Annals of Surgical Oncology最新文献

ASO Author Reflections: Impact of Adopting a Synoptic Operative Report for Thyroid Surgery. ASO作者反思：甲状腺手术采用概要性手术报告的影响。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1245/s10434-025-17052-y

Akie Watanabe, Sam M Wiseman

引用次数: 0

Downstream Effects of Omission of Axillary Surgery in Older Adults with Early-Stage HR+/HER2- Breast Cancer. 省略腋窝手术对老年早期HR+/HER2-乳腺癌的下游影响

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-03-21 DOI: 10.1245/s10434-025-17196-x

Eliza H Lorentzen, Kenny Nguyen, Yu-Jen Chen, Tari A King, Elizabeth A Mittendorf, Christina A Minami

{"title":"Downstream Effects of Omission of Axillary Surgery in Older Adults with Early-Stage HR+/HER2- Breast Cancer.","authors":"Eliza H Lorentzen, Kenny Nguyen, Yu-Jen Chen, Tari A King, Elizabeth A Mittendorf, Christina A Minami","doi":"10.1245/s10434-025-17196-x","DOIUrl":"10.1245/s10434-025-17196-x","url":null,"abstract":"Purpose: Trial data demonstrate that omission of select locoregional therapies in women ≥ 70 years with early-stage HR+/HER2- breast cancer does not affect overall survival. However, the potential downstream effects of omitting sentinel lymph node biopsy (SLNB) on rates of adjuvant radiotherapy (RT) and endocrine therapy (ET) are unclear. We examined the association between SLNB omission, RT referral rates, RT receipt, and ET adherence in this population.Methods: Patients ≥ 70 years with unifocal cT1-2N0 HR+/HER2- disease undergoing upfront lumpectomy from January 2016 to January 2021 were identified from an institutional database. Radiotherapy referral, receipt, and ET adherence were examined by SLNB receipt. Multivariate logistic regression adjusting for patient and disease-level characteristics was used to assess factors associated with RT receipt and ET adherence.Results: Of 670 patients, 460 (68.7%) had SLNB omitted. Only 19 (9.0%) who underwent SLNB were node-positive. Radiotherapy referrals were made for 68.5% of patients. More patients who underwent SLNB received RT referral (90.5%), treatment (77.4%), and were ET-adherent (77.6%) (p < 0.001). On adjusted analyses, patients ≥ 80 years and those with SLNB omitted were less likely to receive RT and be ET adherent. There was no difference in ipsilateral breast recurrence by SLNB performance (2.6% [SLNB] vs. 2.4% [no-SLNB], p = 0.86), or by RT receipt (2.7% [RT] vs. 2.4% [no-RT], p = 0.77) at a median 3.6 years.Conclusions: Omission of SLNB is associated with a lower likelihood of subsequent RT referral, receipt, and ET adherence. Locoregional rates did not differ by SLNB or RT receipt, suggesting that global de-escalation of locoregional therapies may be considered in older candidates.","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"4838-4846"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673264","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

Invited Editorial on: "Development and Validation of a Synoptic Operative Report as a Quality Indicator for Thyroid Surgery: A Canadian Study". 特邀社论：“作为甲状腺手术质量指标的综合手术报告的发展和验证：一项加拿大研究”。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-24 DOI: 10.1245/s10434-025-17354-1

Tracy S Wang

引用次数: 0

Dissection Around the Superior Border of the Pancreas Using a Gastrohepatic Ligament Approach During Minimally Invasive Distal Pancreatectomy (with Video). 微创胰远端切除术中胃肝韧带入路胰腺上缘周围剥离（附视频）。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-20 DOI: 10.1245/s10434-025-17316-7

Masashi Tsunematsu, Kenei Furukawa, Shinji Onda, Ryoga Hamura, Toru Ikegami

{"title":"Dissection Around the Superior Border of the Pancreas Using a Gastrohepatic Ligament Approach During Minimally Invasive Distal Pancreatectomy (with Video).","authors":"Masashi Tsunematsu, Kenei Furukawa, Shinji Onda, Ryoga Hamura, Toru Ikegami","doi":"10.1245/s10434-025-17316-7","DOIUrl":"10.1245/s10434-025-17316-7","url":null,"abstract":"Introduction: The gastrohepatic ligament approach is a form of minimally invasive distal pancreatectomy (MIDP) with spleen preservation1,2 and provides a stable surgical field through the open gastrohepatic ligament. Herein, we developed an original technique for dissection around the superior border of the pancreas using the gastrohepatic ligament approach.Methods: The patient was a 79-year-old male with pancreatic tail acinar cell carcinoma. The surgical technique was as follows. First, the gastrohepatic ligament was divided extensively, and all subsequent dissections around the superior border of the pancreas were performed through the open gastrohepatic ligament. After the common hepatic and splenic arteries were isolated, the splenic artery was ligated or divided. Toldt's fusion fascia was then dissected toward the upper pole of the spleen, and Gerota's fascia was identified. The gastropancreatic fold was dissected from the proximal to the distal side. Depending on the tumor status, Gerota's fascia was dissected toward the upper pole of the spleen at the cranial side of the pancreas, and the left adrenal gland was exposed. This approach aims to reduce blood loss by ligating the splenic artery first and to identify the anatomical landmarks early by dissecting posteriorly along the left side of the celiac artery. Conversion to the conventional approach will be considered if the procedure proceeds with difficulties.Results: The operation time and intraoperative blood loss were 238 min and 10 mL, respectively.Conclusion: Although this approach is based on our experience, the gastrohepatic ligament approach could be an option for performing MIDP.","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5108-5109"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961254","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

