Surgery for pulmonary metastases – Patient selection and operative approach

2001 ◽  
Vol 58 (12) ◽  
pp. 709-712
Author(s):  
T. Krüger ◽  
Hans-Beat Ris
Keyword(s):  
Patient Selection ◽  
Pulmonary Metastases ◽  
Prognostische Faktoren ◽  
Operative Approach ◽  
Chirurgische Techniken

Ein Drittel aller Patienten mit malignen Erkrankungen entwickeln Lungenmetastasen. Systemische Chemotherapien sind in dieser Situation häufig nicht effektiv. Für eine ausgewählte Gruppe von Patienten, in welchen die Metastasierung auf die Lunge beschränkt ist, stellt die Resektion von Lungenmetastasen eine sinnvolle Therapieoption dar. Prognostische Faktoren, Operationsindikationen und chirurgische Techniken werden beschrieben.

scholarly journals TP7.2.5 Surgeon measured radiological pelvic measurements as a patient selection tool for laparoscopic rectal resection – an aide in early learning curve

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A D Gavrila ◽  
A J Deans ◽  
P K Dhruva Rao
Keyword(s):  
Rectal Cancer ◽  
Patient Selection ◽  
Rectal Resection ◽  
Tumour Size ◽  
Laparoscopic Group ◽  
Operative Approach ◽  
Patient Demographics ◽  
Laparoscopic Rectal Resection ◽  
Pelvic Area ◽  
Selection For

Abstract Introduction Rectal resections are considered one of the most technically demanding laparoscopic procedures. This study reviews one unit’s rectal cancer resections to determine whether pelvic dimensions measured by the surgeon could aide patient selection for laparoscopic resections. Methods A prospectively maintained database was used to identify rectal cancer resections between April 2015 to March 2018 and patient demographics, BMI, height of tumour and operative details were in extracted. Anteroposterior (Coccygio-pubic) and transverse (interspinous) distance were measured retrospectively on linked Axial & Saggital views on staging CT scans. Tumour dimensions in the respective planes were recorded and relative proportions of tumour to pelvic dimensions calculated. These were correlated to operative approach. Results Our cohort comprised of 70 patients (42 men) with a median BMI of 27 and mean age of 71. While 6 operations were planned as open procedures, 64 were attempted laparoscopically. Of these, 55 were completed laparoscopically and 9 were converted (16%). There was no correlation between gender and operative approach (p = 0.2). Mean BMI for laparoscopic group 28.7 and converted group 30.0 which was not statistically significant (p = 0.32). Conversion was more likely for low tumours (89%). Median tumour to pelvic area proportion was 0.14 laparoscopic compared to 0.03 for open and 0.03 for converted suggesting that bulkier tumours are more likely to need conversion. Discussion None of previously identified factors such as gender and BMI predicted conversion in our cohort individually. Tumour size relative to pelvic dimensions is a simple measure a surgeon could use to guide patient selection.

Patient Selection and Operative Approach in the Management of Rectal Prolapse: A NSQIP Analysis of 10,306 Patients

2020 ◽  
Vol 231 (4) ◽  
pp. e105-e106
Author(s):  
Dakota T. Thompson ◽  
Garett Steers ◽  
Paolo Goffredo ◽  
Asgeir Masson ◽  
Irena Gribovskaja-Rupp ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Patient Selection ◽  
Operative Approach

Outcome of Strict Patient Selection for Surgical Treatment of Hepatic and Pulmonary Metastases From Colorectal Cancer

2013 ◽  
Vol 56 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Caridad Marín ◽  
Ricardo Robles ◽  
Asuncion López Conesa ◽  
Juan Torres ◽  
Domingo Perez Flores ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Surgical Treatment ◽  
Patient Selection ◽  
Pulmonary Metastases ◽  
Strict Patient Selection ◽  
Selection For

The removal and morphology of intact biofilms from implanted venous access devices

1995 ◽  
Vol 53 ◽  
pp. 1020-1021
Author(s):  
M.A. Gregory ◽  
G.P. Hadley
Keyword(s):  
Patient Selection ◽  
Surgical Oncology ◽  
Venous Access ◽  
Common Procedure ◽  
Indwelling Catheters ◽  
Careful Patient ◽  
Novel Method ◽  
The Subject ◽  
Vascular Catheters ◽  
Venous Access Devices

The insertion of implanted venous access systems for children undergoing prolonged courses of chemotherapy has become a common procedure in pediatric surgical oncology. While not permanently implanted, the devices are expected to remain functional until cure of the primary disease is assured. Despite careful patient selection and standardised insertion and access techniques, some devices fail. The most commonly encountered problems are colonisation of the device with bacteria and catheter occlusion. Both of these difficulties relate to the development of a biofilm within the port and catheter. The morphology and evolution of biofilms in indwelling vascular catheters is the subject of ongoing investigation. To date, however, such investigations have been confined to the examination of fragments of biofilm scraped or sonicated from sections of catheter. This report describes a novel method for the extraction of intact biofilms from indwelling catheters.15 children with Wilm’s tumour and who had received venous implants were studied. Catheters were removed because of infection (n=6) or electively at the end of chemotherapy.

1767: Influence of Patient Selection on Outcome in Prostate Cancer Brachytherapy: Can we Extend Indications to higher risk Patients?

2007 ◽  
Vol 177 (4S) ◽  
pp. 587-587
Author(s):  
Thierry A. Flam ◽  
Laurent Chauveinc ◽  
Nicolas Thiounn ◽  
Dominique Pontvert ◽  
Suzette Solignac ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Patient Selection ◽  
Risk Patients

Incarcerated and Strangulated Hernias - Operative Approach and Repair

Swiss Surgery ◽  
2000 ◽  
Vol 6 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Mauch ◽  
Helbling ◽  
Schlumpf
Keyword(s):  
Operative Approach ◽  
Oder Eine

Die akut symptomatischen Hernien mit potentieller oder manifester Ischämie bilden eine spezielle Gruppe innerhalb der Gesamtheit der Leistenhernien. Die Operationsmethode der Wahl muss folgende spezielle Anforderungen erfüllen: 1. Der Bruchsackinhalt muss schonend und ohne zusätzlichen Schaden zu verursachen reponiert werden können. 2. Der Zugang muss genügend Übersicht und Platz zur Inspektion und allenfalls Resektion von Bruchsackinhalt gewähren. 3. Die Bruchlücke muss durch den selben Zugang sicher versorgt werden können. Infolge unserer Erfahrungen mit 44 eingeklemmten und strangulierten Leistenhernien, operiert zwischen 1993 und 1997, und nach Durchsicht der Literatur entschieden wir uns für einen routinemässigen hinteren Zugang und die Bruchpfortenversorgung mit Netz als Methode der Wahl. Auf die Einlage eines Netzes verzichten wir nur dann, wenn eine Kolonresektion notwendig ist oder eine Peritonitis vorliegt.

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