 |
|
Study shows endoscopic surgery as effective open surgery for nasal cancer
July 08, 2009(Boston) - Researchers from Boston University School of Medicine (BUSM) have shown that endoscopic surgery is a valid treatment option for treating esthesioneuroblastoma (cancer of the nasal cavity), in addition to traditional open surgery and nonsurgical treatments. These findings appear in the July issue of Laryngoscope.
Esthesioneuroblastoma is a very rare cancer that develops in the upper part of the nasal cavity and thought to derive from neural tissue associated with the sense of smell. While this tumor generally grows slowly, in some cases it progresses rapidly and aggressively. The faster growing tumors are capable of widespread metastasis.
According to the BUSM researchers, the complex nature of this tumor has led to much debate regarding the optimal treatment modality. Several previous studies have analyzed survival rates of various treatments, the majority of which have shown that the most effective strategy is a combination of surgery and radiotherapy with or without chemotherapy. However, the evolution of surgical techniques has created another surgical option in the form of endoscopic surgery.
This study examined recent literature regarding outcomes of esthesioneuroblastoma treatment between 1992 and 2008 and found overall, surgery yielded more disease-free outcomes and better survival rates than nonsurgical treatment modalities. Endoscopic surgery produced better survival rates than open surgery. In addition, there was no significant difference between follow-up times in the endoscopic and open surgery groups.
"We did find a statistically significant difference between the study publication years of the open and endoscopic surgery groups because the open surgery literature considerably predated endoscopic treatment. To account for this discrepancy, we grouped the data according to publication year and performed further analysis and found the endoscopic surgery group maintained better survival rates than the open surgery group," said lead author Anand K. Devaiah, MD, FACS, an assistant professor in the departments of otolaryngology - head and neck surgery and neurological surgery as well as an attending in the department of otolaryngology at Boston Medical Center. He and his co-author, BUSM III student Michael Andreoli, presented their work at the Triological Society Eastern Section Meeting, which was met with great enthusiasm.
"Although this meta-analysis suggests that the efficacy of endoscopic and endoscopic- assisted surgery is comparable to open surgery for less invasive tumors, further prospective studies are required to establish more definite conclusions, especially for larger tumors," added Devaiah. "It helps validate this revolutionary method of surgery that we perform here at BMC, one of the few centers in the world that can offer patients endoscopic skull base surgery for these and other skull base tumors."
Boston University Medical Center
This study examined recent literature regarding outcomes of esthesioneuroblastoma treatment between 1992 and 2008 and found overall, surgery yielded more disease-free outcomes and better survival rates than nonsurgical treatment modalities. Endoscopic surgery produced better survival rates than open surgery. In addition, there was no significant difference between follow-up times in the endoscopic and open surgery groups.
"We did find a statistically significant difference between the study publication years of the open and endoscopic surgery groups because the open surgery literature considerably predated endoscopic treatment. To account for this discrepancy, we grouped the data according to publication year and performed further analysis and found the endoscopic surgery group maintained better survival rates than the open surgery group," said lead author Anand K. Devaiah, MD, FACS, an assistant professor in the departments of otolaryngology - head and neck surgery and neurological surgery as well as an attending in the department of otolaryngology at Boston Medical Center. He and his co-author, BUSM III student Michael Andreoli, presented their work at the Triological Society Eastern Section Meeting, which was met with great enthusiasm.
"Although this meta-analysis suggests that the efficacy of endoscopic and endoscopic- assisted surgery is comparable to open surgery for less invasive tumors, further prospective studies are required to establish more definite conclusions, especially for larger tumors," added Devaiah. "It helps validate this revolutionary method of surgery that we perform here at BMC, one of the few centers in the world that can offer patients endoscopic skull base surgery for these and other skull base tumors."
Boston University Medical Center
Endoscopic Surgery Current Events and Endoscopic Surgery News RSSFirst successful transvaginal nephrectomy performed using advanced surgical concepts' tri-port
r. Rene Sotelo is pleased to announce the world's first successful live human transvaginal nephrectomy using the Tri-port multi-channel port supplied by Advanced Surgical Concepts Ltd.
Gallbladder Revmoal Through Vagina Offers Minimally Invasive Alternative
Physicians at Northwestern Memorial Hospital successfully removed a patient's gallbladder through the vagina, making them the first in the Midwest and the third in the country to perform the innovative procedure.
