Resektiert

Resektiert is the past participle of resektieren, used in medical German to indicate that tissue or an organ has been surgically removed in whole or in part. The term is employed across medical specialties, including oncology, gastroenterology, ENT, and vascular surgery, and can describe both curative resections and tissue removal for diagnostic or palliative purposes.

In oncologic surgery, resections aim to achieve clear margins, meaning no tumor cells at the border of the removed specimen. Margin status is commonly reported as R0 (no residual tumor microscopically), R1 (microscopic residual tumor), or R2 (macroscopic residual tumor). The operative approach may be open, laparoscopic, or robotic, and intraoperative imaging or frozen section analysis may guide the extent of resection. The removed tissue is routinely examined histopathologically to determine tumor type, depth of invasion, and margin status.

Common resections include colectomy for colorectal disease, gastrectomy, lobectomy for lung lesions, hepatectomy, and partial nephrectomy, but resections are also performed for benign diseases, such as polypectomy or segmental resections in inflammatory conditions. The overarching goal is to remove the lesion while preserving organ function as much as feasible.

Risks associated with resections include bleeding, infection, injury to neighboring structures, and anastomotic or wound-healing complications, varying with the organ involved. Prognosis depends on the underlying disease, stage, and the achieved margins; R0 resections are generally associated with better local control and survival in many cancers, whereas incomplete resections may necessitate additional therapies.

Etymology: resektieren derives from Latin resectus, meaning cut off, from rescare, meaning to cut again.