It also allows both the surgeon and the assistant to adopt an ergonomic position, making it possible to perform surgery with "four hands," or to switch continuously from a microscopic to a macroscopic view during microsurgery, while the whole team has access to the same images [ 25].
The study is pragmatic because it acknowledges that sometimes it may not be possible to postpone surgery for every conservative care patient until 6 months after allocation and that some patients will recover before surgery is performed in the surgical group.
Garcon, however, said that he wants to do everything possible to avoid surgery to repair a torn ligament in the second toe of his right foot.
(It is also possible to skip surgery and live without an A.C.L., although most athletes opt for reconstruction).
In addition, it is possible to perform surgery in a more comfortable sitting position on the surgical console (Fig. 5) and since the visual field is three-dimensionally detailed and bright, it is possible to observe microscopic nerves and blood vessels rather than view them directly transcervically.
If symptoms do not improve with non-operative therapy, it is possible to consider surgery.
Recent studies have suggested that it is possible to limit surgery to local excision in stage I cases.
Badgwell et al. suggested better outcomes if it was possible to delay surgery until recovery from neutropenia [ 51].
In the former case the surgical prophylaxis is changed to teicoplanin (standard prophylaxis is cefuroxime and metronidazole), but if it is possible to delay surgery the patient undergoes a course of decolonisation treatment as detailed above, either at home or within the hospital.
Meanwhile, previous studies have revealed radiofrequency ablation (RFA) as a possible alternative to surgery for the treatment of early HCC and shown its favorable local control rate for advanced HCC.
