Surgical Principles

Aug 6, 2016 by in ONCOLOGY Comments Off on Surgical Principles

General Principles Multiorgan resections follow the general principles of all oncological surgery. The patient must be operable, which means that all co-morbidities (cardiopulmonary, renal, etc) must be carefully assessed to…

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Strategies for Advanced Pelvic Malignancy

Aug 6, 2016 by in ONCOLOGY Comments Off on Strategies for Advanced Pelvic Malignancy

Patient Position and Exposure One must be prepared for a major surgical event with wide abdominal and pelvic exposure in order to achieve the greatest incidence of success. In most…

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Esophagus

Aug 6, 2016 by in ONCOLOGY Comments Off on Esophagus

Table 4.1 TNM Staging of esophageal carcinoma Tumor Tis Carcinoma in situ T1 Invades submucosa T2 Invades muscularis propria T3 Invades adventitia T4 Invades adjacent tissue Node N0 No lymph…

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Right Colon

Aug 6, 2016 by in ONCOLOGY Comments Off on Right Colon

Advanced Colon Cancer A small but significant number of patients for whom a curative operation was planned have big bulky tumors that extend beyond the intestinal wall and adhere to…

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Left Colon

Aug 6, 2016 by in ONCOLOGY Comments Off on Left Colon

Preoperative Preparation Once a thorough history is obtained, a physical exam is performed. Palpable supraclavicular or inguinal nodes or the presence of hepatomegaly or ascites may preclude further operative intervention….

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Abdominoinguinal Incision for Pelvic Side Wall Tumors

Aug 6, 2016 by in ONCOLOGY Comments Off on Abdominoinguinal Incision for Pelvic Side Wall Tumors

Indications The indications for the abdominoinguinal incision are: (1) abdominal or pelvic tumors extending over the iliac vessels; (2) tumors in the iliac fossa; (3) primary tumors, possibly involving the…

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Stomach

Aug 6, 2016 by in ONCOLOGY Comments Off on Stomach

Indications The vast majority of gastric resections for treating cancer can be done without the need to resect any of the adjacent organs. Past concerns regarding the surgeon’s ability to…

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Pelvic Surgery

Aug 6, 2016 by in ONCOLOGY Comments Off on Pelvic Surgery

Preoperative Evaluation and Preparation Pain is a common presentation in patients presenting with isolated pelvic disease, who may be relatively young and otherwise healthy. With respect to the risks of…

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Surgical Indications

Aug 6, 2016 by in ONCOLOGY Comments Off on Surgical Indications

Rationale It has been shown that often the prognosis following the complete resection of a tumor that invades an adjacent organ is similar to that of a tumor which simply…

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