Introduction
Introduction INTRODUCTION As the sixth most common cancer and one affecting most age groups, melanoma remains a clinical and epidemiologic problem. In 2018 in the United States, the estimated number…
Introduction
Introduction INTRODUCTION Esophageal cancer remains one of the more challenging solid tumors to treat, because it responds only modestly to chemotherapy and radiation and requires extremely complex surgery for resection…
Local Excision
Local Excision CRITICAL ELEMENTS Complete Resection of an Intact Specimen with Negative Bowel Wall and Deep Margins 1. COMPLETE RESECTION OF AN INTACT SPECIMEN WITH NEGATIVE BOWEL WALL AND DEEP…
Abdominoperineal Resection
Abdominoperineal Resection CRITICAL ELEMENTS Clearance of the Circumferential Margin at the Pelvic Floor Reconstruction of the Perineum 1. CLEARANCE OF THE CIRCUMFERENTIAL MARGIN AT THE PELVIC FLOOR Recommendation: Care should…
Proctectomy
Proctectomy CRITICAL ELEMENTS Proximal Vascular Ligation Total Mesorectal Excision Lymph Node Dissection Clearance of the Distal Margin 1. PROXIMAL VASCULAR LIGATION Recommendation: Routine ligation of the inferior mesenteric vascular pedicle…
Gastrectomy
Gastrectomy CRITICAL ELEMENTS Intraoperative Staging Resection of Primary Tumor Endoscopic Resection Partial and Total Gastrectomy Minimally Invasive Gastrectomy Assessment of Surgical Margins Regional Lymphadenectomy Reconstruction of the Gastrointestinal Tract After…
Introduction
Introduction INTRODUCTION Although discussions of issues relating to surgical management of the large bowel frequently consider the colon and rectum as one entity, their associated standards of surgical care are…
Oncologic Components of Lymphadenectomy
Oncologic Components of Lymphadenectomy CRITICAL ELEMENTS Resection of lymph nodes in the central compartment Management of the recurrent laryngeal nerve when involved by extranodal extension from lymph node metastases Management…
Introduction
Introduction INTRODUCTION Gastric cancer represents the third leading cause of cancer mortality worldwide, with an estimated incidence of 951,000 cases, causing 723,000 deaths annually.1 The American Cancer Society estimates that…
Thyroidectomy
Thyroidectomy CRITICAL ELEMENTS Complete extracapsular dissection of the thyroid Identification and preservation of the parathyroid glands Identification and preservation of the recurrent laryngeal nerves En bloc resection of locally advanced…
