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ACRO 2016: Lung Cancer Part 2
 
01:10:20
Postoperative Radiotherapy (PORT) for N1/N2 NSC Lung Cancer by Brian Lally, MD starts at 00:00 Update on Radiation for Small Cell Lung Cancer by Kenneth Rosenzweig, MD starts at 21:27
Просмотров: 280 American College of Radiation Oncology
Postoperative radiotherapy  (PORT) on the survival for pathologic IIIA-N2 non-small-cell lung cancer
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, https://plus.google.com/communities/115462130054650919641?sqinv=VFJWaER0c2NCRl9ERzRjZWhxQmhzY09kVV84cjRn , ,https://plus.google.com/u/0/+AlexandrosGSfakianakis , https://www.youtube.com/channel/UCQH21WX8Qn5YSTKrlJ3OrmQ , https://www.youtube.com/channel/UCTREJHxB6yt4Gaqs4-mLzDA , https://twitter.com/g_orl?lang=el, https://www.instagram.com/alexandrossfakianakis/, Male patients with resected IIIA-N2 non-small-cell lung cancer may benefit from postoperative radiotherapy: a population-based survival analysis. Future Oncol. 2018 May 29;: Authors: Kou P, Wang H, Lin J, Zhang Y, Yu J Abstract AIM: Our analysis was performed to assess the efficacy of postoperative radiotherapy (PORT) on the survival for pathologic IIIA-N2 non-small-cell lung cancer patients. PATIENTS & METHODS: We identified 2949 patients from 2004 to 2013 in the Surveillance, Epidemiology, and End Results database. Propensity score-matching was used to reduce the selection bias. Overall survival (OS), cancer-specific survival (CSS) and the factors associated with survival prognosis were evaluated. RESULTS: There was no significant difference in OS and CSS between PORT and non-PORT groups. However, subgroup analysis revealed an OS (p = 0.007) and CSS (p = 0.006) detrimental for male patients not receiving PORT. Multivariate analysis showed that old age, male sex, high pathologic grade, squamous carcinoma, bigger tumor size and larger number of positive lymph nodes had a negative impact on survival. CONCLUSION: PORT could improve OS and CSS in male patients with resected IIIA-N2 non-small-cell lung cancer. PMID: 29807451 [PubMed - as supplied by publisher] Add tags (Currently: Cancer, Medicine by Alexandros G. Sfakianakis)
Просмотров: 1 Alexandros G. Sfakianakis
PORT for patients at high-risk of recurrence after RP: does timing matter?
 
