Welcome to The SAGES Surgical WIKI

SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.

As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:

  • It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
  • If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
  • Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.

Recommended Wiki: Laparoscopic Resection of Hepatic Neuroendocrine Metastases

The natural history of liver metastases of digestive endocrine tumors (LMDET) is unclear, not least because few patients are left untreated. The main factors of poor prognosis are the modifications of LMDET (increase of at least 25% of 2 CTscan at six months apart), tumor differentiation (poor prognosis for LMDET poorly differentiated) and absence of resection of the primary tumor. Chemoembolization is the best palliative treatment of LMDET and as such should be proposed early in the disease progression. This technique allows response, both morphological and symptomatic in more than 90% of patients. Retrospective studies seem to show that its use prolongs survival. The RFA is still under evaluation. This technique seems to demonstrate local efficiency superior than the chemo, but its indications are limited to few small tumors. Its target population is close to the surgical one, surgery which remains today the best proven treatment. However, when wide resections… Continue Reading »