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Operative Standards for Cancer Surgery: Volume III
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Editura: LWW
Limba: Engleza
Nr. pagini: 560
Coperta: Paperback
Dimensiuni: 152 x 229 mm
An aparitie: 25/09/2022
Description:
The Operative Standards for Cancer Surgery manuals provide evidence-based recommendations for the proper technical conduct of cancer surgery. Presented by the American College of Surgeons, Operative Standards for Cancer Surgery: Sarcoma, Adrenal, Neuroendocrine, Peritoneal Malignancies, Urothelial, Hepatobiliary helps surgeons distill the latest evidence into best practices and techniques that lead to improved outcomes. Focused on the steps between skin incision and skin closure, this manual is an invaluable resource for surgical oncologists and general surgeons alike.
Table of Contents:
SECTION I. SARCOMA
INTRODUCTION
CLINICAL STAGING
MULTIDISCIPLINARY CARE
PERIOPERATIVE CARE
Preoperative Clinical and Imaging Evaluation
Biopsy
Postoperative Care and Follow-up
QUALITY MEASURES
CHAPTER 1: Resection of Extremity and Trunk Soft Tissue Sarcoma
CRITICAL ELEMENTS
1. PRETREATMENT BIOPSY OF SOFT TISSUE MASSES OF THE EXTREMITY AND TRUNK
Rationale
Technical Aspects
2. MACROSCOPICALLY COMPLETE RESECTION OF THE PRIMARY TUMOR
Recommendation
Rationale
En bloc resection of the biopsy tract
Surgical margins
Intraoperative frozen section
Technical Aspects
Management of neurovascular bundles
Management of bone and tendons
Clip placement for postoperative radiation planning
Indications for amputation
Soft tissue reconstruction
Special considerations for specific histologic subtypes
3. PLACEMENT OF SURGICAL DRAINS
Rationale
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
Incidence of Regional Lymph Node Metastasis
Impact of Sentinel Lymph Node Biopsy on Patient Outcomes
Completion Lymph Node Dissection after Positive Sentinel Lymph Node Biopsy
CONCLUSION
CHAPTER 2: Resection of Retroperitoneal and Intra-Abdominal Soft Tissue Sarcoma
CRITICAL ELEMENTS
1. MACROSCOPICALLY COMPLETE RESECTION OF PRIMARY TUMOR WITHOUT DISRUPTION OF TUMOR CAPSULE
Rationale
Technical Aspects
2. EN BLOC RESECTION OF INVADED ORGANS TO OBTAIN A COMPLETE GROSS RESECTION
Rationale
Technical Aspects
Psoas resection
Management of neurovascular and bony structures
Consideration of specific histologies
Gastrointestinal stromal tumors
Desmoid tumors
INTRODUCTION
METHODOLOGY
FINDINGS
Definition of Extent of Surgical Resection
Impact of Extent of Surgery on Multivisceral Resection
Impact of Extent of Surgery on Local Recurrence
Association between Margins, Extended Resection, Multivisceral Resection, and Local Recurrence
CONCLUSION
Synoptic Operative Report: Extremity Sarcoma
Synoptic Operative Report: Retroperitoneal Sarcoma
COMMENTARY: SARCOMA SECTION
SECTION II. ADRENAL
INTRODUCTION
CLINICAL STAGING
MULTIDISCIPLINARY CARE
PERIOPERATIVE CARE
QUALITY MEASURES
CHAPTER 3: Adrenalectomy Including Multivisceral Resection
CRITICAL ELEMENTS
1. RESECTION OF THE PRIMARY TUMOR TO MICROSCOPICALLY NEGATIVE MARGINS WITHOUT DISRUPTION OF THE TUMOR CAPSULE
Rationale
Technical Aspects
Right adrenalectomy
