Complete posterior sagittal anorectal mobilization: A new surgical approach for pediatric pelvic‐perineal tumor resection

2019 ◽  
Vol 120 (6) ◽  
pp. 1047-1047
Author(s):  
Attila M. Vastyan
Keyword(s):  
Surgical Approach ◽  
Tumor Resection ◽  
Perineal Tumor

Functional and Aesthetic Reconstruction of Full-Thickness Defects of the Lower Lip After Tumor Resection: Analysis of 59 Cases and Discussion of a Surgical Approach

2010 ◽  
Vol 36 (6) ◽  
pp. 859-867 ◽  
Author(s):  
JÖRG FAULHABER ◽  
CYRILL GÉRAUD ◽  
SERGIJ GOERDT ◽  
WOLFGANG KOENEN
Keyword(s):  
Surgical Approach ◽  
Tumor Resection ◽  
Full Thickness ◽  
Lower Lip

scholarly journals Facial nerve outcomes after surgery for large vestibular schwannomas: do surgical approach and extent of resection matter?

2012 ◽  
Vol 33 (3) ◽  
pp. E16 ◽  
Author(s):  
Richard K. Gurgel ◽  
Salim Dogru ◽  
Richard L. Amdur ◽  
Ashkan Monfared
Keyword(s):  
Facial Nerve ◽  
Surgical Approach ◽  
Tumor Resection ◽  
Extent Of Resection ◽  
Vestibular Schwannomas ◽  
Surgical Approaches ◽  
Subtotal Resection ◽  
Total Resection ◽  
Translabyrinthine Approach ◽  
Better Than

Object The object of this study was to evaluate facial nerve outcomes in the surgical treatment of large vestibular schwannomas (VSs; ≥ 2.5 cm maximal or extrameatal cerebellopontine angle diameter) based on both the operative approach and extent of tumor resection. Methods A PubMed search was conducted of English language studies on the treatment of large VSs published from 1985 to 2011. Studies were then evaluated and included if they contained data regarding the size of the tumor, surgical approach, extent of resection, and postoperative facial nerve function. Results Of the 536 studies initially screened, 59 full-text articles were assessed for eligibility, and 30 studies were included for analysis. A total of 1688 tumor resections were reported. Surgical approach was reported in 1390 patients and was significantly associated with facial nerve outcome (ϕ= 0.29, p < 0.0001). Good facial nerve outcomes (House-Brackmann Grade I or II) were produced in 62.5% of the 555 translabyrinthine approaches, 65.2% of the 601 retrosigmoid approaches, and 27.4% of the 234 extended translabyrinthine approaches. Facial nerve outcomes from translabyrinthine and retrosigmoid approaches were not significantly different from each other, but both showed significantly more good facial nerve outcomes, compared with the extended translabyrinthine approach (OR for translabyrinthine vs extended translabyrinthine = 4.43, 95% CI 3.17–6.19, p < 0.0001; OR for retrosigmoid vs extended translabyrinthine = 4.98, 95% CI 3.57–6.95, p < 0.0001). There were 471 patients for whom extent of resection was reported. There was a strong and significant association between degree of resection and outcome (ϕ= 0.38, p < 0.0001). Of the 80 patients receiving subtotal resections, 92.5% had good facial nerve outcomes, compared with 74.6% (n = 55) and 47.3% (n = 336) of those who received near-total resections and gross-total resections, respectively. In the 2-way comparison of good versus suboptimal/poor outcomes (House-Brackmann Grade III–VI), subtotal resection was significantly better than near-total resection (OR = 4.21, 95% CI 1.50–11.79; p = 0.004), and near-total resection was significantly better than gross-total resection (OR = 3.26, 95% CI 1.71–6.20; p = 0.0002) in producing better facial nerve outcomes. Conclusions In a pooled patient population from studies evaluating the treatment of large VSs, subtotal and near-total resections were shown to produce better facial nerve outcomes when compared with gross-total resections. The translabyrinthine and retrosigmoid surgical approaches are likely to result in similar rates of good facial nerve outcomes. Both of these approaches show better facial nerve outcomes when compared with the extended translabyrinthine approach, which is typically reserved for especially large tumors. The reported literature on treatment of large VSs is extremely heterogeneous and minimal consistency in reporting outcomes was observed.

