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Filler advert EMBASE 填充广告 EMBASE
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/S0748-7983(24)00831-X
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引用次数: 0
Reply to “Harnessing machine learning to predict colorectal cancer metastasis: A promising artificial intelligence frontier” 回复 "利用机器学习预测结直肠癌转移:前景广阔的人工智能前沿"。
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/j.ejso.2024.108492
{"title":"Reply to “Harnessing machine learning to predict colorectal cancer metastasis: A promising artificial intelligence frontier”","authors":"","doi":"10.1016/j.ejso.2024.108492","DOIUrl":"10.1016/j.ejso.2024.108492","url":null,"abstract":"","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"50 11","pages":"Article 108492"},"PeriodicalIF":3.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advert 2024 BASO Annual Conference 广告 2024 BASO 年会
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/j.ejso.2024.109351
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引用次数: 0
Filler Advert Scopus 填充广告 Scopus
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/S0748-7983(24)00833-3
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引用次数: 0
Harnessing machine learning to predict colorectal cancer metastasis: A promising artificial intelligence frontier 利用机器学习预测结直肠癌转移:大有可为的人工智能前沿
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/j.ejso.2024.108493
{"title":"Harnessing machine learning to predict colorectal cancer metastasis: A promising artificial intelligence frontier","authors":"","doi":"10.1016/j.ejso.2024.108493","DOIUrl":"10.1016/j.ejso.2024.108493","url":null,"abstract":"","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"50 11","pages":"Article 108493"},"PeriodicalIF":3.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond S100B: The need for new biomarkers in stage III melanoma recurrence detection 超越 S100B:III 期黑色素瘤复发检测需要新的生物标记物。
IF 3.5 2区 医学
Ejso Pub Date : 2024-11-01 DOI: 10.1016/j.ejso.2024.108543
Muhammad Eeman Bhutta, Muhammad Hammad Siddique, Fasi Ur Rehman Bhutta
{"title":"Beyond S100B: The need for new biomarkers in stage III melanoma recurrence detection","authors":"Muhammad Eeman Bhutta, Muhammad Hammad Siddique, Fasi Ur Rehman Bhutta","doi":"10.1016/j.ejso.2024.108543","DOIUrl":"10.1016/j.ejso.2024.108543","url":null,"abstract":"","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"50 11","pages":"Article 108543"},"PeriodicalIF":3.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Significance of anatomical resection and wide surgical margin for HCC patients with MVI undergoing laparoscopic hepatectomy: A multicenter study 接受腹腔镜肝切除术的MVI HCC患者解剖学切除和宽手术切缘的意义:一项多中心研究。
IF 3.5 2区 医学
Ejso Pub Date : 2024-10-31 DOI: 10.1016/j.ejso.2024.109353
Shiye Yang , Haishun Ni , Aixian Zhang , Jixiang Zhang , Hong Zang , Zhibing Ming
{"title":"Significance of anatomical resection and wide surgical margin for HCC patients with MVI undergoing laparoscopic hepatectomy: A multicenter study","authors":"Shiye Yang ,&nbsp;Haishun Ni ,&nbsp;Aixian Zhang ,&nbsp;Jixiang Zhang ,&nbsp;Hong Zang ,&nbsp;Zhibing Ming","doi":"10.1016/j.ejso.2024.109353","DOIUrl":"10.1016/j.ejso.2024.109353","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the impact of surgical resection margin and hepatic resection type on prognosis and compare their prognostic significance on patients with hepatocellular carcinoma (HCC) with or without microvascular invasion (MVI) who underwent laparoscopic liver resection (LLR).</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 320 patients with HCC who underwent LLR. According to the grading of MVI, patients were classified as M0, M1 and M2. Patients were divided into the anatomical resection (AR) and nonanatomical resection (NAR) groups according to the hepatic resection type. Survival and Cox regression analyses were performed to explore the effects of AR and NAR, wide and narrow resection margin on overall survival (OS) and time to recurrence (TTR).