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  • 3 Okt 2018 Minimal Invasive Surgery

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    Sakti W
    14 Ansichten37 Seiten
    Microsurgery and minimal invasive surgery techniques in oncology aim to completely excise cancer while preserving healthy tissue and minimizing scarring. These techniques are beneficial as they allow for locoregional cancer control and improved survival rates, physical appearance, and quality of life, though they require a longer operation time and specialized skills from the surgical team. Examples from RS Dharmais include free flap reconstruction after total glossectomy for oral cancer and endoscopic thyroid surgery to remove thyroid nodules minimally invasively.

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    Microsurgery and minimal invasive surgery techniques in oncology aim to completely excise cancer while preserving healthy tissue and minimizing scarring. These techniques are beneficial as they allow for locoregional cancer control and improved survival rates, physical appearance, and quality of life, though they require a longer operation time and specialized skills from the surgical team. Examples from RS Dharmais include free flap reconstruction after total glossectomy for oral cancer and endoscopic thyroid surgery to remove thyroid nodules minimally invasively.

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    14 Ansichten37 Seiten

    3 Okt 2018 Minimal Invasive Surgery

    Hochgeladen von

    Sakti W
    Microsurgery and minimal invasive surgery techniques in oncology aim to completely excise cancer while preserving healthy tissue and minimizing scarring. These techniques are beneficial as they allow for locoregional cancer control and improved survival rates, physical appearance, and quality of life, though they require a longer operation time and specialized skills from the surgical team. Examples from RS Dharmais include free flap reconstruction after total glossectomy for oral cancer and endoscopic thyroid surgery to remove thyroid nodules minimally invasively.

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    von 37

    MICROSURGERY AND MINIMAL

    INVASIVE SURGERY IN ONCOLOGY

    Dr.ISKANDAR,SpB(K)ONK
    DATA ESTIMASI KASUS KANKER
    DI DUNIA MENURUT WHO

    WHO/GLOBOCAN KASUS BARU KEMATIAN

    2008 12,7 JUTA 7,6 JUTA

    2012 14,1 JUTA 8,2 JUTA


    Kasus baru dan kematian kanker
    di RS Kanker Dharmais 2013
    Kanker payudara
    Kanker Payudara
    Kanker Payudara
    Kanker kulit
    Sarcoma wajah
    Microsurgery and Minimal Invasive
    Surgery in Oncology

    ONCOLOGIST AESTHETIC

    Oncologist Aesthetic
    Diagnosis & Staging
    Preservation of Healthy Tissue
    Complete Excision of Disease
    Careful Scar Placement
    Locoregional Control
    Maintanence of Volume, Shape and
    Survival
    Symmetris
    Factors microsurgery and minimal invasive Surgery

    Imaging
    Outcame

    Factors
    MMIS Tumor

    Doctor
    & Team
    work
    Patient
    TEAM WORK
    • Radiologist
    • Patologist
    • Oncologist
    • Fisioterapist
    • Radioterapist
    • Anastesiologist
    • Nurse
    MICROSURGERY AND MINIMAL
    INVASIVE SURGERY IN ONCOLOGY

    Contoh Kasus Rs Dharmais


    Total Glossectomy + alt free flap
    Sarcoma Wajah
    Ct scan
    Donor
    Hasil
    Kss Occipital
    Kss occipital dan auricular
    Free Tram flap
    Kss Orbita dan maxilla
    Sarcoma Wajah
    Donor
    Anastomosis arteri dan vena facialis
    Anastomosis vascular
    Hasil Akhir
    Transplantasi limfe node
    Transplantasi limfe node inguinal pasca
    diseksi aksila
    Kasus transfer limfe node
    mencegah limfedema lengan
    Microsurgery Technique
    Advantege Disadvantage
    - Large defect - Longer operation time
    - Skin, fat, muscle , and bone - Longer time Length of hospital
    - Patient’s physical appearance stay
    - Quality of life - Need microscope
    - Need a good assistant
    Minimal Invasive Surgery
    Laparoscopic BSO
    Endoscopic tiroid vestibular
    Endoscopic tiroid vestibular
    Keluarkan massa tiroid
    Endoscopic Technique
    Advantege Disadvantage
    - Better visualization - Longer operation time
    ( perforator, dermal vessel, lymphe node) - Difficult tumor resection
    - Minimal bleeding - Margin tumor
    - Minimal Scar - Need a good assistant
    - Minimal pain
    - Short timeLength of hospital stay, and
    - Better quality of life
    TERIMA KASIH

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