What is the difference between enucleation and excision

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Close Menu. Surgeons Use Instruments. The anatomy of the eye is quite complex; click here to learn more about orbital anatomy Preparing for Surgery Doctors will give their patients specific instructions regarding what to do before surgery.

What to Expect On the day of surgery, the patient will likely be asked to arrive at the hospital a few hours before the scheduled operation. Types of Surgery Evisceration.

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Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information. Functional Functional. Both the options are established modality of treatment but excisionwith capsule needs more tissue removal around the capsule and large incisions.

Material and Method — In this study, we study the relative efficacy, complications and morbidity of both modalities of treatment.

Enucleation of fioadenoma and excision offioadenoma on 50 patients Student t—test was used to access the quantitative and chi—square test for qualitative differences. The p value less than 0. Result — Enucleation offioadenoma east is found to be a better option compared to excision of fioadenoma east as enucleation is possible with small incision.

Disease-free survival according to the radicality of surgery in months. Overall survival according to the radicality of surgery in months. Disease-free survival according to histological type in months. Overall survival according to histological type in months.

Surgery is the best treatment option for RPS, especially for liposarcomas, as there is no evidence of any chemotherapeutic agent improving survival of these patients. The purpose of en bloc surgery is obtaining complete macro and microscopic excision, even if this requires the inclusion of healthy retroperitoneal or abdominal organs in contact with the tumor.

However, the importance of achieving R0 radical surgery may require resecting these organs en bloc surgery. These results are comparable with those obtained in the reference centers. Therefore, we believe that RPS en bloc resection is feasible as first line treatment with acceptable results.

It is well known that the difficulties of an R0 resection increase after successive reoperations, this being particularly true of retroperitoneal lesions. In our study, the higher rate of disease-free survival in the group of patients undergoing en bloc surgery for the first time, indicates that radical treatment is crucial from the beginning. It is evident that this fact contributes to the overall survival, and may explain why we find no significant differences between the 2 groups.

Unfortunately, the second and subsequent surgeries, even with radical intent, often have worse outcomes. Our study shows that an optimal initial surgery can achieve higher disease-free survival rates, and consequently, better overall survival rates. In multivariate analysis, the presence of clear margins in the tumor resection specimen and liposarcoma histology showed a higher ratio of disease-free survival as demonstrated by other authors.

We can conclude that the ideal surgical procedure in patients with retroperitoneal sarcoma is an aggressive en bloc surgery, including multivisceral excision.

The authors declare having no conflict of interest. Cir Esp. ISSN: Previous article Next article. Issue 8. Pages October More article options. Download PDF. Corresponding author. This item has received. Article information. Show more Show less. Table 1. Morbidity According to the Clavien-Dindo Classification.. Aim Today, free margin surgery is the gold-standard management for soft-tissue sarcoma patients and one of the most important predictors of recurrence and survival.

Methods Fifty-six adult patients were divided into 2 groups. The endpoints of the study were survival time and time to recurrence, according to histological type and first surgical strategy. In the multivariate analysis, only free margins and histology of liposarcoma were significantly associated with a better survival.

Conclusions The surgical management of patients with retroperitoneal sarcoma must be very aggressive, often requiring multivisceral resection. Considering the disease-free survival and overall survival rates obtained, it is clear that it is critical to manage patients as early as possible by a radical en bloc surgery.

Retroperitoneal sarcoma. Palabras clave:. Sarcoma retroperitoneal. Full Text. Introduction Soft tissue sarcomas are a rare entity. Methods A consecutive case series of 56 patients with RPS, treated surgically between June and January , was reviewed.

Results All patients included in this study were assessed after RPS surgery with curative intent since ; since this date, en bloc surgery was included in our surgical treatment protocols. Table 2. Comparison Between Groups. Pollock, L. Karnell, H. Mencky, D.

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