The Next Step in Health Care: Telemedicine
Imagine a scenario where doctors from different hospitals can collaborate on a surgery without having to actually be in the operating room. What if doctors in remote locations could receive immediate expert support from top specialists in hospitals around the world?
Sinusitis patients have pain similar to the elderly and people with arthritis
A new analysis led by researchers at Georgetown University Medical Center suggests many patients with sinusitis have aches and pains similar in severity to people in their 80s and those with arthritis or depression.
Anti-tumor therapy with endoscopic ultrasound may fight cancer more safely and effectively
The chairman of EUS2008 today announced that investigational research on a therapeutic technique that will allow physicians to directly inject malignant tumors with cancer fighting agents from inside the body will be presented at the 16th International Symposium of Endoscopic Ultrasonography (EUS2008) in San Francisco on September 12-13.
Gallbladder removed without external incisions
In April of last year, surgeons at NewYork-Presbyterian Hospital/Columbia University Medical Center made headlines by removing a women's gallbladder through her uterus using a flexible endoscope, aided by several external incisions for added visibility. Now, they have performed the same procedure without a single external incision in what surgeons report may be the first surgery of its kind in the United States.
Surgeons complete the first Lap-Band weight-loss surgery in Texas using single incision as entry point
UT Southwestern Medical Center surgeons have completed the first single-incision Lap-Band weight-loss surgery in Texas.
Removal of superficial tumours in oesophagus by endoscopy can avoid complete extirpation of this part of the digestive tract
The removal through endoscopy of tumours that affect only the superficial layers of the oesophagus can avoid complete extirpation of this part of the digestive tract.
Z-shaped incision enhances minimally invasive surgery
A novel surgical technique allowing doctors to operate on patients by making a Z-shaped incision inside the stomach could potentially replace certain types of conventional surgery in humans, according to Penn State medical researchers who have successfully demonstrated the procedure in pigs.
Surgeons successfully remove gall bladder without outer incisions
French surgeons successfully removed a woman's gall bladder through her vagina, according to a report in the September issue of Archives of Surgery, one of the JAMA/Archives journals.
More Endoscopic Surgery Current Events and Endoscopic Surgery News Articles
 |
Endoscopic Sinus Surgery: Anatomy, Three-Dimensional Reconstruction, and Surgical Technique by Peter-John Wormald (Author) The second edition of this operative manual provides expanded coverage of the complex anatomy and the current surgical approaches to the paranasal sinuses and skull base. It provides practical, step-by-step instruction on using CT scans to reconstruct three-dimensional images of surgical anatomy, enabling the surgeon to develop detailed surgical plans for each clinical situation. <br><br>The accompanying DVD is greatly expanded from the first edition’s CD-ROM, with 30 additional operative videos plus new problem-based exercises. The operative videos enable practitioners to visualize the surgical concepts described and illustrated in the text. Case exercises provide the opportunity to apply knowledge learned to perform three-dimensional reconstructions—a valuable tool... |
|
Safe Practice in Endoscopic Surgery: 3 Video Boxed Set [VHS] Starring: Alfred Cuschieri, Peta Dunkley | |
 |
Advances in Facial Plastic Surgery -- It's Not Your Mother's Facelift Anymore... This talk will focus on recent advances in facial plastic surgery that emphasize decreased downtime with optimal results. This product is manufactured on demand using DVD-R recordable media. Amazon.com's standard return policy will apply. |
 |
Mastery of Endoscopic and Laparoscopic Surgery by Nathaniel J Soper (Editor), Lee L Swanström (Editor), W. Stephen Eubanks (Editor) |
 |
Endoscopic Paranasal Sinus Surgery by Lippincott Williams & Wilkins Endoscopic Paranasal Sinus Surgery : Endoscopic Paranasal Sinus Surgery Pub Date: November 2003 Product Type: Print Author/s: Dale H Rice MD, FACS; Steven D Schaefer MD, FACS Completely updated for its Third Edition, this full-color surgical atlas and guide shows the latest refinements in endoscopic procedures for treatment of sinus conditions. The authors offer step-by-step /"how-to/" instructions on surgical technique and expert advice on concerns such as preoperative evaluation, choice of instruments, postoperative care, and prevention and management of complications.This edition contains over 400 illustrations, including many new color images and CT scans. New chapters cover an anatomical approach to sinus surgery: a combined anterior-to-posterior and... |
