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In univariate survival analysis, patients using tobacco and alcohol with poorly differentiated tumors, lymph node metastasis, and stage III or IV disease had shorter OS survival, and patients with poorly differentiated tumors, no neck dissection, advanced disease, and oral cavity cancer had shorter DFS than their counterparts (Table 2).
Returning to the abdomen, electrocautery was used to advance farther along the sacral parietal fascia to finally connect to the TEA dissection (Fig. 1, arrow 3), allowing for the creation of a "guidance port" for further dissection.
The posterior dissection was advanced into the scar tissue over the tip of the coccyx (Fig. 1, arrow 2).
The submucosal dissection was advanced to reach the distal side of the mucosal incision, thus creating a submucosal tunnel.
We have routinely performed lateral lymph node dissection for locally advanced lower rectal cancer, and we believe that this previous experience enabled our current success.
Meanwhile, poorer differentiation, advanced stage disease, without neck dissection or adjuvant radiotherapy and laryngeal cancer were all associated with shorter DFS (Table 2).
There is also a duty for the pathologist to prepare properly the specimens in advance of dissection, examination and block-taking since these latter steps are key to determining adequate histological examination and pathological staging.
In turn, the subsequent molecular dissection of autoantigenic ribonucleoproteins has advanced understanding of autoantibody specificities.
After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.
The remaining 10 patients were disqualified from lymph node dissection due to poor status performance, advanced age, obesity or other comorbidities.
In the present case, the extensive dissection from the posterior guidance port was advanced both laterally and anteriorly, leaving the specimen finally found connected to the tissue around the vagina.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com