Left adrenalectomy
2. EN BLOC RESECTION OF ADJACENT ORGANS DIRECTLY INVADED BY CANCER
Rationale
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
CONCLUSION
CHAPTER 4: Vascular Invasion
CRITICAL ELEMENTS
1. EN BLOC RESECTION OF ADJACENT BLOOD VESSELS DIRECTLY INVOLVED BY PRIMARY TUMOR AND/OR TUMOR THROMBUS
Rationale
Technical Aspects
Exposure of the inferior vena cava
Vascular control
Infrahepatic
Retro- and Suprahepatic but below the Diaphragm
Infracardiac Inferior Vena Cava and Intra-atrial
Extraction of tumor thrombus; resection and reconstruction of the IVC
INTRODUCTION
METHODOLOGY
FINDINGS
CONCLUSION
CHAPTER 5: Lymphadenectomy
CRITICAL ELEMENTS
1. RESECTION OF REGIONAL LYMPH NODES INVOLVED BY METASTATIC ADRENAL CANCER
Rationale
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
CONCLUSION
Synoptic Operative Report: Adrenal
COMMENTARY: ADRENAL SECTION
SECTION III. NEUROENDOCRINE
INTRODUCTION
Neuroendocrine Tumors
Neuroendocrine Carcinomas
Mixed Tumors
CLINICAL STAGING
MULTIDISCIPLINARY CARE
Carcinoid Syndrome
Locally Advanced and Metastatic Disease
PERIOPERATIVE CARE
QUALITY MEASURES
CHAPTER 6: Small Bowel Resection
CRITICAL ELEMENTS
1. INTRAOPERATIVE EVALUATION AND IDENTIFICATION OF PRIMARY TUMOR(S)
Rationale
Intraoperative exploration for duodenal neuroendocrine tumors/gastrinoma
Intraoperative exploration for jejunal/ileal neuroendocrine tumors
Technical Aspects
Gastrinoma
Jejunal/ileal neuroendocrine tumors
2. REGIONAL LYMPHADENECTOMY ALONG SEGMENTAL VESSELS
Rationale
Technical Aspects
Duodenum
Jejunum and ileum
3. RESECTION OF THE PRIMARY TUMOR
Rationale
Technical Aspects
Duodenum
Jejunum/ileum
INTRODUCTION
METHODOLOGY
FINDINGS
Pathogenesis of Gallstones Secondary to Somatostatin Analogues
Frequency of Gallstone Formation in Patients Treated with Somatostatin Analogues
Prophylactic Cholecystectomy in Patients Treated for Metastatic Neuroendocrine Tumors
CONCLUSION
INTRODUCTION
METHODOLOGY
FINDINGS
CONCLUSION
CHAPTER 7: Parenchyma-Preserving Pancreatectomy
CRITICAL ELEMENTS
1. INTRAOPERATIVE ULTRASOUND PRIOR TO ENUCLEATION
Rationale
Technical Aspects
2. RESECTION OF THE PRIMARY TUMOR
Rationale
Enucleation
Central and spleen-preserving distal pancreatectomy
Technical Aspects
Enucleation
Central and spleen-preserving distal pancreatectomy
3. REGIONAL LYMPH NODE SAMPLING OF THE PERIPANCREATIC AND CELIAC LYMPH NODES
Rationale
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
Impact of Lymph Node Status on Recurrence-Free Survival
Impact of Lymph Node Status on Overall Survival
CONCLUSION
Synoptic Operative Report: Pancreatic Neuroendocrine Tumor
Synoptic Operative Report: Small Bowel Neuroendocrine Tumor
COMMENTARY: NEUROENDOCRINE SECTION
SECTION IV. PERITONEAL MALIGNANCIES
INTRODUCTION
CLINICAL STAGING
MULTIDISCIPLINARY CARE
PERIOPERATIVE CARE
Patient History and Physical
Tumor Markers
Imaging
Diagnosis
Surgical Management
Postoperative Care
QUALITY MEASURES
CHAPTER 8: Cytoreduction
CRITICAL ELEMENTS
1. SUPRACOLIC GREATER OMENTECTOMY
Rationale
Technical Aspects
Greater omentectomy
Lesser omentectomy
2. RESECTION OF MESENTERIC DISEASE
Rationale
Technical Aspects
Small bowel mesenteric peritonectomy
