Resection
The resection is a surgical removal of certain tissues of an organ or a tumor . The word "resection" comes from the late Latin "resectio" = to cut off, or "resecare" = to cut off, cut away, cut back. Examples are the colon resection, i.e. the partial removal of the large intestine , or the partial thyroid resection (goiter resection ). If neighboring structures are also removed, this is called an en bloc resection .
Terminology
In German, resection (the "cutting away ") is usually differentiated from ectomy ("cutting out") or total extirpation (the removal of an entire organ, such as a gastrectomy , hysterectomy or thyroidectomy ) and partial extirpation .
In the same sense, in dentistry - especially in endodontics - the root tip resection means the removal of only part of the tooth root (namely its tip).
Due to modern English-technical communication, some sharp separations of terms are becoming increasingly blurred. In German, a gastric resection was always a partial removal of an organ, whereas a gastrectomy was a total, in contrast to the Anglo-American one, where the term partial or total gastrectomy or stomach resection is used. Therefore, even in modern German usage, there is an increasing use of total or partial resection . In the actual German-speaking sense of the word, however, there is no such thing as a "partial resection", since the term resection, as described above, describes the only partial nature of the removal and otherwise it would always be an "ectomy" in the case of a complete removal.
Tumor resection
Depending on the target and anatomical conditions, several types of resections can be performed.
- R0 resection (in sano): removal in the healthy
- R1 resection : microscopic parts of the tumor are retained (diagnosis by pathology )
- R2 resection : macroscopic tumor parts are preserved (diagnosis by surgery )
- En bloc resection : removal with neighboring structures
Lung resection
The lung resection can be done either based on the anatomical boundaries or atypical. In the case of atypical resections or wedge resections , the anatomical structures of the lung portion to be removed are not shown exactly, but simply a stapler is used to set the part to be resected in a V-shape or tangentially.
Anatomical resections can be done based on the anatomical boundaries of the lung lobes or the lung segments. From a single segment ectomy to a bilobectomy, all gradations are possible.
Gastric resection
In benign and malignant diseases, parts of the stomach (for example, as a two-thirds resection or three-quarter resection) or the entire stomach can be removed.
Other resection examples
For example , to treat tendon adhesions on the palm of the hand , an outgrowth of bone in the shoulder joint or the heel spur , either minimally invasive or open operations are used.
swell
- Jurowich, CF: Perioperative Management. 2003, Ger. Doctors Publishing House
- Largiadèr, F ; Saeger, D; Trentz, O: Surgery Checklist. 2007, Thieme
- Pschyrembel Clinical Dictionary . Founded by Willibald Pschyrembel. Edited by the publisher's dictionary editor. 255th edition. De Gruyter, Berlin 1986, ISBN 978-3-11-018534-8 , p. 1437 ( resection ).
