Esophagectomy CRITICAL ELEMENTS Resection of the Primary Tumor to Negative Margins Lymph Node Dissection Gastrointestinal Reconstruction Construction of Gastric Conduit Performance of a Gastric-Emptying Procedure Alternate Conduits Cervical Versus Intrathoracic…
Wide Local Excision CRITICAL ELEMENTS Margin Width Depth of Excision Anatomic Orientation of the Excision 1. MARGIN WIDTH Recommendation: The margin width for wide local excision of melanoma is based…
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 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 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 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 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 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 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 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…
