RARE-37. SURGICAL MANAGEMENT OF INCIDENTAL DIFFUSELY INFILTRATING GLIOMAS: A SINGLE INSTITUTIONAL EXPERIENCE

Abstract Objectives Chordomas are rare, slow-growing, and osteo-destructive tumors of the primitive notochord. There is still contention in the literature as to the optimal management of chordoma. We conducted a systematic review of the surgical management of chordoma along with our 10-year institutional experience. Design A systematic search of the literature was performed in October 2020 by using MEDLINE and EMBASE for articles relating to the surgical management of clival chordomas. We also searched for all adult patients surgically treated for primary clival chordomas at our institute between 2009 and 2019. Participants Only articles describing chordomas arising from the clivus were included in the analysis. For our institution experience, only adult primary clival chordoma cases were included. Main Outcome Measures Patients were divided into endoscopic or open surgery. Rate of gross total resection (GTR), recurrence, and complications were measured. Results Our literature search yielded 24 articles to include in the study. Mean GTR rate among endoscopic cases was 51.9% versus 41.7% for open surgery. Among the eight cases in our institutional experience, we found similar GTR rates between endoscopic and open surgery. Conclusion Although there is clear evidence in the literature that endoscopic approaches provide better rates of GTR with fewer overall complications compared to open surgery. However, there are still situations where endoscopy is not viable, and thus, open surgery should still be considered if required.

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Surgical Management of the Placenta Accreta Spectrum: An Institutional Experience

Journal of Obstetrics and Gynaecology Canada ◽

10.1016/j.jogc.2019.01.016 ◽

2019 ◽

Vol 41 (11) ◽

pp. 1551-1557 ◽

Cited By ~ 6

Author(s):

Cristina Mitric ◽

Jade Desilets ◽

Jacques Balayla ◽

Cleve Ziegler

Keyword(s):

Surgical Management ◽

Placenta Accreta ◽

Institutional Experience ◽

Placenta Accreta Spectrum

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Long-Term Outcome of Single Institutional Experience with Conservative and Surgical Management for Renal Artery Aneurysm

Transplantation Proceedings ◽

10.1016/j.transproceed.2012.05.037 ◽

2012 ◽

Vol 44 (6) ◽

pp. 1795-1799 ◽

Cited By ~ 12

Author(s):

K. Morita ◽

T. Seki ◽

D. Iwami ◽

H. Sasaki ◽

N. Fukuzawa ◽

...

Keyword(s):

Renal Artery ◽

Surgical Management ◽

Artery Aneurysm ◽

Renal Artery Aneurysm ◽

Term Outcome ◽

Long Term Outcome ◽

Institutional Experience

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Airway Management for Endoscopic Laryngotracheal Stenosis Surgery During COVID-19

Otolaryngology ◽

10.1177/0194599820927002 ◽

2020 ◽

Vol 163 (1) ◽

pp. 78-80 ◽

Cited By ~ 6

Author(s):

Andrew D. P. Prince ◽

Benjamin H. Cloyd ◽

Norman D. Hogikyan ◽

Samuel A. Schechtman ◽

Robbi A. Kupfer

Keyword(s):

Airway Management ◽

Surgical Management ◽

The Novel ◽

Laryngotracheal Stenosis ◽

Upper Aerodigestive Tract ◽

Operating Room Personnel ◽

Institutional Experience ◽

Novel Coronavirus ◽

High Risk Situation ◽

Airway Access

The novel coronavirus disease 2019 (COVID-19) pandemic presents unique challenges for surgical management of laryngotracheal stenosis. High viral concentrations in the upper aerodigestive tract, the ability of the virus to be transmitted by asymptomatic carriers and through aerosols, and the need for open airway access during laryngotracheal surgery create a high-risk situation for airway surgeons, anesthesiologists, and operating room personnel. While some surgical cases of laryngotracheal stenosis may be deferred, patients with significant airway obstruction or progressing symptoms often require urgent surgical intervention. We present best practices from our institutional experience for surgical management of laryngotracheal stenosis during this pandemic, including preoperative triage, intraoperative airway management, and personal protective measures.

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Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience

ISRN Dermatology ◽

10.5402/2011/384729 ◽

2011 ◽

Vol 2011 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Omar M. Rashid ◽

Julia C. Schaum ◽

Luke G. Wolfe ◽

Nooshin K. Brinster ◽

James P. Neifeld

Keyword(s):

Surgical Management ◽

Disease Recurrence ◽

Demographic Characteristics ◽

Superficial Spreading ◽

Prognostic Variables ◽

Term Survival ◽

Aggressive Management ◽

Academic Center ◽

Institutional Experience

Introduction. Cutaneous foot melanoma is rare, challenging to manage, and not adequately examined in the literature. This study evaluated the prognostic variables and surgical management of foot melanoma. Materials and Methods. Foot melanoma cases managed at an academic center from 1985 to 2010 were retrospectively reviewed. Results. 46 patients were identified with a broad range of demographic characteristics. Overall recurrence was 32.6%: 19% acral lentiginous, 57% nodular, 66% superficial spreading, 30% melanoma unspecified, 50% severely atypical; 53% ulcerated, 23% nonulcerated; 29% on the dorsum of the foot, 17% heel, 60% ankle, 22% toe, 50% plantar; 0% <1 mm thick, 47% 1–4 mm, 33% >4 mm. 13 had positive nodes, 4 (31%) of whom recurred. Prognostic factors and recurrence did not correlate, and survival was 96% with a median followup of 91 months. Conclusions. Aggressive management of foot melanoma may result in excellent long-term survival even following disease recurrence.

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