Further developments in oncoplastic surgery continue apace, and it is likely that ever more ingenious methods of amalgamating plastic surgery techniques with oncological resectional
surgery will be devised.
Thus, we performed this study to compare treatment efficacy in terms of the requirement for corticosteroids or anti-TNF agents, resectional
surgery, and disease-related hospitalization in CD patients receiving concurrent therapy with 5-ASA and AZA/6-MP and those receiving AZA/6-MP monotherapy.
In this approach, the patients are subjected to an emergency laparotomy, and based on the laparotomy findings and patient conditions, one of the resectional
or nonresectional surgical procedures is selected.
digitoclasia), extensive hepatorrhaphy, resectional
debridement with selective vascular ligation, intrahepatic balloon, angioembolisation, venovenous bypass, and hepatic transplant etc.1,2,16,17 The choice of haemostatic measure instituted depends on a variety of factors such as the grade of liver injury, expertise of the surgeon, preference of individual surgeon and institutional practices.
Carter, "A case-match analysis of failed prior bariatric procedures converted to resectional
gastric bypass," American Journal of Surgery, vol.
Treatment modalities were classified as non-operative, non-resectional and resectional
. Non-operative procedures included decompression by rigid or flexible sigmoidoscopy or colonoscopy and barium enema; non-resectional procedures included operative detorsion, mesosigmoidoplasty, colopexy and extraperitonealisation; and resectional
procedures included PRA, HP, Mikulicz resection, exteriorisation and subtotal colectomy.
Where a biopsy diagnosis has been made endoscopic resection or limited resection can be undertaken removing the need for major resectional
The authors concluded that patients older than 50 years with a pre-operative diagnosis (particularly with a core needle biopsy) and with an invasive cancer <3 cm (localised for excision, especially suitable by ultrasound wire) provided the optimum subgroup suitable for achieving negative margins at the first resectional
Smith, "Sham feeding with chewing gum after elective colorectal resectional
surgery: a randomized clinical trial," Annals of Surgery, vol.
There are a number of factors which influence number of lymph node harvest in colorectal surgery such as age, sex, Duke Stage, operative urgency, pre-operative radiotherapy, inflammatory response and LNH decreases slightly as the CRC goes distally.12,13 The Association of Coloproctologists of Great Britain and Ireland have developed an ACPGBI LN Harvest Model to predict the number of lymph node harvest in patients undergoing resectional
surgery for colorectal cancer.13,14 Another medium sized prospective study showed that the overall lymph node harvest, varied according to the reporting pathologist but not operating surgeon and also that as the lymph node harvest increased to 15 per patient, the probability of identifying a metastatic node increased.
In addition, resectional
and anastomotic complications are not uncommon.
(23) Because of the controversy related to AC, the incidence of incorrect or nonreproducible pathologic diagnosis is reported as high as 86% on biopsy specimens and 40% on frozen section diagnosis at times of resectional