Indian Journal of Surgical Oncology最新文献

{"title":"Clinico-Pathological Spectrum and Survival Analysis of Primary Gastro-Intestinal Lymphomas in a Tertiary Care Institute of Northeast India.","authors":"Temjen Sunup Jamir, Pranjal Kalita, Biswajit Dey, Sumit Kumar, Vandana Raphael, Yookarin Khonglah, Jaya Mishra, Evarisalin Marbaniang, Naveen Kumar, Sumanta Das","doi":"10.1007/s13193-025-02482-7","DOIUrl":"10.1007/s13193-025-02482-7","url":null,"abstract":"<p><p>Lymphomas comprise a heterogeneous group of neoplasms characterized by uncontrolled clonal proliferation of B-cells, T-cells, and/or NK-cells. Primary gastrointestinal lymphomas (PGILs), although rare, represent the most common form of extranodal lymphomas. The majority of reported PGIL cases are primarily B-cell non-Hodgkin lymphomas (NHL). A variety of factors are known to bear prognostic implications. The study aims to profile the clinico-pathological spectrum, treatment profile, and survival outcomes of PGILs in a tertiary care institute of Northeast India. A retrospective review of 34 histopathologically confirmed PGIL cases was conducted over a 9-year period. Data on clinical presentation, imaging, histopathology, immunohistochemistry, treatment received, and survival status were analyzed. Relevant statistical tests were performed based on the analyzed data. Of the 34 patients, there was a slight male preponderance, with the majority presenting in the 5th decade of life. Abdominal pain was the most common symptom, with the stomach being the predominant site. Diffuse large B-cell lymphoma (DLBCL) was the most frequent histological type. Amongst treated patients, MALToma exhibited the highest overall survival, whereas Mantle cell lymphoma (MCL) had the poorest survival. Histological types were significantly associated with site of involvement, presenting symptoms, symptom duration, and survival status. Kaplan-Meier survival analysis revealed variation primarily based on the histological types of PGILs. This study highlights the clinico-pathological heterogeneity, treatment received, and survival status of PGILs. It underscores the implications for early diagnosis and tailored therapy based on histological types, thereby filling the void in regional data on PGILs.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2105-2113"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082422","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":"L-shaped (Boomerang or Bilobed) Latissimus Dorsi (LD) Flap for Coverage of Large Radical Mastectomy Defects: A Viable Alternative to Free Flaps.","authors":"Vineet Kumar, Onkar Kulkarni, Ashika Bagur, Ameya Bindu, Mayur Mantri, Saumya Mathews, Kunal Mokhale, Dushyant Jaiswal, Vinay Kant Shankhdhar","doi":"10.1007/s13193-025-02516-0","DOIUrl":"10.1007/s13193-025-02516-0","url":null,"abstract":"<p><strong>Introduction: </strong>While free flaps are often the standard for large defects after radical mastectomies, their use can be limited by facility, availability or patient comorbidities. This study introduces and evaluates an L-shaped boomerang latissimus dorsi (LD) flap as a reliable alternative for covering large post-mastectomy defects, aiming for primary closure of both the donor and recipient sites, without the need for skin grafts.</p><p><strong>Materials and methods: </strong>This retrospective audit included 21 patients aged 18 and above who underwent breast reconstruction with an L-shaped LD flap between January 2020 and January 2023 at a tertiary care cancer institute. Data collected included age, BMI, cancer stage, tumour size, comorbidities, defect and flap sizes, and postoperative outcomes such as healing, complications (seroma, hematoma, dehiscence, flap necrosis), and delay in adjuvant therapy.</p><p><strong>Results: </strong>All 21 patients successfully underwent reconstruction with the boomerang LD flap, and all donor sites healed well, resulting in an inverted L-shaped scar, with 2 cases of marginal necrosis, 4 of seroma and 1 case of suture line dehiscence. The mean drain indwelling period was 7 days, and the average hospital stay was 5 days.</p><p><strong>Conclusion: </strong>The L-shaped or boomerang design of the Latissimus Dorsi musculocutaneous flap offers a robust and effective method for reconstructing large breast defects following radical mastectomies.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2217-2222"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082425","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":"Breast Density Distribution in the Indian Population in a Tertiary-Care Diagnostic Setting: A Comparison with Indian and Western Screening Cohorts.","authors":"Mayank Bhardwaj, Amit Gupta, Sanjay Thulkar, Krithika Rangarajan","doi":"10.1007/s13193-025-02521-3","DOIUrl":"10.1007/s13193-025-02521-3","url":null,"abstract":"<p><strong>Background: </strong>Although it is often believed that a large proportion of Asian women have dense breasts, population-specific data for Indian women remain limited. This study analyzes breast density distribution in an Indian diagnostic mammography (IDM) setting, its variation with age, and comparisons with previously reported Indian screening mammography (ISM) and Western screening mammography (WSM) cohorts.