Current trends in surgical approach and outcomes following pituitary tumor resection

2015 ◽  
Vol 125 (6) ◽  
pp. 1307-1312 ◽  
Author(s):  
Jennifer A. Villwock ◽  
Mark R. Villwock ◽  
Parul Goyal ◽  
Eric M. Deshaies
Keyword(s):  
Surgical Approach ◽  
Pituitary Tumor ◽  
Tumor Resection ◽  
Current Trends

scholarly journals Right Thoracoabdominal Approach for Retrocardiac Paraganglioma Resection

2017 ◽  
Vol 44 (1) ◽  
pp. 62-65
Author(s):  
Carlos A. Hinojosa ◽  
Hugo Laparra-Escareno ◽  
Javier E. Anaya-Ayala ◽  
Rene Lizola ◽  
Adriana Torres-Machorro ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Arterial Hypertension ◽  
Surgical Approach ◽  
Tumor Resection ◽  
Complete Resection ◽  
Adrenal Tumors ◽  
Thoracoabdominal Approach ◽  
Cardiac Reconstruction ◽  
Thoracoabdominal Incision

Paragangliomas are rare extra-adrenal tumors of sympathetic or parasympathetic paraganglia origin; of these, mediastinal paragangliomas are 2% of all cases. We present the case of a 21-year-old woman with uncontrolled arterial hypertension who had a functioning 6.5 × 6.2-cm retrocardiac paraganglioma firmly attached to the pericardium. The patient underwent tumor resection via a right thoracoabdominal incision; this surgical approach enabled adequate exposure for complete resection without institution of cardiopulmonary bypass or need for cardiac reconstruction or autotransplantation. Ten months postoperatively, the patient was doing well and was no longer hypertensive.

scholarly journals Osteochondroma of the condyle: case report and a conservative alternative for surgical approach

2021 ◽  
Vol 10 (11) ◽  
pp. e247101119216
Author(s):  
Matheus Herreira-Ferreira ◽  
Gustavo Nascimento de Souza-Pinto ◽  
Lilian Cristina Vessoni Iwaki ◽  
Liogi Iwaki Filho
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Procedure ◽  
Tumor Resection ◽  
Mandibular Condyle ◽  
Benign Tumors ◽  
Conservative Approach ◽  
Tumors Of Bone

Osteochondroma (OC) is one of the most common benign tumors of bone but is rarely found in the mandibular condyle. The aim of this case report is to demonstrate condylectomy through endaural approach (EA) as a conservative alternative for the treatment of the OC. A 60-year-old woman having an OC of 23 millimeters length in the mandibular condyle. The patient underwent a surgical procedure for tumor resection. To generate less morbidity, a conservative approach was performed.

Characteristic Of Inflammatory Myofibrinoblastic Tumor: Retrospective Analysis Of 4 Cases In Children Hospital Number 2

2020 ◽  
Author(s):  
Thanh An Dao Thi
Keyword(s):  
Tyrosine Kinase ◽  
Tumor Resection ◽  
Complete Response ◽  
High Rate ◽  
Alk Rearrangement ◽  
Anaplastic Lymphoma ◽  
Perineal Tumor ◽  
Promising Treatment ◽  
Optimal Approach

Introduction: Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that involves various organs. Surgery is the mainstay of therapy for this tumor. Approximately half of all IMT cases have anaplastic lymphoma kinase (ALK) rearrangements; therefore, the ALK inhibitor crizotinib is suggested as a promising treatment for unresectable cases with ALK rearrangements. In cases withoutALK rearrangement, chemotherapy is an alternative treatment for unresectable tumors. Cases report: We report 4 cases of IMT treated in Children Hospital Number 2 since 2018. There was one case with mesenteric tumor, one with perineal tumor detected at birth, one with inferior mediastinal tumor and one with intestinal tumor. We evaluated ALK expression by immunohistochemistry and ALK rearrangement by fluorescence in situ hybridization (FISH) in 3 cases and all negative. Treatments included tumor resection or biopsy and chemotherapy with methotrexate (30mg/m2) day 1 and vincristine (1.5mg/m2) day 1 and 7 in a 3 week cycle together with NSAID or steroid for inflammatory control. There was one case with complete response to surgery and chemotherapy; the other 3 cases ended in death due to tumor recurrence (3 cases) and metastasis (1 case). Conclusions: IMT has a diverse clinical presentation, appears in many different locations, and the clinical course can progress quickly with high rate of recurrence after incomplete surgical resection. Surgery is the optimal approach, but in those without complete resection and in those with tumor progression, tyrosine kinase inhibition should be considered if there is ALK rearrangement. In the absence of ALK rearrangement, additional tyrosine kinase rearrangements and other potentially efficacious chemotherapy regimens need to be studied for these patients.

scholarly journals Reconstruction of Bony Defects after Tumor Resection with 3D-Printed Anatomically Conforming Pelvic Prostheses through a Novel Treatment Strategy