</div></div><div><h3>Results</h3><div>In the whole cohort, narrow resection margin was an independent risk factor for OS and TTR, whereas NAR was not. Subgroup analysis showed that narrow resection margin and NAR were both independent risk factors for OS and TTR in HCC patients with MVI. The 5-year OS and TTR rates of the two groups (NAR-wide resection margin and AR-narrow resection margin) with M1 were 85.3 % versus 62 % and 34.4 % versus 60.2 %. Similarly, the 5-year OS and TTR rates of the two groups (NAR-wide resection margin and AR-narrow resection margin) with M2 were 80.2 % versus 47.9 % and 30.8 % versus 64.8 %.</div></div><div><h3>Conclusions</h3><div>Anatomical hepatectomy and wide resection margin were independent protective factors for HCC patients with MVI receiving LLR. Nonetheless, wide resection margin had a greater impact on prognosis than anatomical hepatectomy.</div></div>","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"51 1","pages":"Article 109353"},"PeriodicalIF":3.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative analysis of the oncologic outcomes and risk factors for open conversion in laparoscopic surgery for non-metastatic colorectal cancer: A retrospective multicenter study 腹腔镜手术治疗非转移性结直肠癌的肿瘤学结果和开腹手术风险因素的比较分析:一项多中心回顾性研究。
IF 3.5 2区 医学
Ejso Pub Date : 2024-10-31 DOI: 10.1016/j.ejso.2024.109357
Jae Hyun Kang , Eui Myung Kim , Min Jeong Kim , Bo Young Oh , Sang Nam Yoon , Byung Mo Kang , Jong Wan Kim
{"title":"Comparative analysis of the oncologic outcomes and risk factors for open conversion in laparoscopic surgery for non-metastatic colorectal cancer: A retrospective multicenter study","authors":"Jae Hyun Kang ,&nbsp;Eui Myung Kim ,&nbsp;Min Jeong Kim ,&nbsp;Bo Young Oh ,&nbsp;Sang Nam Yoon ,&nbsp;Byung Mo Kang ,&nbsp;Jong Wan Kim","doi":"10.1016/j.ejso.2024.109357","DOIUrl":"10.1016/j.ejso.2024.109357","url":null,"abstract":"<div><h3>Purpose</h3><div>Laparoscopic colon surgery is now commonly used for colorectal cancer (CRC) resection. The objective of this study was to compare the oncologic outcomes between open conversion and laparoscopic surgery, and to identify risk factors for open conversion.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the medical records of patients who underwent curative resection for stage 0–III CRC at five Hallym University-affiliated hospitals between January 2011 and June 2021. The patients were divided into the conversion and laparoscopic groups according to whether laparoscopic surgery was completed.</div></div><div><h3>Results</h3><div>Out of 2231 patients, laparoscopic surgery was completed in 2131 patients and 100 (4.5 %) converted to open surgery. The operation time (P = 0.028) and postoperative hospital stay (P = 0.036) were longer in the conversion group than in the laparoscopic group. Overall (P = 0.022) and severe (Clavien–Dindo classification grade ≥3) (P = 0.048) complications were more frequent in the conversion group than in the laparoscopic group. The 5-year recurrence-free survival (RFS) rate was worse in the conversion group than in the laparoscopic group (P = 0.002). In the multivariable analysis, open conversion was not a prognostic factor for RFS (P = 0.082). Abdominal surgery history (P = 0.021), obstruction (P &lt; 0.001), and T4 stage (P &lt; 0.001) were independently associated with open conversion.</div></div><div><h3>Conclusion</h3><div>The conversion group had worse perioperative and oncologic outcomes. History of abdominal surgery, obstruction, and T4 stage were associated with open conversion. However, conversion itself was not associated with RFS.</div></div>","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"51 1","pages":"Article 109357"},"PeriodicalIF":3.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixed adenoneuroendocrine carcinomas of the appendix: Is there a survival advantage to right hemicolectomy over appendectomy? 阑尾混合性腺内分泌癌:右半结肠切除术比阑尾切除术有生存优势吗?