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Read the article: http://onlinelibrary.wiley.com/doi/10.1111/bju.13043/abstract Charles C. Hsu, Alan T. Paciorek, Matthew R. Cooperberg, Mack Roach III, I-Chow J. Hsu and Peter R. Carroll Postoperative radiation therapy for patients at high-risk of recurrence after radical prostatectomy: does timing matter? BJU International DOI: 10.1111/bju.13043
Просмотров: 403 BJUIjournal
Stage IV Laryngeal Cancer Treatment
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com Stage IV Laryngeal Cancer Treatment Supraglottis Standard treatment options: Chemotherapy administered concomitantly with radiation therapy can be considered for patients who would require total laryngectomy for control of disease, including those with nonbulky T4a disease.[1] Induction chemotherapy followed by concomitant chemotherapy and radiation. Laryngectomy is reserved for patients with less than a 50% response to chemotherapy or who have persistent disease after radiation.[1-6] Definitive radiation therapy alone in patients who are not candidates for concomitant chemotherapy and surgery (total laryngectomy) for salvage of radiation failures.[7] For patients with bulky T4 disease, surgery with postoperative radiation therapy (PORT) with or without concomitant chemotherapy based on pathological risk factors for large volume T4 disease.[8] (Refer to the Treatment Option Overview section for more information on these treatment options.) Treatment options under clinical evaluation: Clinical trials exploring novel targeted therapy, immunotherapy, novel chemotherapy, radiosensitizers, or particle-beam radiation therapy.[9] Glottis Standard treatment options: Chemotherapy administered concomitantly with radiation therapy can be considered for patients who would require total laryngectomy for control of disease, including those with nonbulky T4a disease.[1] Induction chemotherapy followed by concomitant chemotherapy and radiation. Laryngectomy is reserved for patients with less than a 50% response to chemotherapy or who have persistent disease following radiation.[1-6] Definitive radiation therapy alone in patients who are not candidates for concomitant chemotherapy and surgery (total laryngectomy) for salvage of radiation failures.[7] For patients with bulky T4 disease, total laryngectomy with PORT with or without concomitant chemotherapy based on pathological risk factors for large volume T4 disease.[8] (Refer to the Treatment Option Overview section for more information on these treatment options.) Treatment options under clinical evaluation: Clinical trials exploring novel targeted therapy, immunotherapy, novel chemotherapy, radiosensitizers, or particle-beam radiation therapy.[9] Subglottis Standard treatment options: Laryngectomy plus total thyroidectomy and bilateral tracheoesophageal node dissection usually followed by PORT with or without concomitant chemotherapy based on pathological risk factors.[10] Chemotherapy administered concomitantly with radiation therapy can be considered for patients who would require total laryngectomy for control of disease, including those with nonbulky T4a disease.[1] Treatment options under clinical evaluation: Clinical trials exploring novel targeted therapy, immunotherapy, novel chemotherapy, radiosensitizers, or particle-beam radiation therapy. - video upload powered by https://www.TunesToTube.com Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, https://plus.google.com/communities/115462130054650919641?sqinv=VFJWaER0c2NCRl9ERzRjZWhxQmhzY09kVV84cjRn , ,https://plus.google.com/u/0/+AlexandrosGSfakianakis , https://www.youtube.com/channel/UCQH21WX8Qn5YSTKrlJ3OrmQ , https://www.youtube.com/channel/UCTREJHxB6yt4Gaqs4-mLzDA , https://twitter.com/g_orl?lang=el, https://www.instagram.com/alexandrossfakianakis/,
Просмотров: 39 Alexandros G. Sfakianakis
Stage III Laryngeal Cancer Treatment
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com Stage III Laryngeal Cancer Treatment Supraglottis Standard treatment options: Chemotherapy administered concomitantly with radiation therapy can be considered for patients who would require total laryngectomy for control of disease.[1] Induction chemotherapy followed by concomitant chemotherapy and radiation. Laryngectomy is reserved for patients with less than a 50% response to chemotherapy or who have persistent disease following radiation.[1-6][Level of evidence: 1iiC] Definitive radiation therapy alone with altered fractionation in patients who are not candidates for concomitant chemotherapy and surgery (total laryngectomy) for salvage of radiation failures.[7] Surgery with or without postoperative radiation therapy (PORT).[8] (Refer to the Treatment Option Overview section for more information on these treatment options.) Glottis Standard treatment options: Chemotherapy administered concomitantly with radiation therapy can be considered for patients who would require total laryngectomy for control of disease.[1] Induction chemotherapy followed by concomitant chemotherapy and radiation. Laryngectomy is reserved for patients with less than a 50% response to chemotherapy or who have persistent disease after radiation.[1-6] Definitive radiation therapy alone with altered fractionation in patients who are not candidates for concomitant chemotherapy and surgery (total laryngectomy) for salvage of radiation failures.[7] Surgery with or without PORT.[8] (Refer to the Treatment Option Overview section for more information on these treatment options.) Treatment options under clinical evaluation: Clinical trials exploring novel targeted therapy, immunotherapy, novel chemotherapy, radiosensitizers, or particle beam-radiation therapy.[9] Subglottis Standard treatment options: Laryngectomy plus isolated thyroidectomy and tracheoesophageal node dissection usually followed by PORT.[10] Treatment by radiation therapy alone is indicated for patients who are not candidates for surgery. Patients should be closely followed, and surgical salvage should be planned for recurrences that are local or in the neck. Definitive radiation therapy alone with altered fractionation in patients who are not candidates for concomitant chemotherapy and surgery (total laryngectomy) for salvage of radiation failures.[6,7] Induction chemotherapy followed by concomitant chemotherapy and radiation. Laryngectomy is reserved for patients with less than a 50% response to chemotherapy or who have persistent disease after radiation.[6] (Refer to the Treatment Option Overview section for more information on these treatment options.) Treatment options under clinical evaluation: Clinical trials exploring novel targeted therapy, immunotherapy, novel chemotherapy, radiosensitizers, or particle-beam radiation therapy.[9] Role of Neck Dissection in the Post Radiation Therapy Setting In a prospective randomized trial, 564 head and neck cancer patients with N2 or N3 disease were randomly assigned to planned neck dissection versus surveillance with positron emission tomography/computed tomography (PET/CT). With a median follow-up of 36 months, PET/CT resulted in fewer neck dissections compared with the surgical arm (54 vs. 221), with a 2-year survival of 84.9% versus 81.5%, respectively. The hazard ratio (HR)death slightly favored PET/CT-guided surveillance and indicated noninferiority (upper boundary, 95% confidence interval for HR, 1.50; P = .004).[11][Level of evidence: 1iiA] - video upload powered by https://www.TunesToTube.com Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, https://plus.google.com/communities/115462130054650919641?sqinv=VFJWaER0c2NCRl9ERzRjZWhxQmhzY09kVV84cjRn , ,https://plus.google.com/u/0/+AlexandrosGSfakianakis , https://www.youtube.com/channel/UCQH21WX8Qn5YSTKrlJ3OrmQ , https://www.youtube.com/channel/UCTREJHxB6yt4Gaqs4-mLzDA , https://twitter.com/g_orl?lang=el, https://www.instagram.com/alexandrossfakianakis/,
Просмотров: 22 Alexandros G. Sfakianakis
Robotic Hysterectomy for Treatment of Uterine Cancer
 
