Is vascular training in paediatric surgical oncology considered desirable ? A voluntary survey of work practice was undertaken with the surgeon membership of The International Society Of Paediatric Surgical Oncology (IPSO) using a structured designed questionnaire. A total of 149 IPSO surgeon members completed the survey. 57% (N = 84) of surgeons surveyed had no specific training in vascular surgery. 43% surgeons (N = 63) stated they had acquired some skills in residency training and/or with transplantation surgery. 65% (N = 96) of respondent surgeons stated that vascular surgical training must be incorporated into pediatric surgical oncology training and 27% (N = 40) agreed that it was considered desirable. 89% (N = 133) of surgeon respondents had encountered major vascular injury during work practice while operating on pediatric solid tumors. Vascular injury repairs were undertaken and attempted by pediatric surgeons though expert assistance of vascular surgeons proved crucially essential in many instances. Emergent operations included patch repairs, vessel ligation techniques and insertion of vascular graft prostheses. Interventional radiology services to arrest life-threatening hemorrhage were also reportedly utilized by respondents. Vascular injuries have significant potential for devastating patient outcomes including never event ‘mortality’. The IPSO surgeon survey highlights that there are visible ‘gaps’ in skills training. Training to be a pediatric oncology surgeon must incorporate acquisition of skill sets proficiency in vascular surgery.

中文翻译：

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小儿肿瘤外科医师应该接受血管外科培训吗？国际儿科肿瘤外科学会 (IPSO) 的实践调查报告

小儿肿瘤外科血管训练是否值得考虑？国际儿科肿瘤外科学会 (IPSO) 的外科医生会员使用结构化设计的问卷对工作实践进行了自愿调查。共有 149 名 IPSO 外科医生成员完成了这项调查。57% (N = 84) 接受调查的外科医生没有接受过血管外科的专门培训。43% 的外科医生 (N = 63) 表示他们已经获得了住院医师培训和/或移植手术的一些技能。65% (N = 96) 的受访外科医生表示，血管外科培训必须纳入儿科肿瘤外科培训，27% (N = 40) 同意认为这是可取的。89% (N = 133) 的外科医生受访者在治疗儿科实体瘤的工作实践中遇到过严重血管损伤。血管损伤修复是由儿科外科医生进行和尝试的，尽管在许多情况下血管外科医生的专家协助证明至关重要。紧急手术包括补片修复、血管结扎技术和血管移植假体插入。据报道，受访者还利用介入放射学服务来阻止危及生命的出血。血管损伤有可能严重破坏患者的治疗结果，甚至导致“死亡”。IPSO 外科医生调查强调，技能培训存在明显的“差距”。小儿肿瘤外科医生的培训必须包括血管外科技能的掌握。