Journal of Surgical Oncology最新文献

{"title":"Correction to “Systematic Review of Robotic-Assisted Peripheral and Central Lymphatic Surgery”","authors":"","doi":"10.1002/jso.28152","DOIUrl":"10.1002/jso.28152","url":null,"abstract":"<p>Carlotta I, Lisanne G, Nicole L. Systematic Review of Robotic-Assisted Peripheral and Central Lymphatic Surgery. J Surg Oncol. 2025 Jan;131(1):62-71. https://doi.org/10.1002/jso.27866.</p><p>In the originally published version of this article, the given names and surnames of all authors were reversed, leading to incorrect author details in citation databases. As a result, the author names appear with full given names and abbreviated surnames in some citation formats. This issue has been corrected in the originally published article and a correction article has been published.</p><p>The correct author names are Carlotta Imholz, Lisanne Grünherz, Nicole Lindenblatt.</p><p>We apologize for the error.</p>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.28152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Comparison of Treatment Strategies Based on Clinical and Pathological Nodal Status in Resectable Gastric Adenocarcinoma”","authors":"","doi":"10.1002/jso.28154","DOIUrl":"10.1002/jso.28154","url":null,"abstract":"<p>P. S. Ajay, P. T. Mavani, C. P. Sok, et al. “Comparison of Treatment Strategies Based on Clinical and Pathological Nodal Status in Resectable Gastric Adenocarcinoma,” <i>Journal of Surgical Oncology</i> 130, no. 5 (2024): 1078–1091. https://doi.org/10.1002/jso.27835</p><p>The author's name was previously misspelled as “Jeffery M. Switchenko.” The correct spelling is “Jeffrey M. Switchenko.”</p><p>We apologize for this error.</p>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.28154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Prepectoral Implant Reconstruction Associated With Better Physical Well-Being?","authors":"Kanad Ghosh, Kristine Kuchta, Duanny Alva, Akhil K Seth, Mark Sisco","doi":"10.1002/jso.28087","DOIUrl":"https://doi.org/10.1002/jso.28087","url":null,"abstract":"<p><strong>Background: </strong>Improvements in mastectomy techniques, implants, and devices for implant support have enabled a resurgence in prepectoral implant reconstruction. One of the drivers of this shift is a perception among patients and physicians that retropectoral implants cause more physical morbidity. Although studies have shown more rapid early recovery among patients who undergo prepectoral reconstruction, little is known about whether this approach improves long-term physical outcomes.</p><p><strong>Methods: </strong>A prospectively maintained database was used to identify patients who underwent immediate implant-based postmastectomy reconstruction from October 2017 to March 2020. Patients who underwent radiation treatment or who failed to complete implant reconstruction were excluded. Demographic and clinical characteristics, including postoperative complications, were analyzed. BREAST-Q surveys were sent to patients 12-24 months following the completion of reconstruction. Bivariate independent t-test and chi-square analysis were used to compare prepectoral and retropectoral cohorts.</p><p><strong>Results: </strong>168 patients were identified. 78 (46.4%) completed questionnaires and met the inclusion criteria for the study. 33 patients had subpectoral implants and 45 patients had prepectoral implants. Nonresponders had a similar proportion of implant positions to responders (p = 0.32). The median time between mastectomy and completion of the BREAST-Q survey was 21 months (IQR, 20-23 months). Patients with subpectoral reconstruction were older (56 ± 13 vs. 50 ± 13 years, p = 0.048) and had higher BMIs (27.8 ± 7.3 vs. 24.2 ± 3.8 kg/m², p = 0.012) and were less likely to have undergone direct-to-implant reconstruction (18.2% vs. 51.5%, p = 0.003). There were no other significant clinical or demographic differences between groups. BREAST-Q chest well-being data showed no significant difference in long-term chest wall morbidity among retropectoral and prepectoral cohorts.</p><p><strong>Conclusions: </strong>For many patients, prepectoral reconstruction confers esthetic benefits, including better projection and more stable implant and nipple position. However, there remain patients for whom a retropectoral approach is more suitable due to the risks of rippling and implant visibility. Surgical decision-making should continue to be individualized according to anatomic and disease-specific factors as well as surgeon and patient preference. However, patients should be reassured that their long-term physical well-being is unlikely to be affected by which technique is chosen.