At the frontiers of surgery: review.

Tahwinder Upile, Waseem K Jerjes, Henricus J Sterenborg, Brian J Wong, Adel K El-Naggar, Justus F Ilgner, Ann Sandison, Max J Witjes, Merrill A Biel, Robert van Veen, Zaid Hamdoon, Ann Gillenwater, Charles A Mosse, Dominic J Robinson, Christian S Betz, Herbert Stepp, Lina Bolotine, Gordon McKenzie, Hugh Barr, Zhongping Chen, Kristian Berg, Anil K D'Cruz, Holger Sudhoff, Nicholas Stone, Catherine Kendall, Sheila Fisher, Alexander J MacRobert, Andreas Leunig, Malini Olivo, Rebecca Richards-Kortum, Khee C Soo, Vanderlei Bagnato, Lin-Ping Choo-Smith, Katarina Svanberg, I Bing Tan, Brian C Wilson, Herbert Wolfsen, Irving Bigio, Arjun G Yodh, Colin Hopper
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Abstract

The complete surgical removal of disease is a desirable outcome particularly in oncology. Unfortunately much disease is microscopic and difficult to detect causing a liability to recurrence and worsened overall prognosis with attendant costs in terms of morbidity and mortality. It is hoped that by advances in optical diagnostic technology we could better define our surgical margin and so increase the rate of truly negative margins on the one hand and on the other hand to take out only the necessary amount of tissue and leave more unaffected non-diseased areas so preserving function of vital structures. The task has not been easy but progress is being made as exemplified by the presentations at the 2nd Scientific Meeting of the Head and Neck Optical Diagnostics Society (HNODS) in San Francisco in January 2010. We review the salient advances in the field and propose further directions of investigation.

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外科前沿:回顾。
手术完全切除疾病是一种理想的结果,尤其是在肿瘤学领域。遗憾的是,很多疾病都是微小的,很难被发现,导致复发和整体预后恶化,并带来发病率和死亡率方面的代价。我们希望通过光学诊断技术的进步,更好地确定手术切缘,一方面提高真正阴性切缘的比例,另一方面只切除必要的组织量,保留更多未受影响的非病变区域,从而保留重要结构的功能。这项任务并不容易,但我们正在取得进展,2010 年 1 月在旧金山举行的头颈部光学诊断学会(HNODS)第二届科学会议上的发言就是例证。我们回顾了该领域的突出进展,并提出了进一步的研究方向。
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