Third-Look Radical Surgery for Rectosigmoid Cancer (Two Cases)

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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Cosmetics or Radical Surgery? What's Right For the Top Levels of the U.S Defense Establishment as it Downsizes?

10.21236/ada264052 ◽

1993 ◽

Author(s):

Michal R. Robinson

Keyword(s):

Radical Surgery ◽

The U.S

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Radical Surgery for Carcinoma of the Middle Ear

Proceedings of the Royal Society of Medicine ◽

10.1177/003591577206500310 ◽

1972 ◽

Vol 65 (3) ◽

pp. 248-249

Author(s):

D C Bodenham

Keyword(s):

Middle Ear ◽

Radical Surgery

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T2 Gallbladder Cancer—Aggressive Therapy is Warranted

The American Surgeon ◽

10.1177/000313481608200612 ◽

2016 ◽

Vol 82 (6) ◽

pp. 518-521 ◽

Cited By ~ 2

Author(s):

Mohd Raashid Sheikh ◽

Houssam Osman ◽

Susannah Cheek ◽

Shenee Hunter ◽

Dhiresh Rohan Jeyarajah

Keyword(s):

Clinical Presentation ◽

Radical Surgery ◽

Radical Resection ◽

Gall Bladder Cancer ◽

Incidental Diagnosis ◽

Radical Cholecystectomy ◽

Node Positive ◽

Operative Findings ◽

Worse Prognosis

Treatment of gall bladder cancer (GBC) has traditionally been viewed with pessimism and lymph node positivity has been associated with worse prognosis. The aim of this study is to analyze the role of radical cholecystectomy in T2 tumors. All patients who underwent surgery for GBC between September 2005 and June 2014 were identified retrospectively. Data collected included clinical presentation, operative findings, and histopathological data. Twenty-five patients had incidental GBC diagnosis after cholecystectomy. Ten patients were T2 on initial cholecystectomy pathology and all underwent radical resection. Two patients were N1 on initial cholecystectomy pathology. Four were upstaged to N1 and two patients were upstaged to T3 after further surgery. Overall, 60 per cent patients with T2 disease had node positivity and 60 per cent were upstaged by further surgery. Eleven patients were diagnosed on imaging. Four of these patients were unresectable and six were either stage T3 or higher or node positive. Sixty per cent of T2 GBC was node positive and 60 per cent were upstaged with radical cholecystectomy. This finding supports the call for radical resection in patients with incidental diagnosis of T2 tumor on cholecystectomy. This study also emphasizes the role of radical surgery in accurate T staging.

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A Case of Chylothorax after Radical Surgery for Esophageal Cancer Cured by Lipiodol Lymphangiography

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.38.7 ◽

2005 ◽

Vol 38 (1) ◽

pp. 7-12 ◽

Cited By ~ 7

Author(s):

Mamoru Uemura ◽

Yuichiro Doki ◽

Osamu Ishikawa ◽

Jun Ueda ◽

Kouichi Yoshikawa ◽

...

Keyword(s):

Esophageal Cancer ◽

Radical Surgery

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Extended Venous Resections for Borderline Resectable Pancreatic Head Adenocarcinoma—A Retrospective Studies of Nine Cases

Healthcare ◽

10.3390/healthcare9080978 ◽

2021 ◽

Vol 9 (8) ◽

pp. 978

Author(s):

Nicolae Bacalbasa ◽

Irina Balescu ◽

Mihai Dimitriu ◽

Cristian Balalau ◽

Florentina Furtunescu ◽

...

Keyword(s):

Pancreatic Cancer ◽

Portal Vein ◽

Radical Surgery ◽

Portal Vein Resection ◽

Resectable Pancreatic Cancer ◽

Borderline Resectable ◽

Venous Resection ◽

Graft Thrombosis ◽

Borderline Resectable Pancreatic Cancer ◽

Vein Resection

Background: pancreatic cancer is one of the most lethal malignancies and a leading cause of cancer-related death worldwide. The only chance to improve the long-term outcomes of patients with pancreatic cancer is surgery with radical intent. Methods: in the present paper, we aim to describe a case series of 9 patients submitted to radical surgery for borderline resectable pancreatic cancer. Results: in all cases, negative resection margins were achieved. The types of venous resection consisted of tangential portal vein resection in four cases, circumferential portal vein resection with direct reanastomosis in one case and circumferential resection with graft placement in another four cases; postoperatively, one patient developed a vascular surgery-related complication consisting of graft thrombosis and thus necessitated prolonged anticoagulant therapy. Conclusions: extended venous resections can be a safe and efficient way to maximize the benefits of radical surgery in locally advanced, borderline resectable pancreatic cancer.

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