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Doctor insights on: Radical Nephrectomy Cpt

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

Dr. Richard Link
1,057 doctors shared insights

Nephrectomy (Definition)

Surgical removal of kidney for ...Read more


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Foot drop after radical nephrectomy surgery?

Foot drop after radical nephrectomy surgery?

Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read more

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My father had transitional cell carcinoma, high grade ( grade 2) muscle invasive..In 2010. Radical cystoprostetectomy with orthotopic neobladder recon?

My father had transitional cell carcinoma, high grade ( grade 2) muscle invasive..In 2010. Radical cystoprostetectomy with orthotopic neobladder recon?

Proper procedure: When transitional ca of bladder invades the muscle then the standard use of intravesicle chemo and bcg can't be used. Radical cystectomy with neobladder is the standard reconstruction. One has to be careful that nodal involvement to the iliac nodes does not develop. ...Read more

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How useful is radical prostatectomy?

How useful is radical prostatectomy?

For cancer yes: Used generally for Prostate cancer as long as the disease is deemed curable by that method ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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How effective is radical prostatectomy?

How effective is radical prostatectomy?

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men. The benefits appear to accrue to younger men ...Read more

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Reconstruction surgery favorable together with mastectomy for ilcis stage 1b, 0.8 cm?

Reconstruction surgery favorable together with mastectomy for ilcis stage 1b, 0.8 cm?

You have options: Your oncologic breast surgeon will discuss your options of lumpectomy vs mastectomy. Once you have made that decision, then reconstructive options can be discussed - immediate vs delayed, autogenous vs expander/implant. ...Read more

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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read more

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How dangerous is a surgery radical masectomy?

How dangerous is a surgery radical masectomy?

Mostly morbidity: Radical mastectomy removes the whole breast, with (radical) or without (modified radical) the underlying pectoral muscles, and content of the axilla where the lymph nodes lay. While it is not "dangerous" related to risk of dying, it has significant morbidity (complications), such as arm swelling, disfigurement, and nerve damage. You should discuss your options with your surgeon. ...Read more

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Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

This is a bit: Too complicated and specific to be dealt with over the internet. Various endos have slightly different regimens for dealing with this problem and you are in kind of a gray area. Check w/your endo for specific recommendations. ...Read more

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How are radical prostatectomy done in australia?

How are radical prostatectomy done in australia?

A few approaches.: Most radical prostatectomies in developed countries are done either as open radical prostatectomies or as robotic prostatectomies. Laparoscopic prostatectomy is less frequently performed, and open perineal prostatectomy is mostly no longer performed. Though the relative numbers of each differ from center to center and country to country, these are the surgical approaches available in australia. ...Read more

Dr. James Lin Dr. Lin
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Is prostate removal surgery considered major surgery?

Dr. James Lin Dr. Lin
1 doctor agreed:
Is prostate removal surgery considered major surgery?

Yes, but...: Yes, it's major; the one for prostate cancer is definitely big and that for obstructive urination, less but still takes 3-6 months to completely heal ; resurface the large internal raw surface. But, with the refined professional skills and advanced technology, the expected surgery-related suffering ; pain as well as its outcome has been better accepted than ever. More detail? Ask doc timely. ...Read more

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How long is a partial bilateral oophorectomy surgery?

How long is a partial bilateral oophorectomy surgery?

Partial?: There is no such thing as a partial bilateral oophorectomy. A bilateral oophorectomy may take as little as an hour or longer if there is scar tissue to work around. ...Read more

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
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Chemo for --- ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
Chemo for ---  ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Yes for rad: Definitely you should get an adjuvant radiation therapy following mastectomy. As per- chemo- if you get chemo first before surgery and unfortunately the response is only marginal- that indicates that your cancer is likely is resistant to chemo.So, adding more chemo post mastetcomy doubtfully will give you any benefit. Is this er+ or er-? If this is er+- then you should get aromatase inhibitor. ...Read more

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DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

It depends: It may depend on your age. Radiotherapy to your involved breast may be required as it is the standard of care. Ask your doctor and let us know what advice you receive. Tamoxifen is another medication recommended after completion of Radiotherapy. ...Read more

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Moderately diff. sq. cell tongue carcinoma surgically removed + Left level I-IV Lymph nodes also(tumor free in path. report)Radiotherapy Needed stil?

Moderately diff. sq. cell tongue carcinoma surgically removed + Left level I-IV Lymph nodes also(tumor free in path. report)Radiotherapy Needed stil?

Multidisciplinary : Make sure tour case is being discussed at a multidisciplinary meeting that includes the surgeon, along with medical and radiation oncologists, and radiologists. This is something usually referred to as a tumor board, and is present at many hospitals. Also look on the American Cancer Society website for more information about stage related treatment options. Hope this helps! ...Read more

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Is stereotactic surgery same as gamma knife surgery?

Is stereotactic surgery same as gamma knife surgery?

No: Stereotactic surgery is usually a minimally invasive procedure using x-ray and computers to locate a spot or lesion to perform a needle biopsy through a very small incision. Gamma knife is a non-invasive procedure to deliver very carefully a high dose of radiation therapy with specialized equipment to treat a lesion or tumor with no incision. ...Read more