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In this video the daVinci robot is used to perform a hysterectomy in a patient with uterine cancer. The physicians of Gynecologic Oncology Associates, using advanced endoscopic techniques such as this, provide patients with minimal postoperative discomfort and discharge from the hospital several hours following the procedure.
Просмотров: 8102 GynOncAssociates
8246GYN Robotic-Assisted Ovarian Transposition and Pretreatment Surgical Staging in Cervical Cancer
 
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TITLE: Robotic-Assisted Ovarian Transposition and Pretreatment Surgical Staging in Cervical Cancer Objective: To demonstrate the utility of robotic-assisted procedures in ovarian transposition in a case of cervical cancer for pretreatment surgical staging. Methods: A 28-year-old patient with stage IIA squamous cell carcinoma was counseled to undergo ovarian transposition and paraaortic and pelvic lymph node sampling prior to initiation of chemotherapy and radiation therapy. Results: Robotic-assisted ovarian transposition and paraaortic and pelvic lymph node sampling was performed without intraoperative or postoperative complications. Conclusion: The benefits of robotic-assisted procedures are well demonstrated in this procedure. Abs# 8246GYN Authors: Farr Nezhat, MD, Connie Liu, MD, George Hagopian, MD, Dimitry Lerner, MD
Просмотров: 13998 SocietyLapSurgeons
Medical Videos   Full Breast Reduction Surgery  Medical Videos best
 
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SUBSCRIBE MY CHANNEL FOR MORE VIDEOS LIKE........ Diabetes Mellitus. Diet and Food Health. Emergency Medicine. Endocrinology. ENT. Funny Videos. Gastroenterology. Gynecology and STDs. HD Medical Videos. Health and Fitness. OPHTHALMOLOGY VIDEOS Ophthalmology Operations and Lectures Free Videos.Download free Ophthalmology videos and watch free Ophthalmology videos onlin RETINA VIDEOS Retina Surgery,examination and Operations and Lectures Free Videos.Download free Retina videos and watch free Retina videos onlineE.N.T VIDEOS E.N.T Operations and Lectures Free Videos .Download free E.N.T videos and watch free E.N.T videos onUSMLE VIDEOS Videos related to all the steps of the USMLE and demonstartions of the Clinical Skills (CS) videos. Watch videos online.GYNECOLOGY AND OBSTETRICS VIDEOS Gynecology and Obstetrics Operations and Lectures Free Videos .Download free Gynecology and Obstetrics videos and watch free Gynecology and Obstetrics videos online. PEDIATRICS VIDEOS Pediatrics operations and Lectures Free Videos .Download free Pediatrics videos and watch free Pediatrics videos CARDIO-THORACIC & VASCULAR VIDEOS Cardio-thoracic & Vascular Operations and Lectures Free Videos.Download free Cardio-thoracic & Vascular videos and watch free Cardio-thoracic & Vascular videos GASTRO-ENTROLOGY AND ENDOSCOPIC SURGERY VIDEOS Gastro-entrology and Endoscopic Surgery Operations and Lectures Free Videos.Download free Gastro-entrology and Endoscopic Surgery videos and watch free Gastro-entrology and Endoscopic Surgery GENERAL SURGERY AND INTERNAL MEDICINE VIDEOS General Surgery and Internal Medicine Operations and Lectures Free Videos.Download free General Surgery and Internal Medicine videos and watch free General Surgery and Internal DERMATOLOGY VIDEOS dermatology and skin diseases . NEUROSURGERY VIDEOS Surgeries of the brain and the spinal cord . MEDICAL EXAMINATION VIDEOS Download medical examination videos,watch medical examination videoSURGICAL EXAMINATION VIDEOS Videos of surgical examination of the human body.Watch videos online.Download videos LAPAROSCOPY VIDEOS Laparoscopic surgical and minimally invasive operationsANATOMY VIDEOS Anatomy Operations and Lectures Free Videos.Download free Anatomy videos and watch free AANAETHESIA VIDEOS Anaethesia Operations and Lectures Free Videos.Download free Anaethesia videos and watch free Anaethesia PHYSIOLOGY VIDEOS Physiology Lectures Free Videos.Download free Physiology videos and watch free Physiology videosMESOTHELIOMA VIDEOS Malignant mesothelioma,Pleural mesothelioma,Peritoneal mesothelioma , Pericardial mesothelioma, Causes ,Signs and symptoms,Diagnosis,Staging,Screening,Pathophysiology,TreaCARDIOLOGY VIDEOS Cardiology Operations and Lectures Free Videos.Download free Cardiology videos ORTHOPEDICS VIDEOS orthopedics,bone abnormalities and bone surgeries videos.ONCOLOGY AND CANCERS VIDEOS Oncology and cancer videos. Also Chemotherapy and Radiotherapy videos PLASTIC SURGERY VIDEOS plastic surgery and related surgerie UROLOGY VIDEOS Urological videos and urological surgery videos. DENTISTRY VIDEOS Dentistry and oral diseases videos. For dentists and dentistry students.
Просмотров: 154 MEDICAL & SURGRY VIDEOS
Facts every woman needs to know about breast cancer
 