</p>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Course After Radical Local Therapy for Oligo-Recurrence of Nonsmall Cell Lung Cancer","authors":"Dai Sonoda,&nbsp;Raito Maruyama,&nbsp;Yasuto Kondo,&nbsp;Shunsuke Mitsuhashi,&nbsp;Satoru Tamagawa,&nbsp;Masahito Naito,&nbsp;Masashi Mikubo,&nbsp;Kazu Shiomi,&nbsp;Yukitoshi Satoh","doi":"10.1002/jso.28032","DOIUrl":"10.1002/jso.28032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Radical local therapy is effective for oligo-recurrence of non-small cell lung cancer (NSCLC). We retrospectively assessed patients with oligo-recurrent NSCLC and detailed the clinical course after radical local therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed 1028 patients who underwent complete resection for NSCLC. We defined oligo-recurrence as up to two metachronous recurrences, radical local therapy as local therapy performed with curative intent, and progressive disease as the appearance of new lesions/re-enlargement of the initial recurrence sites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 132 patients who developed oligo-recurrence, 88 received radical local therapy. Fifty-eight patients had progressive disease. Fifteen patients remained cancer free for &gt; 5 years. Epidermal growth factor receptor (<i>EGFR</i>) positivity was associated with disease progression (odds ratio, 3.90; <i>p</i> = 0.025). Active treatment for disease progression (hazard ratio, 2.54; <i>p</i> = 0.012) and the absence of re-enlarged lesions at sites of radical local therapy for recurrence (hazard ratio, 2.32; <i>p</i> = 0.031) were associated with prolonged post-recurrence overall survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients with <i>EGFR</i> mutations who develop oligo-recurrence should be monitored for disease progression. Re-enlargement of lesions after radical local therapy was associated with a poor prognosis. A good prognosis can be expected with active treatment, even in the event of disease progression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 8","pages":"1551-1561"},"PeriodicalIF":2.0,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment On \"Development and Validation of a Predictive Score for Preoperative Detection of Lymphovascular Invasion in Rectal Cancer\".","authors":"Chun Wang, Jing Ren, Xudong Wang","doi":"10.1002/jso.28115","DOIUrl":"https://doi.org/10.1002/jso.28115","url":null,"abstract":"","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New ROCK Band for Diaphragmatic Reconstruction in Retroperitoneal Sarcoma Surgery","authors":"Ferdinando C. M. Cananzi,&nbsp;Vittoria Perano,&nbsp;Stefania De Mola,&nbsp;Laura Ruspi,&nbsp;Federico Sicoli,&nbsp;Vittoria D'Amato,&nbsp;Vittorio L. Quagliuolo,&nbsp;Laura Samà","doi":"10.1002/jso.28111","DOIUrl":"10.1002/jso.28111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Complete surgical resection is the mainstay of treatment for retroperitoneal sarcomas (RPS). For primary well-differentiated liposarcomas and dedifferentiated liposarcomas, aggressive en-bloc resection of adjacent organs is crucial for local control. Diaphragmatic resection may be necessary in left-sided RPS cases. While primary closure of defects is usually possible, large defects may require alternative methods such as prosthetic reconstruction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We developed an innovative technique for reconstructing diaphragmatic defects after RPS resection using a rectangular polytetrafluoroethylene band called <i>ROCK band</i> (robust organic composite for kinetic restoration of the diaphragm). This technique involves fixing the folded band to the prevertebral fascia and diaphragm to ensure tension-free closure while preserving diaphragm function. The study analyzed patients treated with this technique at IRCCS-Humanitas Research Hospital from January to December 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four patients underwent left RPS resection with ROCK band reconstruction. The median age was 56.5 years, with a male/female ratio of 1/3. Median tumor size was 24.5 cm, and median operative time was 409.5 min. There were no ROCK band-related complications, diaphragmatic hernias, or respiratory failures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This technique provides a safe, effective, and adaptable method for diaphragmatic reconstruction after RPS resection, improving anatomical and functional outcomes. Larger studies are needed for validation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 6","pages":"1196-1201"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.28111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT Scans Understage Lymph Nodes in Gastric and Gastroesophageal Adenocarcinoma","authors":"Morgan F. Pettigrew,&nbsp;Priya Kumar,&nbsp;Skylar L. Nahi,&nbsp;Scott I. Reznik,&nbsp;Suntrea T. G. Hammer,&nbsp;Matthew R. Porembka,&nbsp;Sam C. Wang","doi":"10.1002/jso.28112","DOIUrl":"10.1002/jso.28112","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The presence of lymph node metastases in patients with gastric and gastroesophageal junction (GEJ) adenocarcinoma provides prognostic information and guides treatment decisions. We sought to determine the sensitivity of computed tomography (CT) imaging for clinical nodal staging in patients with resectable gastric and GEJ adenocarcinoma and determine a lymph node size cut-off to optimize diagnostic accuracy.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We performed a retrospective review of patients who underwent curative-intent resection for gastric or GEJ adenocarcinoma at our institution between 2010 and 2023. We reviewed CT scan images performed immediately before resection and measured lymph nodes in the short axis to identify patients with lymph nodes larger than the radiologic upper limit of normal. We compared histopathologic data from resection specimens to CT scans to determine pathologic concordance for metastatic involvement of lymph nodes and calculated the sensitivity and specificity of CT scans to identify nodal metastases. We used the largest lymph node measurement from each scan to construct a receiver operating characteristic (ROC) curve and calculated Youden's J Index to determine the optimal lymph node size cut-off.