Translateral retroperitoneal approach in radical surgery for pancreatic caricinoma

Upper burst fracture of Th12-L1 has unique anatomy because it contains lower spinal cord, medullary cone, and diaphragm which separates between the thoracic and lumbar spine.The presence or absence of neurologic deficit is the single most important factor in the decision making. The presence of profound but incomplete neural deficit in association with canal compromise represents an urgent indication of surgical decompression. Antero-lateral direct decompression with trans-thoracic trans-pleural–retroperitoneal approach given the proximity the cord and conus is the most effective method, with inter-vertebral instrumentation with or without lateral fixation or posterior instrumentation.

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HOW SENTINEL LYMPH NODE COULD SUPPORT LESS RADICAL SURGERY IN THE MANAGEMENT OF EARLY STAGE CERVICAL CANCER?

10.26226/morressier.5770e29ad462b80290b4b9cb ◽

2016 ◽

Author(s):

Ioanna Koutroumpa

Keyword(s):

Cervical Cancer ◽

Lymph Node ◽

Sentinel Lymph Node ◽

Radical Surgery ◽

Early Stage ◽

Early Stage Cervical Cancer

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EFFICIENCY OF ADJUVANT XELOX CHEMOTHERAPY FOR PATIENTS WITH RESECTABLE GASTRIC IN RUSSIA (SINGLE INSTITUTION RETROSPECTIVE STUDY)

Problems in oncology ◽

10.37469/0507-3758-2019-65-2-256-262 ◽

2019 ◽

Vol 65 (2) ◽

pp. 256-262

Author(s):

Ivan Stilidi ◽

Sergey Nered ◽

Aleksey Kalinin ◽

Olesya Rossomakhina ◽

Anton Barchuk

Keyword(s):

Gastric Cancer ◽

Adjuvant Chemotherapy ◽

Radical Surgery ◽

Univariate Analysis ◽

European Population ◽

Single Institution ◽

Regional Lymph Nodes ◽

Lymph Nodes Metastasis ◽

Retrospective Assessment ◽

Resectable Gastric Cancer

Introduction. The effectiveness of the Asian regimen of adjuvant chemotherapy in patients with gastric cancer in the European population remains unclear. The aim of our study was a retrospective assessment of adjuvant chemotherapy (XELOX regimen) after radical surgery (R0) on overall survival. Methods. Database of pts with resectable gastric cancer with stage >pT3 and/or pN+ and M0, who were operated (R0) at single oncological institution during 2007-2017 was reviewed. In univariate and multivariate analyzes were included demographic characteristics, type of tumor according to Lauren, stage, type of treatment and others. Results. 396 pts were identified and 286 were available for analysis.106 (37%) pts received at least one cycle of adjuvant chemotherapy. In univariate analysis, 5OS rate was 64% [95% Cl, 52-80] и 56% [95% Cl, 48-64; p=0,21] in patients received adjuvant chemotherapy and only surgical treatment. After stratifying patients depending on the regional lymph nodes metastasis, 5OS rate in pts with pN1-3 was 69% [95% CI, 57-85] vs 47% [95% CI, 39-58; p = 0,01], respectively...

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