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第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

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第58卷 第3期 2025-5
Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

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Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal

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Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

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COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

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Eggplant deformity in penile fracture

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Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series

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Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

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Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

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Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

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Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

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Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

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Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

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第58卷 第3期 2025-5
Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

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第58卷 第3期 2025-5
Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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Spontaneous bilateral basal ganglia hemorrhage

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Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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篇名 Surgical safety margin of gastroenterological cancer surgery: A truth or a dream?
作者 Chen-Guo Ker
卷期/出版年月 47卷3期 (2014/6)
頁次 83-89
摘要 Most surgeons dream about performing an extensive resection with a wide resection margin and extensive lymph nodes dissection, which will yield a favorable prognosis. Previous studies have reported varying lengths of the margins based on different clinical profiles. The so-called safety margin is not completely safe because limited scientific evidence exists for nonrecurrence, even after the patient has had a pathological examination to prove a negative cancer invasion at the resection margin. The safety margins for malignancy are different in the esophagus, stomach, colorectum, liver, and others because of the different modes of carcinogenesis and variable paths of recurrence. However, a minimally acceptable margin length can be defined because the margin is destroyed during operative dissection or shortened after formalin fixation for tissue assessment during pathological diagnosis. The currently available data for supporting the reality of a true negative or true positive invasion at the resection margin could be presumed by gross findings of a solid tumor. A safety margin for esophageal, gastric, liver, and colorectal cancer could be 0.1, 2e4, 2, and 1e3 cm, respectively. A dream to have a real safety surgical margin to achieve better surgical outcome is a challenge for any gastroenterological surgeon. However, a complete safety margin may not always be realized because it is impossible to have a true negative margin from surgical equipment and pathological tissue process.
關鍵詞 cancer surgery;gastroenterological cancer;surgical margin;surgical quality
分類 REVIEW ARTICLE

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