3. CYTOREDUCTION OF THE DIAPHRAGM
Rationale
Technical Aspects
Subdiaphragmatic peritonectomy
Full-thickness resection of the diaphragm
4. CYTOREDUCTION WITHIN THE PELVIS
Rationale
Technical Aspects
Pelvic peritonectomy
Hysterectomy
Rectosigmoid resection
Operating in the setting of prior hysterectomy
5. ABDOMINAL VISCERAL RESECTIONS
Rationale
Enteric resection
Hepatic resection
Pancreatectomy and/or splenectomy
Technical Aspects
Enteric resection
Liver resection
Visceral peritonectomy of the right upper quadrant
Pancreatectomy and/or splenectomy
CHAPTER 9: Drug Delivery and Safety
CRITICAL ELEMENTS
1. HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY FOLLOWING CYTOREDUCTION
Rationale
Open versus closed technique
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
PCI Limit in PSD Associated with Colorectal Cancer
PCI limit in PSD associated with appendiceal cancer/pseudomyxoma peritonei
PCI limit in PSD associated with gastric cancer
CONCLUSION
INTRODUCTION
METHODOLOGY
FINDINGS
CONCLUSION
Synoptic Operative Report: Peritoneal
COMMENTARY: PERITONEAL SECTION
SECTION V. UROTHELIAL
INTRODUCTION
CLINICAL STAGING
MULTIDISCIPLINARY CARE
PERIOPERATIVE CARE
QUALITY MEASURES
CHAPTER 10: Endoscopic Management
CRITICAL ELEMENTS
1. ENDOSCOPIC EVALUATION OF URETHRA AND BLADDER
Rationale
Technical Aspects
2. TRANSURETHRAL RESECTION OF BLADDER TUMOR
Rationale
Technical Aspects
3. ENDOSCOPIC EVALUATION AND TREATMENT OF UPPER TRACT DISEASE
Rationale
Technical Aspects
4. POSTOPERATIVE INSTILLATION OF INTRAVESICAL CHEMOTHERAPY
Rationale
Technical Aspects
CHAPTER 11: Partial Cystectomy
CRITICAL ELEMENTS
1. INTRAOPERATIVE LOCALIZATION OF TUMOR
Rationale
Technical Aspects
2. RESECTION TO ADEQUATE MARGINS
Rationale
Margin status
Ureteral implantation
Carcinoma in situ
Technical Aspects
CHAPTER 12: Radical Cystectomy
CRITICAL ELEMENTS
1. REMOVAL OF BLADDER TO NEGATIVE RESECTION MARGINS
Rationale
Technical Aspects
2. CONCOMITANT PELVIC ORGAN MANAGEMENT IN MEN AND WOMEN
Rationale
Women
Men
Technical Aspects
Women
Men
3. PELVIC LYMPH NODE DISSECTION
Rationale
Technical Aspects
4. SELECTION OF A URINARY DIVERSION PROCEDURE
Rationale
Technical Aspects
Ileal conduit
Orthotopic diversion
Continent cutaneous diversion
INTRODUCTION
METHODOLOGY
FINDINGS
DISCUSSION
CONCLUSION
INTRODUCTION
METHODOLOGY
FINDINGS
DISCUSSION
CONCLUSION
CHAPTER 13: Nephroureterectomy
CRITICAL ELEMENTS
1. REMOVAL OF KIDNEY AND URETER
Rationale
Circumstances for segmental or distal ureteral resection
Technical Aspects
Considerations
Open nephroureterectomy
Minimally invasive nephroureterectomy
Segmental ureterectomy
2. MANAGEMENT OF THE DISTAL URETER/CUFF
Rationale
Technical Aspects
3. LYMPHADENECTOMY FOR UPPER TRACT UROTHELIAL CANCER DURING DEFINITIVE RESECTION
Rationale
Technical Aspects
4. PERIOPERATIVE INSTILLATION OF INTRAVESICAL CHEMOTHERAPY
Rationale
Technical Aspects
Synoptic Operative Report: TURBT
Synoptic Operative Report: Radical Cystectomy
Synoptic Operative Report: Nephroureterectomy
Synoptic Operative Report: Partial Cystectomy
COMMENTARY: UROTHELIAL CANCER
SECTION VI. HEPATOBILIARY
INTRODUCTION
CLINICAL STAGING
Colorectal Liver Metastases