2020 ◽  
Vol 2020 ◽  
pp. 1-16
Author(s):  
Wei Peng ◽  
Runlong Zheng ◽  
Hongmei Wang ◽  
Xunwu Huang
Keyword(s):  
Surgical Approach ◽  
Treatment Strategy ◽  
Tumor Resection ◽  
Harris Hip Score ◽  
Pubic Tubercle ◽  
Region I ◽  
Tumor Involvement ◽  
3D Printed ◽  
The Mean

There has been an increasing interest and enormous applications in three-dimensional (3D) printing technology and its prosthesis, driving many orthopaedic surgeons to solve the difficult problem of bony defects and explore new ways in surgery approach. However, the most urgent problem is without an effective prosthesis and standard treatment strategy. In order to resolve these problems, this study was performed to explore the use of a 3D-printed anatomically conforming pelvic prosthesis for bony defect reconstruction following tumor resection and to describe a detailed treatment flowchart and the selection of a surgical approach. Six patients aged 48-69 years who had undergone pelvic tumor resection underwent reconstruction using 3D-printed anatomically conforming pelvic prostheses according to individualized bony defects between March 2016 and June 2018. According to the Enneking and Dunham classification, two patients with region I+II tumor involvement underwent reconstruction using the pubic tubercle-anterior superior iliac spine approach and the lateral auxiliary approach and one patient with region II+III and three patients with region I+II+III tumor involvement underwent reconstruction using the pubic tubercle-posterior superior iliac spine approach. The diagnoses were chondrosarcoma and massive osteolysis. After a mean follow-up duration of 30.33 ± 9.89 months (range, 18-42), all patients were alive, without evidence of local recurrence or distant metastases. The average blood loss and blood transfusion volumes during surgery were 2500.00 ± 1461.51  ml (range, 1200-5000) and 2220.00 ± 1277.62   m l (range, 800-4080), respectively. During follow-up, the mean visual analogue scale (VAS) score decreased, and the mean Harris hip score increased. There were no signs of hip dislocation, prosthetic loosening, delayed wound healing, or periprosthetic infection. This preliminary study suggests the clinical effectiveness of 3D-printed anatomically conforming pelvic prostheses to reconstruct bony defects and provide anatomical support for pelvic organs. A new surgical approach that can be used to expose and facilitate the installation of 3D-printed prostheses and a new treatment strategy are presented. Further studies with a longer follow-up duration and larger sample size are needed to confirm these encouraging results.

The Effect of Surgical Approach on Outcomes following Pituitary Tumor Resection

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P117-P117
Author(s):  
Parul Goyal ◽  
Jennifer A. Villwock ◽  
Mark R. Villwock ◽  
Eric Deshaies
Keyword(s):  
Surgical Approach ◽  
Pituitary Tumor ◽  
Tumor Resection

Preliminary proposal for surgical classification of sacral tumors

2010 ◽  
Vol 13 (5) ◽  
pp. 651-658 ◽  
Author(s):  
Zhiyu Zhang ◽  
Yingqi Hua ◽  
Guodong Li ◽  
Wei Sun ◽  
Shuo Hu ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Sagittal Plane ◽  
Tumor Resection ◽  
Classification Method ◽  
Pelvic Cavity ◽  
Imaging Features ◽  
Cross Sectional ◽  
Anatomical Position ◽  
Sacral Tumors

ObjectThe authors propose a new surgical classification method for sacral tumors that improves the guidance for specific surgical decisions and approaches.MethodsThe authors retrospectively studied the clinical courses of 92 patients with sacral tumors treated at the Changhai Hospital; all patients underwent tumor resection between January 2000 and August 2005. The clinical characteristics, imaging features, and pathological classifications were carefully assessed in each case. The tumors were classified according to the imaging features and intraoperative findings. The surgical approach and the resection area were determined according to the tumor classification.ResultsThe proposed surgical classification system divided the sacral tumors into 2 major types according to the lesion's anatomical position in the sagittal plane. The tumors were further divided into 4 subtypes according to the length of the tumor's anterior protrusion into the pelvic cavity. Finally, each tumor subtype was classified into 16 areas according to the anatomical position in the cross-sectional plane. This classification method was used to categorize the sacral tumors, all of which were totally resected under the naked eye. Postoperatively symptoms were improved to varying degrees.ConclusionsThe appropriate classification of sacral tumors and the selection of a corresponding surgical approach can improve the rate of total resection and the surgical safety, as well as decrease the recurrence rate.

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