1. At about 00:10 there is a gush of blood (or bloody fluid). What space was entered?
2. Why is this space there?
3. What occupied this space before the surgery?
4. Is this space intraperitoneal or extra-peritoneal?
5. Identify where the parietal peritoneum is stripped and where it is present.
6. Where the parietal peritoneum is stripped, what muscle is visible on the abdominal wall?
8. Why is the parietal peritoneum stripped?
9. What post-surgical changes are identified?
10. There is a tumor mass identified. Where is it? About how big is it?
10. What of symptoms did the mass likely cause?
11. What factors go into tumor growth rate?
12. What are some examples of rapidly growing cancers?
13. What are some examples of slowing growing cancers?
14. Is de-differentiated sarcoma typically a fast or slow growing tumor?
15. What makes a tumor “completely resectable”?
16. Based on the clinical history, do you think this tumor was “completely resectable”?
17. What are some reasons to remove tumor when it’s not “completely resectable”?
18. Do you think the mass identified video was present but unresected during the initial surgery six months ago? A recurrence? A metastases? How would you decide? What information might be helpful in coming to a conclusion?
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