</p><p><strong>Methods: </strong>This retrospective study analyzed consecutive mammogram reports from January 2020 to December 2023 at a tertiary-care oncology center. Breast density was categorized per ACR BIRADS guidelines, and age and density data were extracted. The population was stratified into six age groups. Statistical analysis included chi-squared tests for distribution differences, Spearman correlation for age-density trends, two-sample Z-tests for inter-dataset comparisons, and ANOVA for mean percentage differences across datasets.</p><p><strong>Results: </strong>Among 7,144 patients, category B (47.6%) was most prevalent, followed by A (32.8%). Breast density decreased with age (ρ = -0.283, p < 0.001). IDM had higher proportion of dense breasts than ISM, while WSM had the highest overall. Even when IDM and ISM were combined, the prevalence of dense breasts (C and D) remained substantially lower (16.3%) compared to WSM (55.4%). In the 40-49 and 50-59 age groups, category C was significantly less common in IDM than WSM (Z = -21.27 and -25.60, respectively; both p < 0.001).</p><p><strong>Conclusion: </strong>In contrast to commonly prevailing assumptions, Indian women had a lower prevalence of dense breasts compared to Western data. These findings have important implications for tailoring breast cancer screening strategies in India.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at https://doi.org/10.1007/s13193-025-02521-3.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2097-2104"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082312","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":"Validation Study of Sentinel Lymph Node Biopsy after Neoadjuvant Chemotherapy in Breast Cancer.","authors":"Avneet Kaur, Aditi Chaturvedi, Harit Kumar Chaturvedi, Syed Davood Qasim","doi":"10.1007/s13193-025-02527-x","DOIUrl":"10.1007/s13193-025-02527-x","url":null,"abstract":"<p><p>This study evaluated the feasibility, accuracy, and oncological safety of sentinel lymph node biopsy (SLNB) in breast cancer patients who initially presented with node-positive (N1/N2) disease and converted to node-negative (ycN0) status following neoadjuvant chemotherapy (NACT). A prospective observational study was conducted at a tertiary center in New Delhi from July 2022 to July 2024. A total of 120 patients underwent dual-dye SLNB (methylene blue + indocyanine green) followed by complete axillary lymph node dissection. SLNB accuracy was assessed via sensitivity, specificity, and false-negative rate (FNR). SLNB was successfully performed in 97.5% of patients. The sensitivity and specificity of SLNB were 86.27% and 100%, respectively, with an overall FNR of 13.72%. A pathological complete response (pCR) was observed in 37.5% of patients, predominantly in HER2-enriched and triple-negative subtypes. SLNB after NACT is a feasible axillary staging method in ycN0 patients, with high identification rates but an FNR exceeding the ideal 10% threshold. Refinements such as targeted axillary dissection and robust radiologic assessment are essential to improve SLNB accuracy and avoid overtreatment.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2069-2075"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082317","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":"Assessment of Chemotherapy Knowledge and Practices among Breast Surgeons in India: Identifying Gaps and Areas for Improvement.","authors":"Hossein Neamatzadeh, Soheila Sayad","doi":"10.1007/s13193-026-02552-4","DOIUrl":"10.1007/s13193-026-02552-4","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2240-2243"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082248","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":"The First North-to-South India Tele-Robotic Cancer Surgery Across 2,100 km Using the SSI MANTRA Robotic System: A Prospective Case Series.","authors":"S P Somashekhar, Kushal Agrawal, K R Ashwin, C Rohitkumar, Darshan Patil, Esha Shanbhag, Omkar Sahindrakar, Jyotsana Goyal","doi":"10.1007/s13193-026-02556-0","DOIUrl":"10.1007/s13193-026-02556-0","url":null,"abstract":"<p><strong>Background: </strong>Robotic-assisted surgery has transformed the surgical management of complex oncologic diseases by enhancing precision, visualization, and surgeon ergonomics. However, access to expert robotic oncologic care remains geographically restricted. Telesurgery offers a potential solution to overcome this disparity, though concerns regarding latency, reliability, and oncologic safety have limited its widespread adoption.