Hepatocellular Cancer
Perihilar Cholangiocarcinoma
Intrahepatic Cholangiocarcinoma
Gallbladder Cancer
MULTIDISCIPLINARY CARE
Colorectal Liver Metastases
Hepatocellular Cancer
Perihilar Cholangiocarcinoma
Intrahepatic Cholangiocarcinoma
Gallbladder Cancer
PERIOPERATIVE CARE
Preoperative Decision-Making for Resectability
Colorectal Liver Metastases
Hepatocellular Cancer and Intrahepatic Cholangiocarcinoma
Perihilar Cholangiocarcinoma
Gallbladder Cancer
QUALITY MEASURES
CHAPTER 14: Liver Resection for Colorectal Liver Metastases
CRITICAL ELEMENTS
1. Systematic Abdominal Inspection and Intraoperative Ultrasound
Rationale
Systematic abdominal inspection
Staging laparoscopy
Systematic intraoperative liver ultrasound
Technical Aspects
Abdominal inspection
Intraoperative ultrasound
2. Resection of Planned Lesions to Macroscopically Negative Margins
Rationale
Specimen orientation and margin assessment
Nodal resection
Technical Aspects
Access approach
Parenchymal transection
Portal lymphadenectomy
CHAPTER 15: Liver Resection for Hepatocellular Carcinoma
CRITICAL ELEMENTS
1. Laparoscopic or Open Inspection of the Abdomen and Liver
Rationale
Technical Aspects
Laparoscopic versus open inspection
Intraoperative ultrasound
2. All Lesions Should be Resected to Macroscopically Negative Margins
Rationale
Definition of margins
Nodal sampling
Technical Aspects
CHAPTER 16: Cholangiocarcinoma
CRITICAL ELEMENTS
1. Resection of Primary Tumor to Microscopically Negative Margins
Rationale
Hilar cholangiocarcinoma
Intrahepatic cholangiocarcinoma
Technical Aspects
2. Routine Portal Lymphadenectomy With Selective Sampling of Aortocaval and Retroperitoneal Nodes
Rationale
Hilar cholangiocarcinoma
Intrahepatic cholangiocarcinoma
Technical Aspects
INTRODUCTION
METHODOLOGY
FINDINGS
R0 Resection
Survival
Perioperative Morbidity
CONCLUSION
INTRODUCTION
METHODOLOGY
FINDINGS
Distal Bile Duct Margin
Proximal Bile Duct Margin
Proximal and Distal Margins
CONCLUSION
CHAPTER 17: Gallbladder Cancer
CRITICAL ELEMENTS
1. Selective Staging Laparoscopy Prior to Resection of Gallbladder Cancer
Rationale
Incidental gallbladder cancer
Per primum gallbladder cancer
Technical Aspects
2. Microscopically Complete (R0) Resection of Local Tumor
Rationale
Anatomic IVb and V segmentectomy versus wedge resection of the gallbladder bed
Bile duct resection
Technical Aspects
3. Routine Portal Lymphadenectomy, with Selective Sampling of Aortocaval and Retroperitoneal Nodes
Rationale
Technical Aspects
4. Port Site Excision Need Not be Performed Routinely for Incidentally Discovered Gallbladder Cancer
Rationale
Synoptic Operative Report: Gallbladder Cancer
Synoptic Operative Report: Hepatocellular Carcinoma
Synoptic Operative Report: Hilar Cholangiocarcinoma
Synoptic Operative Report: Intrahepatic Cholangiocarcinoma
Synoptic Operative Report: Metastatic Colon Cancer
COMMENTARY: HEPATOBILIARY SECTION
Index
An aparitie | 25/09/2022 |
Autor | AMERICAN COLLEGE OF SURGEONS CANCER RESEARCH PROGRAM |
Dimensiuni | 152 x 229 mm |
Editura | LWW |
Format | Paperback |
ISBN | 9781975153076 |
Limba | Engleza |
Nr pag | 560 |
Versiune digitala | DA |
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