Graduate studies at Western
T. Upile, C. Fisher, W. Jerjes, M. El Maaytah, A. Searle, D. Archer, L. Michaels, P. Rhys-Evans, C. Hopper, D. Howard & A. Wright
|Abstract||We discuss our surgical philosophy concerning the subtle interplay between the size of the surgical margin taken and the resultant morbidity from ablative oncological. procedures, which is ever more evident in the treatment of head and neck malignancy. The extent of tissue resection is determined by the "trade off" between cancer control and the perioperative, functional and aesthetic morbidity and mortality of the surgery. We also discuss our dilemmas concerning recent minimally invasive endoscopic microsurgical. techniques for the trans-oral laser removal. or co-ablation of aero-digestive tract tumours, which result in a minimal. surgical margin of oncological clearance. By a process of inductive argument as to the nature of the surgical margin, we consider whether the risks of taking a lesser margin with adjuvant therapy is justified by the attendant gain in reduced surgical morbidity and the possible costs in tumour control. (c) 2006 Elsevier Ltd. All rights reserved|
|Keywords||No keywords specified (fix it)|
No categories specified
(categorize this paper)
|Through your library||Only published papers are available at libraries|
Similar books and articles
Barbara Ott & Robert Olson (2011). Ethical Issues of Medical Missions: The Clinicians' View. [REVIEW] HEC Forum 23 (2):105-113.
Jochen Schaefer (1980). The Case Against Coronary Artery Surgery. Theoretical Medicine and Bioethics 1 (2):155-176.
Alex London, Cutting Surgical Practice at the Joints: Individuating and Assessing Surgical Procedures.
Don Marquis (1989). An Ethical Problem Concerning Recent Therapeutic Research on Breast Cancer. Hypatia 4 (2):140 - 155.
Timothy Williamson (2007). Knowledge Within the Margin for Error. Mind 116 (463):723 - 726.
Frederic Gilbert, Andrej Vranic & Samia Hurst (2013). Involuntary & Voluntary Invasive Brain Surgery: Ethical Issues Related to Acquired Aggressiveness. [REVIEW] Neuroethics 6 (1):115-128.
Roy A. Sorensen (2007). Knowledge Beyond the Margin for Error. Mind 116 (463):717 - 722.
Wendy A. Rogers & Jane Johnson (2013). Addressing Within-Role Conflicts of Interest in Surgery. Journal of Bioethical Inquiry 10 (2):219-225.
Mario Gómez-Torrente (2002). Vagueness and Margin for Error Principles. Philosophy and Phenomenological Research 64 (1):107-125.
Mario G.’Omez-Torrente (2002). Vagueness and Margin for Error Principles. Philosophy and Phenomenological Research 64 (1):107-125.
Tadeusz Tołłoczko (2005). Surgical Patents and Patients — the Ethical Dilemmas. Science and Engineering Ethics 11 (1):61-69.
Daniel Andersen (1991). Interaction Between Theory and Practice in the Surgical Treatment of Ulcer Disease in the Period of 1880–1920. Synthese 89 (1):63 - 73.
Franklin G. Miller (2004). Sham Surgery: An Ethical Analysis. Science and Engineering Ethics 10 (1):41-48.
Added to index2011-01-13
Total downloads4 ( #188,971 of 730,737 )
Recent downloads (6 months)1 ( #61,087 of 730,737 )
How can I increase my downloads?