</p><p><strong>Objective: </strong>To evaluate the technical feasibility, safety, and perioperative outcomes of the first North-to-South India tele-robotic cancer surgeries performed using the SSI MANTRA robotic system over a dedicated fiber-optic network.</p><p><strong>Methods: </strong>Two patients, one with locally advanced lower oesophagus and gastro-oesophageal junction tumour, and one with locally advanced carcinoma low rectum underwent tele-robotic surgery in March 2025. The Master Surgeon Console was located in Gurugram (North India), while the patient-side robotic system was positioned in Bangalore (South India), separated by approximately 2,100 km. A secure, encrypted, dual-redundant fiber-optic network was established. Network performance parameters, intraoperative events, and perioperative outcomes were prospectively recorded and analyzed.</p><p><strong>Results: </strong>Both procedures were completed successfully without network interruption, robotic malfunction, or conversion. Total system latency ranged from 160-170 ms, bi-directional network latency from 35-40 ms, and packet loss remained below 0.1%. Operative time, blood loss, and postoperative recovery were comparable to conventional on-site robotic surgery. No major intraoperative or postoperative complications occurred.</p><p><strong>Conclusion: </strong>This study demonstrates that North-to-South India tele-robotic oncologic surgery using the SSI MANTRA system is technically robust, clinically safe, and oncologically sound when supported by dedicated fiber-optic connectivity. This approach represents a scalable strategy to improve access to advanced cancer surgery across geographically diverse regions.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2195-2202"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082328","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":"Clinicopathological Spectrum of Head and Neck Mucoepidermoid Carcinoma: A Three-case Series.","authors":"Neha Kamboj, Atul Kumar Srivastava, Shubham Garg, Ambesh Singh, Ranjit Kumar Padhiari, Hema Malini Aiyer, Garima Rawat","doi":"10.1007/s13193-026-02560-4","DOIUrl":"10.1007/s13193-026-02560-4","url":null,"abstract":"<p><p>Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland neoplasm, accounting for 5%-10% of all salivary gland tumors. Although the parotid gland is most frequently affected, Mucoepidermoid carcinoma (MEC) may rarely present as an intraosseous jaw lesion, posing significant diagnostic challenges. This report presents three cases of Mucoepidermoid carcinoma (MEC) involving different intraoral sites. Each case was evaluated to highlight the diagnostic complexity and the value of histomorphological and emphasis on immunohistochemical confirmation. <b>Case 1</b>: A 26-year-old male with a left palatal swelling was diagnosed with intermediate-grade MEC based on histopathology and Immunohistochemistry (IHC). patient was managed by wide local excision, and he remains disease-free at 11 months. <b>Case 2</b>: A 24-year-old male presented with an erythematous lesion along the anterior border of the left mandibular ramus. Histopathology and Immunohistochemistry IHC (CK7, MUC-1, p40, p63, S-100 positive) confirmed low-grade MEC of minor salivary gland origin. The patient underwent wide local excision and is disease-free at 14 months. Case 3: A 48-year-old male with a right mandibular swelling and palpable level Ib lymph nodes was diagnosed with intermediate-grade intraosseous MEC (pT4N1). He underwent wide local excision with neck dissection followed by adjuvant radiotherapy (60 Gy/30 fractions) and is disease-free at 9 months. Early diagnosis and complete surgical excision remain key to achieving favorable outcomes in MEC.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2223-2227"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082334","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":"<i>p16</i> ^<i>INK4a</i> Promoter Hypermethylation in Gallbladder Cancer.","authors":"Satya P Singh, Mallika Tewari, Alok K Singh, Raghvendra R Mishra, Hari S Shukla","doi":"10.1007/s13193-025-02500-8","DOIUrl":"10.1007/s13193-025-02500-8","url":null,"abstract":"<p><p>Gallbladder cancer (GBC) is a deadly cancer with a widely disparate occurrence rate across the world. <i>p16INK4a</i> is a tumor-suppressor gene and its silencing has been reported to be quite important in carcinogenesis of a variety of cancers like lung, pancreas, stomach including less so in GBC. The lack of gene function linked with abnormal methylation provides selective growth advantages to sporadic neoplastic cells during GBC carcinogenesis. The methylation status of the <i>p16INK4a</i> gene was assessed using methylation-specific polymerase chain reaction (MSP) in fresh tissue samples from 53 GBC (cases) and 39 patients with gallstone disease (GSD) (controls) obtained from Indian patients posted for surgery in a tertiary care hospital in northern India. In 56.6% of the GBC samples, abnormal methylation of the <i>p16INK4a</i> gene was found, compared to none in patients with GSD. <i>p16INK4a</i> methylation was found to be significantly associated with GBC stage and grade [<i>P</i> = 0.001, OR = 60.745, 95% CI = 4.888-754.896 and <i>P</i> = 0.012, OR = 21.036, 95% CI = 1,976-223.946], respectively. The area under the ROC curve was 0.875 and 0.871 with advanced stage and grade respectively. These data suggest that <i>p16INK4a</i> hypermethylation is a common occurrence in GBC and is probably associated with an aggressive phenotype of GBC.