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We sit down with the only all-female, all board-certified breast cancer team in Kern County at the Adventist Health AIS Cancer Center. We’ll talk about the latest advancements in treatment, but also the importance of early detection and screening.
Просмотров: 76 23 ABC News | KERO
Stage II Laryngeal Cancer Treatment
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com Stage II Laryngeal Cancer Treatment Supraglottis Standard treatment options: External-beam radiation therapy alone for the smaller lesions encompassing the primary disease and regional elective nodes.[1] Supraglottic laryngectomy with bilateral neck dissections, depending on location of the lesion, clinical status of the patient, and expertise of the treatment team. Careful selection must be made to ensure adequate pulmonary and swallowing function postoperatively. Postoperative radiation therapy (PORT) is indicated for positive or close surgical margins or other adverse pathological risk factors. Radiation should be preferred because of the good results, preservation of the voice, and the possibility of surgical salvage in patients whose disease recurs locally. (Refer to the Treatment Option Overview section for more information on these treatment options.) Glottis Standard treatment options: Radiation therapy.[1-4] Endoscopic CO2 laser excision.[5] Partial or hemilaryngectomy or total laryngectomy, depending on anatomic considerations. Under certain circumstances, laser microsurgery may be appropriate.[6] (Refer to the Treatment Option Overview section for more information on these treatment options.) Subglottis Standard treatment options: Lesions can be treated successfully by radiation therapy alone with preservation of normal voice.[1] Surgery is reserved for failure of radiation therapy or for patients in whom follow-up is likely to be difficult. - video upload powered by https://www.TunesToTube.com Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, https://plus.google.com/communities/115462130054650919641?sqinv=VFJWaER0c2NCRl9ERzRjZWhxQmhzY09kVV84cjRn , ,https://plus.google.com/u/0/+AlexandrosGSfakianakis , https://www.youtube.com/channel/UCQH21WX8Qn5YSTKrlJ3OrmQ , https://www.youtube.com/channel/UCTREJHxB6yt4Gaqs4-mLzDA , https://twitter.com/g_orl?lang=el, https://www.instagram.com/alexandrossfakianakis/,
Просмотров: 3 Alexandros G. Sfakianakis
Set up for a Total Laparoscopic Hysterectomy (TLH/ BSO) in a morbidly obese patient: By Jafaru Abu
 
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35-year old woman with a BMI of 72.5 diagnosed with well-differentiated endometroid adenocarcinoma of the uterus. Total operating time was about 90 minutes and she was discharged home after 72 hours. Histology confirmed a stage 1a endometroid adenocarcinoma of the uterine corpus and did not require adjuvant radiotherapy. Patient was recently seen 12 months following surgery. She remains well with no evidence of disease recurrence. I am grateful to her for allowing me to share this video on youtube with others. As surgeons, we should not be quick to write off patients from having surgery because of a very high BMI especially if this can be done by minimally invasive approach. More often than not, endometrial cancer in patients with high BMI can be successfully managed by minimally invasive surgery (laparoscopic or robotic). Coincidentally, morbidly obese patients tend to derive the most benefits from having this procedure - they are readily mobile in the immediate post operative period avoiding the risk of DVT. They also tend to have very early stage and good prognostic disease. Majority will not require any additional treatment after surgery. Successful surgical outcome depends on excellent team approach and careful pre-operative planning. Over the last 10 years, I have personally not had a conversion to laparotomy on any of these patient group. The success is due to all my team members who collaborate with me to look after these patients.
Просмотров: 8196 J Abu
Radiation and Radical Prostatectomy
 
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Abstract of the article -Metastasis After Radical Prostatectomy or Eternal Beam Radiotheapy for Patients with Clnically Localized Prostate Cancer. This article was discussed on Ask Dr Barken Call In Show on March 23 2010. Please visit out site www.pcref.org and find Ask Dr Barken previous calling shows by clicking on "Past Shows" You can join the weekly call in shows by dialing 877-727-3301 on Tuesday 6PM Pacific Time. You can record your questions also inbetween the shows at any time. Thank you Coach Barken M.D.,
Просмотров: 280 DrBarken
Rescue surgery after high doses of chemo-radiotherapy.Bronchoplasty and bleeding control
 
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Challenging uniportal VATS right upper lobectomy. The patient was considered non surgical in other center and treated with high doses of chemo-radiotherapy. One year and a half later, the hilar tumor persisted, and no more chance for chemo-radiotherapy, so the case was reevaluated and considered for rescue surgery. A difficult uniportal VATS RUL was performed. Total surgical time was 140 minutes. The postoperative course of the patient was uneventful www.videothoracoscopy.com Diego Gonzalez Rivas
Просмотров: 564 Diego Gonzalez-Rivas
10.305URO Laparoscopic Partial Nephrectomy in a Solitary Kidney
 