 |
Endoscopic Surgery in Infants and Children by Klaas N.M.A. Bax (Editor), Keith E. Georgeson (Editor), Steven S. Rothenberg (Editor), Jean-Stéphane Valla (Editor), CK. Yeung (Editor) Endoscopic surgery has revolutionized pediatric surgery in the past 15 years. Almost all operations that were previously performed through incisions are now completed using endoscopic surgical techniques. This book mirrors the enormous progress that has been made. It contains 111 chapters, starting with 8 basic chapters, including one on ergonomics, to be followed by 20 chapters on thoracoscopic procedures, including esophageal atresia repair, 41 chapters on endoscopic surgical gastrointestinal, hepatic, pancreatic and splenic procedures, and 30 chapters on endoscopic surgical urology and adrenalectomy. Endoscopic surgery for diaphragmatic pathology, inguinal hernia and obesity is described as well. There is one chapter on thoracoscopic anterior spinal procedures and one on endoscopic... |
 |
Endoscopic Skull Base Surgery: A Comprehensive Guide with Illustrative Cases by Hrayr K. Shahinian (Author), M.S. Kabil (Contributor), R. Jarrahy (Contributor), M.-P. Thill (Contributor) To date, more than three thousand brain and skull base tumors, along with various vascular problems, have been treated by using advanced, fully endoscopic, minimally invasive surgical techniques. In Endoscopic Skull Base Surgery, Dr. Hrayr K. Shahinian, director of the Skull Base Institute, compiles these techniques. Highly specific and amply illustrated by over six hundred color photographs complete with a compendium of the necessary surgical instruments, the step-by-step operating room procedures provide a definitive guide to the difficult yet essential art of skull base surgery. Comprehensive and concise, Endoscopic Skull Base Surgery is ideal for all surgical specialists and those training to become specialists who wish to gain a new tool in the noble, on-going cause of... |
 |
Manual of Endoscopic Sinus Surgery: and its Extended Applications by Daniel Simmen (Author), Nick Jones (Author) By focusing on how to establish clear indications for surgery and how to improve surgical approaches in endoscopic paranasal sinus surgery, this practical operating manual appeals to the beginner as well as to the practicing surgeon. Techniques covered range from simple procedures to the most advanced applications, including tumor and trauma surgery, and procedures involving the anterior skull base.<br><br>Based on their clinical and considerable teaching experience, the authors have chosen an approach that responds directly to patients’ concerns and which is set within a simple framework based on the questions of Who? When? Why? And How?<br><br>Who? offers guidelines on patient selection and dealing with patients’ expectations,<br>When? discusses... |
 |
Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base by Malte Wigand (Author) Returning in an up-to-date second edition, this book offers expanded coverage of the most important concepts in endoscopic sinus surgery with new insights into the anatomy of the paranasal sinuses. This text covers the basic concepts of intranasal surgery of the paranasal sinuses, endoscopic anatomy, preoperative and postoperative diagnosis, instrumentation, anesthesia and patient positioning. It describes standard and advanced surgical techniques for the nasal cavity, the maxillary antrum, the ethmoid, frontal and sphenoid sinuses, and the anterior base of the skull.<br><br>Highlights of the second edition:<br>-New chapters on managing complications of rhinosinusitis, trauma, malformation, and neoplasms<br>-New section on transcranial exposure of the anterior... |
 |
Mastery of Vascular and Endovascular Surgery: An Illustrated Review (Mastery of Vascular and Endovascular Surgery (Zelenock)) by Gerald B Zelenock (Editor), Thomas S Huber (Editor), Louis M Messina (Editor), Alan B Lumsden (Editor), Gregory L Moneta (Editor) This new addition to the acclaimed Mastery of Surgery series guides readers step by step through all vascular surgical procedures, both open and endovascular. In the tradition of the series, this text/atlas is written by the world's master surgeons and richly illustrated throughout with detailed drawings, photographs, and imaging scans. Coverage of each procedure begins with indications, contraindications, preoperative preparation, anatomy, and patient management, followed by step-by-step descriptions of operative technique and pitfalls. For diseases in which open and endovascular approaches are used for different indications, both approaches are presented with discussions of when and why each is preferable. Each chapter ends with an editor's comment. "Doody's Core TitlesTM... |
| © 2009 BrightSurf.com |