5. ETHICAL ISSUES SURROUNDING ADVANCED DISEASE
CHAPTER 5. ETHICAL ISSUES SURROUNDING ADVANCED DISEASE Agnes Coveney The most painful sight we ever confront is that of beauty yielding to impermanence. – Arthur Frank, At the Will of…
Liver and Bile Duct
Abbreviations CT: computed tomography GIA: gastrointestinal anastomosis IVC: inferior vena cava SMA: superior mesenteric artery Extended multivisceral resections involving the liver contribute to the armamentarium of an experienced liver surgeon.1…
Peritonectomy for Carcinomatosis, Sarcomatosis, and Mesothelioma
Patient Position and Incision For patient safety throughout a prolonged surgical procedure, careful positioning is required. We advocate the lithotomy position with open legs, thighs flexed at 15° on the…
Retroperitoneal Resections for Sarcomas Invading Adjacent Organs
Fig. 14.1 Thoracoabdominal approach to an upper (right) quadrant sarcoma. The oblique incision starts above the umbilicus and is extended through the 9th intercostal space. The diaphragm is opened. The…
Posterior Aspect of the Abdominal Viscera and Retroperitoneum
Definition The retroperitoneal space, or area, or just “retroperitoneum” is the region or space behind the peritoneal cavity. To be more anatomically correct, the retroperitoneum is the area of the…
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…
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…
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…
