{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T11:10:05Z","timestamp":1754046605517,"version":"3.41.2"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Until recently, there was no access to cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for Welsh patients with resectable colorectal peritoneal metastases. A pilot programme, funded by Moondance Cancer Initiative, aimed to improve colorectal peritoneal metastases management and offer CRS and HIPEC to selected patients. Service development strategies and short\u2010term outcomes are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The service was developed in three phases: preparation, mentorship and independence. Multidisciplinary team meetings, surgery and team development were performed in conjunction with the Peritoneal Malignancy Institute Basingstoke during the first two phases. After this period of supervision and mentorship, the Welsh team continued independently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 34 monthly meetings, there were 228 multidisciplinary team discussions of 174 patients. Overall, 36\/174 patients (20.7%) were selected for CRS and HIPEC and, to date, 31 have had surgery. Median age was 63\u2009years and 54.8% were men. Median intraoperative peritoneal carcinoma index was 7. Complete cytoreduction was achieved in 27 patients (87.1%) and median length of stay was 10\u2009days. Complications occurred in 25.8% with four Clavien\u2013Dindo classification II, four Clavien\u2013Dindo classification IV and no 30\u2010day postoperative deaths. Operative duration, blood loss and length of stay were significantly shorter during the independence phase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This project has demonstrated a successful and safe introduction of the All\u2010Wales Colorectal Peritoneal Metastasis Service through an innovative approach of non National Health Service funding and expert mentorship. The excellent results support the aim to secure sustainable funding to permanently commission this beneficial service for Welsh patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.70157","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T13:38:28Z","timestamp":1752068308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe skills transfer and mentorship: The all\u2010Wales colorectal peritoneal metastasis service\u2014A collaborative strategy to develop a new national service"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8334-4989","authenticated-orcid":false,"given":"Jody","family":"Parker","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"McKenna","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leigh","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Torkington","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Trezise","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cardiff and Vale University Health Board  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Cecil","sequence":"additional","affiliation":[{"name":"Basingstoke Peritoneal Malignancy Institute Basingstoke and North Hampshire Hospital  Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan","family":"Moran","sequence":"additional","affiliation":[{"name":"Basingstoke Peritoneal Malignancy Institute Basingstoke and North Hampshire Hospital  Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Public Health Wales Cancer Statistics.Cancer Survival in Wales 2002\u20132019 2020.http:\/\/www.phw.nhs.wales\/services\u2010and\u2010teams\/welsh\u2010cancer\u2010intelligence\u2010and\u2010surveillance\u2010unit\u2010wcisu\/cancer\u2010survival\u2010in\u2010wales\u20102002\u20102019[accessed January 2025]"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25596"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7653"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8679"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15003"},{"issue":"6","key":"e_1_2_13_7_1","first-page":"1435","article-title":"Cytoreductive surgery and HIPEC for colorectal peritoneal metastases: UK experience and outcomes","volume":"23","author":"Jayne D","year":"2021","journal-title":"Colorectal Dis"},{"key":"e_1_2_13_8_1","first-page":"38","volume-title":"ESGAR 2022 Book of Abstracts","author":"El\u2010Sheikha JB","year":"2022"},{"key":"e_1_2_13_9_1","unstructured":"Group NCCR.Clinical advice to 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