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at https://doi.org/10.1007/s13193-025-02500-8.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2039-2047"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082273","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":"Pedicled Latissimus Dorsi Flap for Head and Neck Defects in the Age of Microvascular Reconstruction.","authors":"Nongthombam Surjalata Devi, Smriti Panda, Chirom Amit Singh, Rakesh Kumar, Rohan Gupta, Mridul Rathi, Kapil Sikka, Rajeev Kumar, Anup Singh, Saurabh Vig, Prashant Sirohiya","doi":"10.1007/s13193-026-02567-x","DOIUrl":"10.1007/s13193-026-02567-x","url":null,"abstract":"<p><strong>Background: </strong>Pedicled latissimus dorsi flap (LDF) based on the thoracodorsal artery provides large vascularized skin paddle along with underlying muscle. This study describes the relevance and feasibility of undertaking reconstruction of complex head and neck defects with pedicled LDF with emphasis on salvage situations and non-availability of pectoralis major flap.</p><p><strong>Methods: </strong>Retrospective cohort study on all consecutive cases of LDF reconstruction performed from July 2022 to June 2025. Modifications to the traditional LDF harvest introduced were: transaxillary tunnel creation in the supine, arm-abducted position and subpectoral tunnelling was avoided by careful division of the pectoralis major humeral fibres.</p><p><strong>Results: </strong>16 patients underwent LDF reconstruction for head and neck defects during the study period. The indications for selecting the LDF for reconstruction were: recurrent head and neck cancer with vessel-depleted neck and prior use of pectoralis major (n = 5), salvage following necrosis of pectoralis major flap (n = 4) and primary form of reconstruction in female patients (n = 8). The head and neck sites reconstructed were: gingivobuccal complex (n = 11), tongue (n = 4) and temporal bone (n = 1). Flap survival rate was documented at 87.5%. Donor site seroma developed in 2 patients and minor would complication in the form of suture dehiscence was encountered in 1 patient. None of the patients developed restriction of shoulder mobility.</p><p><strong>Conclusion: </strong> Pedicled LDF is a promising fallback option following salvage surgeries and in the non-availability of pectoralis major flap.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2180-2186"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082390","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":"Flare Study - Fluorescence-Guided Lymphadenectomy for Augmented Retrieval and Evaluation in Rectal Cancer Surgery.","authors":"Nishtha, Pavan Sugoor, Mahesh Daima","doi":"10.1007/s13193-026-02529-3","DOIUrl":"10.1007/s13193-026-02529-3","url":null,"abstract":"<p><p>In patients with mid-to-lower rectal cancer undergoing neoadjuvant chemoradiotherapy (NACRT), lymph node (LN) retrieval is frequently suboptimal, compromising accurate staging and prognostication. Fluorescence-guided surgery (FGS) using indocyanine green (ICG) has emerged as a technique to enhance lymphatic visualization in fibrotic post-radiation fields. This investigator--initiated, single-centre, quasi-experimental study analysed a prospectively maintained database (January 2023-December 2024). Patients undergoing peri-tumoral ICG tattooing followed by fluorescence-guided lymphadenectomy were compared with non-tattooed controls after 1:1 propensity score matching. The primary outcome was modification of lymphadenectomy extent. Secondary outcomes included LN yield, detection and positivity of aberrant lymph nodes, and nodal size. After matching, 46 patients were analysed in each group. Mean LN yield was significantly higher in the ICG group (14 ± 3.7 vs. 7 ± 3; <i>P</i> < 0.001). Fluorescence guidance altered the extent of lymphadenectomy in 23 patients (50%). Five aberrant lymph nodes (10.87%) were malignant and were predominantly small (mean size 4 ± 2 mm), located outside routine total mesorectal excision fields. Fluorescence-guided lymphadenectomy is feasible after NACRT and improves LN yield while facilitating detection of small aberrant nodes. These findings support its role as an adjunct to standard rectal cancer surgery, although validation in larger cohorts with long-term oncologic outcomes is required.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2114-2117"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082408","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}