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TITLE: Laparoscopic Partial Nephrectomy in a Solitary Kidney Introduction: Renal tumors in a solitary kidney are a unique management challenge. Techniques such as laparoscopic partial nephrectomy are more commonly being reported. Our video demonstrates a laparoscopic partial nephrectomy in a solitary kidney. Patients and Methods: Our 45-year-old male patient was diagnosed with left renal mass as an incidental finding. He has a prior history of right-sided Wilms tumor at 2 years of age. He underwent right nephrectomy and postoperative radiation therapy. His evaluation showed normal renal function. An abdominal CT scan showed a 17-mm mass at the upper pole of the left kidney. Due to the possibility of malignancy, surgery was advised. Laparoscopic left partial nephrectomy was performed. The patient was placed in the left side up position. A 12-mm and two 5-mm ports were placed in the left abdomen. Lysis of adhesions was done. Intraoperative ultrasound was used to identify the tumor margins. Dissection of the hilum revealed a single artery and vein, which were clamped using a vascular clamp. The mass was excised with 1cm of the surrounding normal tissue. A figure-of-eight stitch with Surgicel pledget and intracorporeal knot technique was used to close the bed. Total warm ischemia time was 25 minutes. The patient's postoperative course was unremarkable. One-week and 6-month follow-ups showed the patient in good health with normal creatinine. Conclusion: In select patients, minimally invasive techniques can be used for resection of a renal tumor in a solitary kidney. We successfully performed the partial nephrectomy laparoscopically with preservation of renal function. Abs# 10.305 Authors: Keyur Chavda, MD, Mohammad A. Bhatti, MD, Deepali Bobra, MD Guthrie Healthcare System, Sayre, Pennsylvania, USA
Просмотров: 4540 SocietyLapSurgeons
Breast Cancer & Implants in woman with BRCA mutation
 
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The evaluation of surgical treatment in breast cancer patients with BRCA 1/2 mutation, should include several issues, namely the current evidence of adequate oncological safety of BCT in BRCA mutated patients; the increased risk for contralateral breast cancer especially in BRCA1 carriers; the feasibility on nipple-skin sparing mastectomy with a greater patient's satisfaction for cosmetic results with no evidence of compromised oncological safety and, finally, the awareness that breast radiotherapy might increase the risk of complications in a possible subsequent mastectomy with immediate breast reconstruction.
Просмотров: 9826 breastsurgeonsweb
Breast Cancer Treatment: Will I Need Chemotherapy?
 
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Following a positive breast cancer diagnosis, your doctor will consider many factors when determining whether or not you will undergo chemotherapy. Dr. David A. Margileth discusses those factors in this video. Click Here & Get The 15 Breast Cancer Questions To Ask Your Doctor http://www.breastcanceranswers.com/what-breast-cancer-questions-to-ask/# Breast Cancer Answers is a social media show where viewers submit a question and get the answer from an expert. Submit your question now at, http://www.breastcanceranswers.com/ask. This information should not be relied upon as a substitute for personal medical advice, diagnosis or treatment. Use the information provided on this site solely at your own risk.  If you have any concerns about your health, please consult with a physician.
Просмотров: 36872 Breast Cancer Answers®
[Interview with Author] Risk Factors for Postoperative Hemorrhage After Partial Nephrectomy
 
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KJU - Video Interview with Author - 2014-01 Title: Risk Factors for Postoperative Hemorrhage After Partial Nephrectomy Authors: Saebin Jung, Gyeong Eun Min, Benjamin I Chung, Seung Hyun Jeon Citation: Korean J Urol 2014;55:17 Original article: http://www.kjurology.org/Synapse/Data/PDFData/0020KJU/kju-55-17.pdf
Просмотров: 312 KJUrology
Laparoscopic Source Control for Large Pelvic Abscess after Perforated Appendicitis
 
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This video details laparoscopic drainage of an abscess in patient who had recently undergone (laparoscopic converted to open) appendicectomy for perforated appendicitis. The abscess was not amenable to percutaneous radiological drainage. The video is associated with a manuscript that has been submitted for publication in Colorectal Disease (http://onlinelibrary.wiley.com/journa...). Click Subscribe to this channel for the most up-to-date content! Operating Surgeon: Dr Salomone Di Saverio MD FACS FRCS. Assistant Surgeon: Dr Andrea Biscardi MD. Emergency and Trauma Surgery Service, Maggiore Hospital, AUSL Bologna. Authors: Salomone Di Saverio M.D. FACS, FRCS (1), Massimo Sartelli (2) Fausto Catena M.D. (3), Andrea Biscardi MD (1), Alice Piccinini MD (1), Federico Coccolini M.D. (4), Gregorio Tugnoli MD (1), (1) ) Maggiore Hospital – Bologna Local Health District, Bologna, Italy. (2) Macerata Hospital, Macerata, Italy. (3) Maggiore Hospital of Parma, Parma, Italy. Emergency and Trauma Surgery Dept. (Head. Dr. F. Catena) (4) Hospital HPG23 – Bergamo, Italy General, Emergency and Trauma Surgery Unit (Head Dr. L. Ansaloni) Corresponding Author: Salomone Di Saverio M.D. E-Mail: salo75@inwind.it Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC).
Просмотров: 4341 Colorectal Disease Journal
DR. S Manny Ayyar Robotic Whipple
 
