorative impact on its quality . Tumor pathologies are ‘time-dependent’ priorities as they are progressive diseases, well treatable at the time of diagnosis and surgical indication, but for which a delay in treatment can jeopardize the initially expected good results “. “At the international level, it is also necessary to reflect on the future of Oncological Surgery – continues D’Ugo – and to define the core curriculum of the Oncologist Surgeon. The clinical oncologist and the radiotherapist are already super-specialists totally dedicated to the treatment of tumors; while we do not yet have a ‘cancer surgeon’. In recent decades, surgery has undergone a process of super-specialization around specific technical skills. The time has come to think about a super-specialization dedicated to precision cancer surgery, which addresses the specific skills of the oncologist surgeon, within a multidisciplinary discourse. Our specialization schools in surgery – concludes Professor D’Ugo – will also have to offer this ‘super-training’; a project culture particularly felt here at Gemelli, a hospital with an increasingly oncological vocation. Not only is this our core business, but few hospitals in Italy can offer the same level of excellence, in many oncological surgeries diversified by organ, as happens here: we are the first stomach surgery in Italy, as well as being national excellences in the gynecological and colorectal fields, as in oncological surgery of the liver, lung and endocrine glands “. (ITALPRESS). fsc / com 20-Apr-21 13:17
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