IF 3.5 2区 医学
Ejso Pub Date : 2024-10-30 DOI: 10.1016/j.ejso.2024.109356
Yulong Hou, Zhenhua Tan
{"title":"Mixed adenoneuroendocrine carcinomas of the appendix: Is there a survival advantage to right hemicolectomy over appendectomy?","authors":"Yulong Hou,&nbsp;Zhenhua Tan","doi":"10.1016/j.ejso.2024.109356","DOIUrl":"10.1016/j.ejso.2024.109356","url":null,"abstract":"<div><h3>Background</h3><div>the surgical treatment and prognostic characteristics of mixed adenoneuroendocrine carcinomas (MANEC) of the appendix are not yet available. In this study, we sought to figure out the choice of surgical approach (right hemicolectomy versus appendectomy), and explore the effect of chemotherapy on appendiceal MANEC.</div></div><div><h3>Methods</h3><div>patients with appendiceal MANEC from the Surveillance, Epidemiology, and End Results database (2000–2020) were stratified by gender, race, age group, tumor grade, and TNM stage. Logistic regression and Kaplan-Meier analyses relating TNM stage, grade, and receipt of right hemicolectomy (abbreviated as colectomy) to overall and cancer-specific survival were performed.</div></div><div><h3>Results</h3><div>455 patients with appendiceal MANEC were included, of whom 146(32 %) underwent appendectomy and 309(68 %) underwent colectomy. Patients who underwent colectomy had better cancer-specific survival (HR = 0.68, 95%CI (0.47–0.98), P = 0.041) and overall survival (HR = 0.67, 95%CI (0.48–0.93), P = 0.015) than those who underwent appendectomy alone. However, colectomy did not confer any survival advantage over appendectomy in subgroup analyses, including low-grade or high-grade tumors, T1-2N0M0 group, T3-4N0M0 group, node-positive non-metastatic tumors, and metastatic tumors. On multivariate analysis, lack of chemotherapy and high-stage (node-positive or metastatic) were associated with poorer overall survival; high-grade (grade 3–4) and high-stage were primary predictors of cancer-specific mortality. Furthermore, there was no significant association between colectomy and better survival, either overall survival or cancer specific survival, when accounting for tumor stage and grade.</div></div><div><h3>Conclusions</h3><div>Our study found that colectomy did not provide a survival benefit compared to appendectomy alone. Moreover, tumor stage and grade were independent determinants of cancer specific survival; chemotherapy and tumor stage were independent determinants of overall survival.</div></div>","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"51 1","pages":"Article 109356"},"PeriodicalIF":3.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is liver resection still required for patients who have predictive factors for complete pathologic necrosis after downstaging treatments of locally advanced hepatocellular carcinoma? 局部晚期肝细胞癌经过降期治疗后,具有完全病理坏死预测因素的患者是否仍需进行肝脏切除?
IF 3.5 2区 医学
Ejso Pub Date : 2024-10-28 DOI: 10.1016/j.ejso.2024.109349
Munseok Choi , Dai Hoon Han , Kyung Sik Kim , Jin Sub Choi , Beom Kyung Kim , Seung Up Kim , Jinsil Seong , Do Young Kim , Gi Hong Choi
{"title":"Is liver resection still required for patients who have predictive factors for complete pathologic necrosis after downstaging treatments of locally advanced hepatocellular carcinoma?","authors":"Munseok Choi ,&nbsp;Dai Hoon Han ,&nbsp;Kyung Sik Kim ,&nbsp;Jin Sub Choi ,&nbsp;Beom Kyung Kim ,&nbsp;Seung Up Kim ,&nbsp;Jinsil Seong ,&nbsp;Do Young Kim ,&nbsp;Gi Hong Choi","doi":"10.1016/j.ejso.2024.109349","DOIUrl":"10.1016/j.ejso.2024.109349","url":null,"abstract":"<div><h3>Background</h3><div>Liver resection can induce complete remission after tumor downstaging in patients with locally advanced hepatocellular carcinoma. However, additional benefits of liver resection have not been investigated in patients expected to have complete pathological necrosis (CPN) following HCC downstaging.</div></div><div><h3>Methods</h3><div>Between 2002 and 2019, 999 patients with locally advanced HCC underwent concurrent chemoradiotherapy (CCRT) (n = 800) or transarterial radioembolization (TARE) (n = 199). Among these patients, excluding those who underwent liver transplantation, 94 who underwent liver resection (OP group) and 867 who did not undergo surgical treatment (non-OP group) were included in this study. CPN predictive factors in the OP group were analyzed using logistic regression analysis. Long-term outcomes were compared between patients with CPN (op-CPN) and those with CPN predictive factors in the non-OP group (nop-CPNPF).</div></div><div><h3>Results</h3><div>Of the 94 patients in the OP group, 38 (40.4 %) had CPN (CCRT, n = 72; TARE, n = 22). In the multivariate analysis, CPN predictive factors were complete radiologic response and tumor marker responders (odds ratio [OR] 18.468, p = 0.006; OR 3.698, p = 0.045). Among the non-OP group, 21 patients were in the nop-CPNPF group. There was no difference in DFS between the nop-CPNPF and op-CPN groups (40.0 ± 18.3 vs. 60.0 ± 14.0 months, p = 0.838). The OS of the op-CPN group was not higher than that of the nop-CPNPF group (5-year OS: 39.4 % vs. 33.3 %, p = 0.328).</div></div><div><h3>Conclusions</h3><div>The nop-CPNPF group showed long-term outcomes similar to those of the op-CPN group, suggesting that liver resection may not provide additional benefits for long-term outcomes in patients with CPN-PF after HCC downstaging.</div></div>","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"51 1","pages":"Article 109349"},"PeriodicalIF":3.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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