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Benefits of the Robotic Whipple vs. the traditional Open Whipple procedure • Reduced post-operative pain • Less blood loss • Faster return to eating • Less scarring • Shorter hospital stay • Shortened recovery time allowing patients to begin chemotherapy and radiation sooner Astonishing recovery rates with the use of robots in pancreatic cancer treatment by Houston surgeon, Dr. S. Manny Ayyar The Whipple procedure, which has historically been thought of as one to the most complex surgical procedures of the abdomen, can now be considered minimally invasive. On Thursday, February 19, 2015, a surgical team led by Dr. S. Manny Ayyar and his partner, Dr. Jorge Leiva, performed one of the first robotic Whipple procedures in Houston, Texas. The Whipple operation, also called a pancreaticoduodenectomy, is the most common surgical treatment for cancerous or benign tumors of the head of the pancreas, duodenum, ampulla of Vater or the common bile duct. It involves removal of the head of the pancreas, bile duct, duodenum, part of the stomach, and the gallbladder. North Cypress Medical Center in Cypress, Texas is among an elite group of hospitals across the United States offering the state-of-the-art fully robotic Whipple surgery. Pancreatic cancer is the fourth leading cause of cancer deaths. In 2015, the American Cancer Society estimates 49,000 people are expected to be diagnosed with pancreatic cancer in the United States. For those patients who are candidates for surgical resection, the Whipple procedure is potentially life-saving. Pancreatic cancer and its associated treatments are traditonally very debilitating for the patient. Now, with the combination of Dr. Ayyar’s advanced laproscopic skills and the da Vinci robot by Intuitive Surgical, we are able to recapture the quality of life for these patients. The fully robotic Whipple surgery requires a highly technical skill set that only the most advanced surgeons can carry out with success. The robotic approach enhances the operation with its three-dimensional portrayal of the abdominal cavity and surgical field, assisting the surgeon in making precise dissections and reconstructions. Since the operation employs minimally invasive techniques, patients have less pain, minimal blood loss, and without large scars. The robotic Whipple also allows patients who have cancer to start chemotherapy and radiation therapy sooner, which is vital in the potential cure of this disease. In his first fully robotic assisted Whipple, Dr. Ayyar treated a 65 year old diabetic patient who had lost her brother 18 months ago to pancreatic cancer. After a comprehensive evaluation, she was deemed appropriate for surgical excision. During this Whipple operation, Drs. Ayyar and Leiva guided the robotic system to make a few small incisions to accommodate both the laparoscope and robotic arms. In this method, they were able to precisely control the movements of the surgical instruments to resect and reconstruct the bile duct, pancreas, and stomach. With the magnification and 3D visualization that the da Vinci robot allowed, Dr. Ayyar was able to use hair like sutures to connect ducts as small as the lead of a pencil to the small intestine. She recovered rapidly with a postoperative course that was uncomplicated. Traditionally, the length of hospital stay for this surgery would be bewteeen 7-14 days. In this case, the patient was discharged home only 3 days after the robotic Whipple. She was seen as an outpatient on post-operative day 6 to schedule the remainder of her treatment. Robotic surgery is an innovative technology that is beneficial for certain abdominal operations and diseases. It provides minimally invasive approaches to very complex procedures which results in a quicker return to normal activities and improved patient satisfaction. Dr. Subramanyam Manny Ayyar and his group at North Houston Surgical Associates (NHSA), including Drs. Jorge Leiva and Ziad Amr are changing the paradigm of how people experience healthcare. Dr. Ayyar has been a practicing surgeon in the Houston area since 1999. He is in the forefront of minimally-invasive surgery and now advancing medicine through technology in the form of robotic-assisted surgery. “The robotic Whipple procedure should be the primary method of performing this surgery barring any extenuating circumstances.” Dr. Ayyar “The optics of the robot, including high definition, 10 times magnification and the three dimensional views offer a great advantage for accomplishing complex surgeries such as the pancreaticoduodenectomy.” Dr. Leiva “This (robotic Whipple) procedure was the smoothest Whipple I’ve ever been involved with.” Dr. Vishal Raizada with Greater Houston Anesthesia If you would like to learn more about robotic pancreas surgery and other minimally-invasive procedures, please call (713) 426-2400 or visit www.houstonsurgeons.net
Просмотров: 1398 NHSA SURGEONS
Extreme Oncoplasty following neoadjuvant chemotherapy
 
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Extreme oncoplasty is a breast conserving operation, using oncoplastic techniques, in a patient who, in most physicians’ opinions, requires a mastectomy. These are generally large, greater than 5 cm multifocal or multicentric tumors. They may be locally advanced. Many will have positive lymph nodes. Most of these patients will require radiation therapy, even if they are treated with mastectomy. The reason to save a breast like this is that in many cases, breast conservation may be a better alternative
Просмотров: 2463 breastsurgeonsweb
Total Laparoscopic Radical  Hysterectomy- Dr Atul Mishra
 
