{"title":"Can primary retroperitoneal sarcoma benefit from aggressive resection when it is smaller than a baseball? ——A propensity score-matched analysis","authors":"Aobo Zhuang , Qian Wu , Fuan Xie , Jialiang Zheng , Geng Zhang , Weiqi Lu , Yuhong Zhou , Hanxing Tong , Yong Zhang","doi":"10.1016/j.cson.2022.100002","DOIUrl":"10.1016/j.cson.2022.100002","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Multivisceral resection (MVR) is advocated by some high-volume sarcoma centers. The objective of this study was to investigate the therapeutic effect of MVR in primary retroperitoneal sarcoma (RPS) with tumor burden less than 10 cm.</p></div><div><h3>Methods</h3><p>A retrospective analysis of patients with primary RPS who underwent radical surgical resection from 2009 to 2021 with lesions smaller than the size of a baseball (10 cm) was carried out. The incidence of postoperative morbidity and postoperative local recurrence-free survival rate of the MVR group and the non-MVR group were compared by propensity score-matching analysis.</p></div><div><h3>Results</h3><p>A total of 319 patients with primary RPS underwent surgical resection, of which 95 patients (29.8%) had a tumor burden less than 10 cm, with 24 patients (25.3%) involved in the MVR group and 71 patients (74.7%) in the non-MVR group. After matching, the two groups showed no statistical difference at baseline, while the MVR group reported more postoperative complications (P = 0.008) and a longer median postoperative hospital stay (P = 0.002). In terms of local recurrence-free survival, there were no statistical difference between the two groups (P = 0.269).</p></div><div><h3>Conclusions</h3><p>Primary RPS patients with tumors smaller than baseball may not benefit from aggressive surgical strategy.</p></div>","PeriodicalId":100278,"journal":{"name":"Clinical Surgical Oncology","volume":"1 1","pages":"Article 100002"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773160X22000022/pdfft?md5=8f303aaa5be271d65dad3f2bf06050b9&pid=1-s2.0-S2773160X22000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83035664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short-term home remote monitoring of patients after lung cancer surgery","authors":"Wentao Fu, Dongfang Tang, Fuzhi Yang, Jing Wang, Yingting Wu, Xiaoyong Shen, Wen Gao","doi":"10.1016/j.cson.2022.100004","DOIUrl":"10.1016/j.cson.2022.100004","url":null,"abstract":"<div><p>Lung cancer remains the most common malignant tumor worldwide, accounting for the majority of cancer-related deaths. The main treatment for lung cancer is surgery. For patients with lung cancer who undergo surgical treatment, the current hospitalization time is short, and postoperative complications and the readmission and mortality rates are significantly higher. Therefore, to allow patients to better recover and monitor changes in their health conditions, remote monitoring might be a suitable approach. Several studies have shown that remote monitoring at home could be highly valuable in a wide range of surgical patients, and the application is practically feasible. Compared to traditional follow-up methods, the new technology can enable to understand the changes in patients’ conditions more comprehensively and relay the information instantly to the physicians and researchers. Hence, it is necessary to promote the application of this technology in patients with lung cancer surgery for improved outcomes in long-term follow-up.</p></div>","PeriodicalId":100278,"journal":{"name":"Clinical Surgical Oncology","volume":"1 1","pages":"Article 100004"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773160X22000046/pdfft?md5=b4c079869efdf80e10a8066750f6113b&pid=1-s2.0-S2773160X22000046-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77636010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}