ASO Authors Reflections: Beyond the Boundaries of Colorectal Cancer Peritoneal and Liver Metastases: Insights from a Systematic Review. ASO作者反思：超越结直肠癌腹膜和肝脏转移的界限：来自系统综述的见解。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1245/s10434-025-17395-6

Kadhim Taqi, Lloyd Mack, Antoine Bouchard-Fortier

引用次数: 0

Letter to the Editor of Annals of Surgical Oncology Concerning "Optimizing Outcomes in Gallbladder Cancer: Identifying Predictors of Futile Up-Front Surgery in a Global Multicenter Study". 致《外科肿瘤学年鉴》编辑关于“优化胆囊癌预后：在一项全球多中心研究中确定无效前期手术的预测因素”的信。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-12 DOI: 10.1245/s10434-025-17305-w

Gurudutt P Varty, Shraddha Patkar, Swapnil Patel, Mufaddal Kazi, Mahesh Goel

引用次数: 0

Laparoscopic Minimally Invasive Approach for Pelvic Solitary Fibrous Tumor. 腹腔镜微创入路治疗盆腔孤立性纤维性肿瘤。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-15 DOI: 10.1245/s10434-025-17148-5

Claudio Lodoli, Andrea Rosati, Nazario Foschi, Francesco Santullo, Carlo Abatini, Miriam Attalla El Halabieh, Valerio Gallotta, Anna Fagotti, Fabio Pacelli

{"title":"Laparoscopic Minimally Invasive Approach for Pelvic Solitary Fibrous Tumor.","authors":"Claudio Lodoli, Andrea Rosati, Nazario Foschi, Francesco Santullo, Carlo Abatini, Miriam Attalla El Halabieh, Valerio Gallotta, Anna Fagotti, Fabio Pacelli","doi":"10.1245/s10434-025-17148-5","DOIUrl":"10.1245/s10434-025-17148-5","url":null,"abstract":"A solitary fibrous tumor (SFT) is a rare mesenchymal fibroblastic tumor characterized by intermediate behavior, with a peak incidence in the fifth and sixth decades of life. SFTs have been reported at almost every anatomic site, with approximately 20% of cases involving the abdominal cavity.1 SFTs are often asymptomatic and may be discovered as an incidental finding on imaging. Sometimes when the tumor size is large, it may produce symptoms related to pressure effects of adjacent organs.2 The standard treatment for SFTs consists of surgical resection with free resection margins. Given the rarity of SFTs, there is no global consensus for their treatment with respect to radiotherapy and adjuvant chemotherapy.3 A minimally invasive laparoscopic approach has been described in the literature, especially in cases where surgery is not extremely demolitive.4,5This report presents the case of a 66-year-old female with a preoperative diagnosis of SFT confirmed by percutaneous needle biopsy. A computed tomography scan showed a voluminous solid expansive formation in the pelvic area measuring 96 × 89 × 92 mm, which was attached to the ipsilateral ureter and was in contact with the internal iliac artery for over 180° (Tinelli's score grade 3). 6 The patient underwent surgery consisting of laparoscopic removal of the pelvic mass, with resection and re-implantation of the ipsilateral ureter and ligation of the internal iliac vessels. Video 1 provides a step-by-step description of the surgical strategy adopted. Minimally invasive surgery is feasible in selected patients with large mesenchymal tumors and could be a viable option for optimizing the multidisciplinary approach to treating this rare tumor.","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5356-5357"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959623","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

ASO Author Reflections: Could the Use of a Hypothermic Oxygenated Machine Perfusion Improve Postoperative Outcome After In Situ Hypothermic, Ante Situm, and Ex Situ Liver Resection? ASO作者反思：低温氧机灌注是否可以改善原位、原位和非原位肝切除术后的预后？

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-05-13 DOI: 10.1245/s10434-025-17393-8

Anaïs Tribolet, Chady Salloum, Marc-Antoine Allard, Daniel Azoulay

引用次数: 0

ASO Author Reflections: Tumor Location and TRG in Neoadjuvant Immunotherapy for Esophageal Cancer. 肿瘤定位与TRG在食管癌新辅助免疫治疗中的作用。

IF 3.4 2区医学

Annals of Surgical Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-20 DOI: 10.1245/s10434-025-17309-6

Yan He, Ying-Jian Wang, Wei Guo

引用次数: 0

ASO Author Reflections: Clinical Significance of Margin to Depth of Invasion Ratio in Management of Oral Cancer. 作者思考：口腔癌浸润边缘与浸润深度比值在治疗中的临床意义。