Relocation of inadequate resection margins in the wound bed during oral cavity oncological surgery: A feasibility study
| Autor: | Robert J. Baatenburg de Jong, Cornelia G.F. van Lanschot, Robert M. Verdijk, Tom C. Bakker Schut, Gerwin J. Puppels, Geert J.L.H. van Leenders, Vincent Noordhoek Hegt, Froukje L.J. Cals, Martine F. van der Kamp, Hetty Mast, Jose A. Hardillo, Ivo ten Hove, Senada Koljenović, Roeland W.H. Smits, Cees A. Meeuwis, Dominiek A. Monserez, Aniel Sewnaik, Elisa M. Barroso |
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| Přispěvatelé: | Otorhinolaryngology and Head and Neck Surgery, Oral and Maxillofacial Surgery, Dermatology, Pathology |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Tumor resection Oncological surgery Oral cavity relocation Resection 03 medical and health sciences 0302 clinical medicine Margin (machine learning) Frozen Sections Humans Medicine Intraoperative Care business.industry resection margin Carcinoma Margins of Excision Original Articles Surgery intraoperative assessment 030104 developmental biology Otorhinolaryngology 030220 oncology & carcinogenesis specimen driven Resection margin Feasibility Studies Original Article oral cavity Mouth Neoplasms business Relocation Cancer surgery |
| Zdroj: | Head & Neck-Journal for the Sciences and Specialties of the Head and Neck, 41(7), 2159-2166. John Wiley & Sons Inc. Head & Neck |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.25690 |
| Popis: | Background: Specimen-driven intraoperative assessment of the resection margins provides immediate feedback if an additional excision is needed. However, relocation of an inadequate margin in the wound bed has shown to be difficult. The objective of this study is to assess a reliable method for accurate relocation of inadequate tumor resection margins in the wound bed after intraoperative assessment of the specimen. Methods: During oral cavity cancer surgery, the surgeon placed numbered tags on both sides of the resection line in a pair-wise manner. After resection, one tag of each pair remained on the specimen and the other tag in the wound bed. Upon detection of an inadequate margin in the specimen, the tags were used to relocate this margin in the wound bed. Results: The method was applied during 80 resections for oral cavity cancer. In 31 resections an inadequate margin was detected, and based on the paired tagging an accurate additional resection was achieved. Conclusion: Paired tagging facilitates a reliable relocation of inadequate margins, enabling an accurate additional resection during the initial surgery. |
| Databáze: | OpenAIRE |
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