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We identified 192 consecutive patients who underwent resection during the study period and had preoperative CT scans available for review. 72 patients (38%) had diffuse or mixed type tumors, and 85 patients (44%) had intestinal-type tumors. 157 patients (82%) underwent neoadjuvant chemotherapy or chemoradiation. 110 patients (57%) had pathologic node-positive disease and in this cohort, 27 patients (25%) had lymph nodes deemed radiographically enlarged. The sensitivity of preoperative CT scans for nodal metastases was 25%, and specificity was 83%. Based on the ROC curve, an optimal lymph node size cutoff of 6.5 mm was identified. At this cutoff, the estimated sensitivity was 47%, and the estimated specificity was 72%. When patients were stratified by Lauren histology, the AUC for intestinal-type tumors was significantly better than for diffuse or mixed-type tumors (&lt;i&gt;p&lt;/i&gt; = 0.02). The area under the ROC curve for patients with diffuse or mixed type tumors was 0.51 indicating lymph node size on CT scan was no better than random chance for diagnosis of lymph node metastases.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;CT scans are not sensitive to identify nodal metastases in gastric and GEJ adenocarcinoma usin","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 8","pages":"1571-1579"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.28112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Feasibility of Pulsed Electric Field Ablation for Early-Stage Non-Small Cell Lung Cancer Prior to Surgical Resection","authors":"Marcelo Jimenez,&nbsp;Javier Flandes,&nbsp;Erik H. F. M. van der Heijden,&nbsp;Calvin S. H. Ng,&nbsp;Jeffrey S. Iding,&nbsp;José F. Garcia-Hierro,&nbsp;Borja Recalde-Zamacona,&nbsp;Roel L. J. Verhoeven,&nbsp;Rainbow W. H. Lau,&nbsp;Alicia Moreno-Gonzalez,&nbsp;Beryl A. Hatton,&nbsp;Partha Seshaiah,&nbsp;Maria B. Plentl,&nbsp;William S. Krimsky","doi":"10.1002/jso.28110","DOIUrl":"10.1002/jso.28110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Methods</h3>\u0000 \u0000 <p>Surgery remains the standard of care for non-small cell lung cancer (NSCLC) but is applicable to ≤ 30% of patients. Pulsed Electric Fields (PEF) ablation uses short-duration, high-voltage electrical pulses to induce cell death without relying on thermal mechanisms. Safety findings are reported from a two-arm, non-randomized, study evaluating the use of PEF in patients with early-stage NSCLC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PEF energy was delivered bronchoscopically or percutaneously to 36 patients with suspected or confirmed early-stage NSCLC approximately 20 days before resection; 8 control patients had biopsy only. The primary safety analysis was the device and/or procedure related serious adverse events (AEs) rate from PEF procedure through resection. Immunohistochemical evaluation of resected tissue was also assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PEF was delivered to all patients in the treatment group after biopsy of targeted tumor. No device or procedure-related AE were observed. Histopathological assessment of resected tumors demonstrated a cellular depletion zone characterized by decrease or absence of tumor cellularity and a variable degree of inflammation. Tertiary lymphoid structures were observed within PEF-treated tumors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These clinical observations and histopathologic tissue alterations, indicate that PEF energy delivery is feasible and safe in NSCLC, with potential signals of immune system activation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 8","pages":"1529-1542"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.28110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment On \"Laparoscopic Versus Open Hepatic Resection in Patients ≥ 75 Years Old: A NSQIP Analysis Evaluating 2674 Patients\".","authors":"Shuyuan Tian, Chenye Liu, Baozhen Luo","doi":"10.1002/jso.28116","DOIUrl":"https://doi.org/10.1002/jso.28116","url":null,"abstract":"","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Techniques in Robotic Pancreatic Reconstruction for Pancreaticoduodenectomy: Tailoring Approaches to Different Situations","authors":"Thiago Costa Ribeiro,&nbsp;Lucas Cata Preta Stolzemburg,&nbsp;Francisco Tustumi,&nbsp;Ricardo Jureidini,&nbsp;Estela Regina Ramos Figueira,&nbsp;José Jukemura,&nbsp;Paulo Herman,&nbsp;Ulysses Ribeiro Júnior,&nbsp;Guilherme Naccache Namur","doi":"10.1002/jso.28114","DOIUrl":"10.1002/jso.28114","url":null,"abstract":"<div>\u0000 \u0000 <p>This “How I Do It” study provides an in-depth exploration of techniques for pancreatic reconstruction following pancreaticoduodenectomy. The study includes a video demonstration highlighting the step-by-step strategies and appropriate indications for each reconstruction method using the robotic system.</p></div>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":"131 7","pages":"1467-1471"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}