Abstract:
BACKGROUND:Standard two-dimensional (2D) specimen radiography may guide intraoperative re-excision of margins in patients undergoing breast conserving surgery. We sought to determine the impact of three-dimensional (3D) specimen imaging in further reducing positive margin rates. METHODS:A prospective study of 100 patients in which both 2D and 3D specimen radiographies were performed. The impact of orthogonal view on intraoperative surgical management and final margins was assessed. RESULTS:Ten patients had no residual tumor; therefore, 90 patients formed the cohort of interest. Of them, 21 patients (23.3%) had ductal carcinoma in situ; 18 (20.0%) had invasive cancer; and 51 (56.7%) had both. Median tumor size was 1.7 cm (range, .2 to 8.1 cm). On the basis of 2D imaging, surgeons stated they would take more tissue in 26 patients (28.9%). Three-dimensional imaging changed management in 4 patients (6.3%). One of these patients would have had positive margins if the intraoperative resection done on the basis of the 3D imaging would have been omitted. CONCLUSIONS:Three-dimensional specimen imaging results in further intraoperative re-excision in 6.3% of patients and may reduce re-excision rates in 2.2%.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Chagpar AB,Butler M,Killelea BK,Horowitz NR,Stavris K,Lannin DRdoi
10.1016/j.amjsurg.2015.05.018subject
Has Abstractpub_date
2015-11-01 00:00:00pages
886-90issue
5eissn
0002-9610issn
1879-1883pii
S0002-9610(15)00375-Xjournal_volume
210pub_type
杂志文章abstract::We found that the mortality rate was no greater in patients with necrotizing enterocolitis complicated by perforation compared with the rate in those with other causes of perforation in similar weight classes. Iatrogenic injuries had a 50 percent mortality rate in all gestational age and birth weight categories and, t...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/s0002-9610(88)80111-9
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abstract:BACKGROUND:Students report that their operating room experience during specialty clerkships has been less than satisfactory. To deal with this and other problems in a 1-week cardiothoracic clerkship, a video conference system was introduced. METHODS:Three teaching strategies were used: a seminar dealing with the disea...
journal_title:American journal of surgery
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abstract:BACKGROUND:The association of pancreatitis with neuroendocrine tumors of the pancreas is uncommon, whereas its association with exocrine pancreatic cancer is well recognized. Since the latter, but not the islet cell tumor, is thought to originate within the ductal system, it is not surprising that pancreatitis is less ...
journal_title:American journal of surgery
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journal_title:American journal of surgery
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pub_type: 临床试验,杂志文章
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更新日期:1995-03-01 00:00:00
abstract::We performed a large single-center prospective randomized controlled study to assess the role of peritoneal drainage in simple elective cholecystectomy. In 248 patients, drains were omitted; 122 patients had closed suction drains and 124 had Penrose drains. There were no deaths, and no patient required reoperation or ...
journal_title:American journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验,评审
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更新日期:1990-02-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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更新日期:1979-11-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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更新日期:2012-11-01 00:00:00
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更新日期:1981-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2004-07-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1980-11-01 00:00:00
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更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Spigelian hernias are rare defects of the abdominal wall usually appearing between the abdominal muscles, lateral to the rectus abdominis and through a debilitated Spigelian aponeurosis. Recently, mesh repair has been introduced for the treatment of these types of hernias and different approaches have been p...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2006.04.016
更新日期:2007-01-01 00:00:00
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更新日期:2008-12-01 00:00:00
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更新日期:2019-09-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:2000-06-01 00:00:00
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journal_title:American journal of surgery
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更新日期:2004-07-01 00:00:00
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journal_title:American journal of surgery
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更新日期:2015-09-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1997-05-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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