Chapter III: Conditions for setting up certain healthcare activities and heavy equipment

The authorisation including the surgical oncology modality may only be granted to an applicant who simultaneously holds or receives the authorisation to carry out the surgical care activity provided for in 2° of article R. 6122-25, and, if applicable, the authorisation to carry out the neurosurgical care activity provided for in 12° of the same article.

Authorisation for surgical oncology in children and adolescents under the age of eighteen with a C rating may only be granted if the applicant or holder is also authorised for the systemic drug treatment of cancer in children and adolescents under the age of eighteen. However, by way of derogation from the provisions of the first paragraph, in the event of a shortfall identified in the regional health plan, authorisation…

Authorisation for cancer treatment by surgical oncology may only be granted if the applicant has an organisation, either on site or by means of an agreement, enabling it to guarantee: 1° The performance of anatomopathology examinations, if necessary extemporaneously; 2° Post-operative scheduled or unscheduled medical imaging examinations enabling any early complications of the treatment to be anticipated and managed; 3° Management of any complications arising from surgical treatment, including emergency…

Authorisation for cancer treatment by complex oncology surgery with grade B as referred to in II of Article R. 6123-87-1 may only be granted if the applicant has an organisation enabling it to: 1° Organise the multidisciplinary consultation meetings for complex oncology surgery referred to in I of Article R. 6123-91-2; 2° Organise and protocolise multidisciplinary cooperation around complex surgical oncology care pathways, on site or territorialised by means of…

Authorisation may only be granted if the holder has access, on site or by agreement, to digestive endoscopy and an interventional radiology unit for the purposes of managing any post-operative complications associated with the risks of organ obstruction or haemorrhage, for the following procedures and indications: 1° Visceral and digestive oncology surgery with A1 or B1 indication; 2° Thoracic oncology surgery with A2 or B2 indication; 3° Urological oncology surgery…

Authorisation for A6 breast oncology surgery may only be granted if the health care establishment is organised in such a way as to enable it: 1° To prepare for oncology surgery, to have access to : a) On-site access to breast detection techniques; b) On-site access or by agreement, to sentinel lymph node techniques as part of a pre-established protocol with a nuclear medicine team; 2° Access, if necessary during…

Authorisation for thoracic oncology surgery with B2 may only be granted if the health care establishment has an organisation enabling it to guarantee on-site access to an extracorporeal circulation technique for the patients it treats.

Authorisation for oncological surgery of the otorhinolaryngeal and maxillofacial sphere with grades A and B may only be granted if the health care establishment has an organisation allowing access, on site or by agreement, to a maxillofacial prosthesis laboratory.

The surgical oncological management of a patient suffering from a rare cancer is carried out within an establishment holding an authorisation to carry out the activity of cancer treatment by surgical oncology which has on its site a centre of reference or a centre of competence for rare cancers labelled by the Institut national du cancer. By way of derogation from the previous paragraph, this surgical management may be carried…

For the post-operative care of the patients they treat, holders of the authorisation for thoracic oncology surgery with A2 mention mentioned in I of Article R. 6123-87-1, holders of the authorisation for complex oncology surgery with B mention mentioned in II of Article R. 6123-87-1 and the holder of the authorisation for surgery on children and adolescents under the age of eighteen with designation C referred to in III of…