Avanish P Saklani

13 Questions 28 Answers 0 Followers

Questions related from Avanish P Saklani

Urinary Continence after simultaneous abdominoperineal resection and a prostatectomy , any data?

Locally advanced rectal Cancer invading prostate receives chemoradiation, patient is planned for an abdominoperineal resection with a prostatectomy, should , vesicourethral anastomoses be...

04 July 2020 3,805 0 View

T2 n0 colon cancer with lymphovascukar emboli any adjuvant chemotherapy?

would you recommend adjuvant chemotherapy for t1 t2 no colon cancer with poor prognostic factors eg poorly differentiated or lymphovascukar invasion any evidence for an against

15 April 2017 1,673 5 View

Colonic prolapse after intersphincteric resection, any experience?

a gentleman with isr has prolapse of colon after isr, while a feels a whitehead procedure in 2 phases may be good, has anyone any experience on this

15 April 2017 7,095 6 View

Is poorly differentiated histology or signet ring a contraindication to intersphincteric resection?

28 year male with signet ring low rectal cancer , cancer is suitable for intersphincteric resection on MRI should we do isr or recommend aper

15 April 2017 2,118 4 View

Is there any evidence in favor of cytoreduction and HIPEC vs cytoreduction alone in peritoneal metastases from colorectal cancer with low pic?

A 30 year male underwent laproscopy and stoma formation for near obstructed rectal cancer invading seminal vesical. Scopy showed limited peritoneal diseases pelvis. He underwent short course...

02 January 2016 8,247 3 View

What is the significance of acellular mucin in distal resection margin after recto sigmoid resection when patient has not received chemoradiotherapy ?

78 year lady underwent upfront lap sigmoid colectomy for a bulky tumor. Distal resection margin below promontory with distal resection margin 6 cm. post operative course uneventful. Final...

16 October 2015 2,022 6 View

Would you perform an intersphincteric resection for low rectal melanoma?

35 year male polypectomy done outside melanoma. Pr scar 2 cm dentate line. MRI mesorectal nodes. Pet no no other mets. Would you perform an aper or intersphincteric resection?

16 June 2015 8,799 7 View

What would you do with oligometastatic adrenal lesion six months after sigmoid colectomy for cancer, treatment curative or palliative?

Sigmoid colectomy in an 84 year gentleman stage 3 . Adjuvant chemotherapy six months. Pet scan. On follow up showed adrenal lesion 4 .5 cm size .met. Would you operate or advice palliate chemotherapy

18 May 2015 787 10 View

Is there a need for restaging patient after neoadjuvant chemoradiotherapy in rectal cancer patients?

Locally advanced rectal,cancer recievevarticle long course chemoradiotherapy , which last for 6 week. Patients are operated 6 to 8 weeks after finishing lcrt, I.e 3 to 4 months from diagnosis....

12 April 2015 649 5 View

Is there need for adjuvant postoperative radiotherapy in a node positive rectal cancer when circumferential resection margins are free?

A 45 year male has rectal cancer 10 cm anal verge. MRI t3 no, crircumferential resection margin (crm free) has upfront anterior resection. Histology comes back as t3 node positive crm free. He...

27 July 2014 7,158 3 View

Would you perform surgery or RFA on a solitary liver metastasis from colorectal cancer segment ?

Operated case rectal cancer, solitary 2.5 cm metastasis segment 4 Ibsen choice surgery or RFA.

15 March 2014 648 19 View

Anal canal melanoma with solitary resectable liver metastasis - any thoughts?

40 year male lesion in low rectum anal canal, mobile. Biopsy melanoma. Pet ct scan low rectal lesion, crm free. Solitary 5 cm lesion left lobe liver , rest normal, What would be the best plan of...

08 March 2014 6,038 11 View

Is there a need for a frozen section to assess distal resection margin in rectal cancer?

A 20 year male has laparoscopic intersphincteric resection for low rectal cancer. After lcrt, mutinous gross distal margin is 2 cm. Unfortunately, frozen was not available at time surgery. Final...

12 February 2014 4,904 10 View