METHOD FOR INTRAOPERATIVE ASSESSMENT OF RESECTION VOLUME SUFFICIENCY IN ORGAN-PRESERVING SURGERIES IN PATIENTS WITH BREAST CANCER Russian patent published in 2024 - IPC A61B6/00 A61B17/00 

Abstract RU 2819490 C1

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to mastology and methods of X-ray diagnostics. Intraoperatively removed sectoral macropreparation of mammary gland is marked with X-ray-positive clips. Two clips are an upper edge, one clip is a medial resection edge. Urgent X-ray mammography of the removed macropreparation is performed. Determining the distance from the edge of the tumour node to the resected edges, if the distance is more than 2 mm, the resection volume is considered to be sufficient, if observing a segment of a tumour node located at distance of 2 mm or less to a resected edge, an additional dissection of this segment is performed in accordance with the orientation on the X-ray mammographic examination. Post-dissected area is marked and, together with the previously excised sector, is sent for a planned morphological examination.

EFFECT: method makes it possible to quickly and fully perform X-ray assessment of the relation of the tumour node to the resection edges of the removed macropreparation, to visualize the radiopaque marks established before the neoadjuvant systemic treatment, reduce the time of intraoperative examination of the removed sector of the mammary gland, reduce the volume of the removed breast tissue and, as a result, reduce the frequency of repeated surgical interventions.

1 cl, 7 dwg, 4 ex

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Authors

Bondarchuk Yana Igorevna

Krivorotko Petr Vladimirovich

Bagnenko Sergej Sergeevich

Chernaya Antonina Viktorovna

Artemeva Anna Sergeevna

Zhiltsova Elena Konstantinovna

Tyatkov Stanislav Aleksandrovich

Komyakhov Aleksandr Valerevich

Tabagua Tengiz Tengizovich

Gigolaeva Larisa Pavlovna

Emelyanov Aleksandr Sergeevich

Pesotskij Roman Sergeevich

Mortada Viktoriya Vladimirovna

Nikolaev Kirill Stanislavovich

Ereshchenko Sergej Sergeevich

Amirov Nikolaj

Bekkeldieva Nestan

Zernov Konstantin Yurevich

Paltuev Ruslan Malikovich

Belyaev Aleksej Mikhajlovich

Semiglazov Vladimir Fedorovich

Dates

2024-05-21Published

2023-03-28Filed