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National Cancer Data Base - Data Dictionary PUF 2014

Surgical Approach

PUF Data Item Name: 
NAACCR Item #: 
Allowable values: 
0 - 5, 9
This item is used to monitor patterns and trends in the adoption and utilization of minimally-invasive surgical techniques.
Registry Coding Instructions: 

This item may be left blank for cases diagnosed prior to 2010.
If the patient has multiple surgeries of the primary site, this item describes the approach used for the most invasive, definitive surgery.
For ablation of skin tumors, assign code 3.
Assign code 2 or 4 if the surgery began as robotic assisted or endoscopic and was converted to open.
If both robotic and endoscopic or laparoscopic surgery are used, code to robotic (codes 1 or 2).

NCDB System Code Assignments: 

0 = No surgical procedure of primary site at this facility.
1 = Robotic assisted.
2 = Robotic converted to open.
3 = Endoscopic or laparoscopic.
4 = Endoscopic or laparoscopic converted to open.
5 = Open or approach unspecified.
9 = Unknown whether surgery was performed at this facility.

Analytic Note: 

This item was first used for 2010 diagnoses.