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Total Laparoscopic Radical hysterectomy(TLRH) Indication Earl stage cervical cancer includes stage I (cancer confined to the cervix) to IIA ( tumour invades the cervix with endocervical glandular involvement only) Early stage cervical cancer is usually treated by radical hysterectomy. Radiotherapy may be used, with or without surgery, and is usually combined with chemotherapy. TLRH has been proved efficacious and safe for early stage cervical and endometrial cancer. The best candidate for TLRH include those with early stage disease, tumour size less than 4cm and uterine size less than 12cm. Technique Patient position: lithotomy with arms tucked at the sides and steep trendelenberg position. Ports: camera port is supra umbilical. Three additional ports re placed in the right lower quadrant, left lower quadrant and in the mid-line 2cm above the pubic symphysis. Steps: Abdominal survey to rule out intraperitoneal metastasis. The bowel is mobilised out of surgical field. The round ligaments are then transected bilaterally. The peritoneum is incised over the psoas muscle immediately lateral to the infundibulopelvic ligament, and the ureters are identified.The paravesical and pararectal spaces are dissected. The uterine vessels are identified and transected at the point of origin from the iliac vessels. The bladder is then mobilised inferiorly. The ureters are freed from their medial attachments to the peritoneum, and then dissected off the parametrium down to their insertion into the bladder. The vesicouterine ligament is divided at it’s lateral aspect, and the bladder is further mobilised so as to provide ample vaginal margin. The infundibulopelvic ligament are transected to accomplish bilateral saplingo-oophrectomy. The posterior peritoneum is incised and the rectovaginal space entered in order to expose the uterosacral ligament, which are then transected. A colpotomy is performed and specimens removed vaginally. Pelvic lamphadenectomy is performed from the level of aortic bifurcation along the external iliac vessels to the circumflex iliac vein. The obturator lymph nodes are then removed. If paraaortic lymphadenectomy is required it is carried cephalad to aortic bifurcation upto inferior border of renal veins. This is performed only if pelvic lymph nodes are positive. The advantages of laparoscopic technique Visualisation of pelvic anatomy and the ability to minimise blood loss is superior. The other advantages are reduced short term morbidity ( less blood loss, wound infection, and postoperative pain, shorter hospital stay, faster resumption of normal activities)
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TRACO 2016: Radiation oncology and Small molecules
 
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TRACO 2016: Radiation oncology and Small molecules Air date: Wednesday, October 12, 2016, 4:00:00 PM Category: TRACO Runtime: 01:49:40 Description: Radiation oncology and Small molecules For more information go to http://ccr.cancer.gov/trainee-resources-courses-workshops-traco Author: E. Nichols, MD., University of Maryland and Anton Simeonov, Ph.D.,NIH Permanent link: https://videocast.nih.gov/launch.asp?19919
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Uniportal VATS complex segmental bronchoplastic reconstruction after bilobectomy
 
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In this video we show a complex brochoplasty and reconstruction of RUL segmental bronchi to main bronchus after a bilobectomy (avoiding pneumonectomy). The postoperative course of the patient was uneventful. Thanks to the recent improvements in thoracoscopy, a great deal of complex lung resections can be performed without performing thoracotomies. During the last years, experience gained through video-assisted thoracoscopic techniques ,enhancement of the surgical instruments and improvement of high definition cameras have been the greatest advances. The huge number of surgical videos posting on specialized websites, live surgery events and experimental courses has contributed to the rapid learning of minimally invasive surgery during the last years. Nowadays, complex resections, such as post chemo-radiotherapy resections, lobectomies with chest wall resection, bronchial and vascular sleeves are being performed by thoracoscopic approach in experienced centers. Additionally, surgery has evolved regarding the thoracoscopic surgical approach, allowing us to perform these difficult procedures by means of a small single incision, with excellent postoperative results. Dr Diego Gonzalez Rivas www.videothoracoscopy.com
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Focus on breast cancer
 
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Cancer Australia held a two-day National Aboriginal and Torres Strait Islander Cancer Forum on 11 -12 June 2014, in Brisbane QLD. In line with the Forum theme, ‘Working together on cancer’, Cancer Australia brought together over 150 health professionals working with Aboriginal and Torres Strait Islander communities, to build capacity to address the significant disparities in cancer outcomes. Presented by Dr Roshi Kamyab, Breast Surgeon, Sir Charles Gardiner Hospital; and Annette Lawrence, Aboriginal cancer survivor.
Просмотров: 444 Cancer Australia
Uniportal thoracoscopic sleeve lobectomy after induction therapy
 
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Right upper lobectomy performed after chemotherapy by using a single incision thoracoscopic approach. The bronchus was managed by a sleeve anastomosis. The postoperative course of the patent was uneventful Dr Diego Gonzalez Rivas Dr Ricardo Fernandez Prado
Surgery for breast cancer removal
 
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A breast cyst is a fluid-filled sac within the breast. One breast can have one or more breast cysts. They're often described as round or oval lumps with distinct edges. In texture, a breast cyst usually feels like a soft grape or a water-filled balloon, but sometimes a breast cyst feels firm. Breast cysts can be painful and may be worrisome but are generally benign. They are most common in pre-menopausal women in their 30s or 40s. They usually disappear after menopause, but may persist or reappear when using hormone therapy. Breast cysts can be part of fibrocystic disease. The pain and swelling is usually worse in the second half of the menstrual cycle or during pregnancy. Fibroadenomas of the breast, are lumps composed of fibrous and glandular tissue. Because breast cancer can also appear as a lump, doctors may recommend a tissue sample (biopsy) to rule out cancer in older patients. Unlike typical lumps from breast cancer, fibroadenomas are easy to move, with clearly defined edges.Fibroadenomas are sometimes called breast mice or a breast mouse owing to their high mobility in the breasts. Breast fibroadenomas can be diagnosed early through clinical examination, ultrasound or mammography, and often a needle biopsy sample of the lump and treated by surgical excision. They are removed with a small margin of normal breast tissue if the preoperative clinical investigations are suggestive of the diagnosis. A small amount of normal tissue must be removed in case the lesion turns out to be a phyllodes tumour on microscopic examination. Treating breast cysts is usually not necessary unless they are painful or cause discomfort. In most cases, the discomfort they cause may be alleviated by draining the fluid from the cyst. The cysts form as a result of the growth of the milk glands and their size may range from smaller than a pea to larger than a ping pong ball. Small cysts cannot be felt during a physical examination, and some large cysts feel like lumps. However, most cysts, regardless of their size cannot be identified during physical exams. Source - Wikipedia This footage is part of the professionally-shot broadcast stock footage archive of Wilderness Films India Ltd., the largest collection of imagery from South Asia. The Wilderness Films India collection comprises of thousands of hours of high quality broadcast imagery, mostly shot on HDCAM 1080i High Definition, HDV and XDCAM. Write to us for licensing this footage on a broadcast format, for use in your production! We are happy to be commissioned to film for you or else provide you with broadcast crewing and production solutions across South Asia. We pride ourselves in bringing the best of India and South Asia to the world... Reach us at wfi @ vsnl.com and admin@wildfilmsindia.com
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Abortion | Wikipedia audio article
 
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This is an audio version of the Wikipedia Article: Abortion Listening is a more natural way of learning, when compared to reading. Written language only began at around 3200 BC, but spoken language has existed long ago. Learning by listening is a great way to: - increases imagination and understanding - improves your listening skills - improves your own spoken accent - learn while on the move - reduce eye strain Now learn the vast amount of general knowledge available on Wikipedia through audio (audio article). You could even learn subconsciously by playing the audio while you are sleeping! If you are planning to listen a lot, you could try using a bone conduction headphone, or a standard speaker instead of an earphone. You can find other Wikipedia audio articles too at: https://www.youtube.com/channel/UCuKfABj2eGyjH3ntPxp4YeQ You can upload your own Wikipedia articles through: https://github.com/nodef/wikipedia-tts "The only true wisdom is in knowing you know nothing." - Socrates SUMMARY ======= Abortion is the ending of pregnancy due to removing an embryo or fetus before it can survive outside the uterus. An abortion that occurs spontaneously is also known as a miscarriage. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently an "induced miscarriage". The word abortion is often used to mean only induced abortions. A similar procedure after the fetus could potentially survive outside the womb is known as a "late termination of pregnancy" or less accurately as a "late term abortion".When allowed by law, abortion in the developed world is one of the safest procedures in medicine. Modern methods use medication or surgery for abortions. The drug mifepristone in combination with prostaglandin appears to be as safe and effective as surgery during the first and second trimester of pregnancy. The most common surgical technique involves dilating the cervix and using a suction device. Birth control, such as the pill or intrauterine devices, can be used immediately following abortion. When performed legally and safely, induced abortions do not increase the risk of long-term mental or physical problems. In contrast, unsafe abortions (those performed by unskilled individuals, with hazardous equipment, or in unsanitary facilities) cause 47,000 deaths and 5 million hospital admissions each year. The World Health Organization recommends safe and legal abortions be available to all women.Around 56 million abortions are performed each year in the world, with about 45% done unsafely. Abortion rates changed little between 2003 and 2008, before which they decreased for at least two decades as access to family planning and birth control increased. As of 2008, 40% of the world's women had access to legal abortions without limits as to reason. Countries that permit abortions have different limits on how late in pregnancy abortion is allowed.Historically, abortions have been attempted using herbal medicines, sharp tools, forceful massage, or through other traditional methods. Abortion laws and cultural or religious views of abortions are different around the world. In some areas abortion is legal only in specific cases such as rape, problems with the fetus, poverty, risk to a woman's health, or incest. In many places there is much debate over the moral, ethical, and legal issues of abortion. Those who oppose abortion often maintain that an embryo or fetus is a human with a right to life, and so they may compare abortion to murder. Those who favor the legality of abortion often hold that a woman has a right to make decisions about her own body. Others favor legal and accessible abortion as a public health measure.
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