Min-Jeong Cho, Sydney Chratian, Kyle Hansotia, Roman Skoracki
{"title":"Reply to: \"Prophylactic Lymphovenous Bypass for Breast Cancer-Related Lymphedema: Research Challenges, Statistical Pitfalls, and Solutions\".","authors":"Min-Jeong Cho, Sydney Chratian, Kyle Hansotia, Roman Skoracki","doi":"10.1245/s10434-025-17377-8","DOIUrl":"10.1245/s10434-025-17377-8","url":null,"abstract":"","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5847-5848"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967805","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}
{"title":"ASO Author Reflections: Does More Lymphocyte Infiltration Indicate a Better Prognosis in Malignant Peritoneal Mesothelioma?","authors":"He-Liang Wu, Yan Li","doi":"10.1245/s10434-025-17551-y","DOIUrl":"10.1245/s10434-025-17551-y","url":null,"abstract":"","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5809-5810"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180663","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}
Trevor C Chopko, Justin W Maroun, Janani S Reisenauer, Luis F Tapias
{"title":"ASO Author Reflections: Insights into Sentinel Lymph Node Mapping for Esophageal Cancer.","authors":"Trevor C Chopko, Justin W Maroun, Janani S Reisenauer, Luis F Tapias","doi":"10.1245/s10434-025-17577-2","DOIUrl":"10.1245/s10434-025-17577-2","url":null,"abstract":"","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5970-5971"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186390","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}
{"title":"ASO Author Reflections: National Guidelines for Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Peritoneal Malignancies: A World-Wide Systematic Review and Recommendations Strength Analysis.","authors":"Marco Tonello, Carola Cenzi, Antonio Sommariva","doi":"10.1245/s10434-025-17613-1","DOIUrl":"10.1245/s10434-025-17613-1","url":null,"abstract":"","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5811-5812"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224111","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}
Elisabeth T Tracy, Abigail Engwall, Erin G Brown, Raphael C Sun, Ashley Walther, Catherine B Beckhorn, Dave Lal, David H Rothstein, Jonathan Roach, Nicholas Cost, Barrie S Rich, Peter F Ehrlich, Jennifer H Aldrink, David Rodeberg
{"title":"Essential Knowledge and Skills for the Practice of Pediatric Surgical Oncology: A Modified Delphi Consensus Study by the APSA Cancer Committee.","authors":"Elisabeth T Tracy, Abigail Engwall, Erin G Brown, Raphael C Sun, Ashley Walther, Catherine B Beckhorn, Dave Lal, David H Rothstein, Jonathan Roach, Nicholas Cost, Barrie S Rich, Peter F Ehrlich, Jennifer H Aldrink, David Rodeberg","doi":"10.1245/s10434-025-17335-4","DOIUrl":"10.1245/s10434-025-17335-4","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood cancer care has become increasingly complex. However, the exclusive practice of pediatric surgical oncology is not feasible for most surgeons taking care of these children. Thus, the American Pediatric Surgical Association (APSA) Cancer Committee conducted a modified Delphi study to reach a national consensus on the essential knowledge, skills, and institutional setting for surgeons caring for children with cancer.</p><p><strong>Methods: </strong>After development of candidate statements, the APSA Cancer Committee conducted a modified Delphi process consisting of two classic rounds and a third consensus round. Statements were reviewed by an expert panel consisting of pediatric surgical oncologists, pediatric medical oncologists, pediatric surgery program directors, general pediatric, recent pediatric surgery graduates. Consensus was defined a priori as Cronbach's alpha > 0.8 and greater than 80% panel agreement.</p><p><strong>Results: </strong>Initial candidate statements comprised eight domains including solid tumors, metastasis, and institution resources. After review by the expert panel consisting of 35 panelists from 24 institutions across 18 US states and Canada, 177 statements achieved consensus. Internal consistency was excellent (Cronbach's alpha 0.989, 0.987, and 0.987 after rounds 1-3). A major emphasis of the consensus statements was on the importance of multidisciplinary care, including multidisciplinary surgical teams for complex resections, and knowledge of current tumor-specific management principles.</p><p><strong>Conclusions: </strong>This study represents the first national consensus study of the knowledge and skills essential for pediatric surgical oncology. These results should inform ongoing conversations about how best to match children with cancer to the surgeons equipped to care for them without creating additional barriers for families.</p>","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5752-5771"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207516","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}
Jun Kawashima, Miho Akabane, Mujtaba Khalil, Selamawit Woldesenbet, Yutaka Endo, Kota Sahara, François Cauchy, Federico Aucejo, Hugo P Marques, Rita Lopes, Andreia Rodriguea, Tom Hugh, Feng Shen, Shishir K Maithel, Bas Groot Koerkamp, Irinel Popescu, Minoru Kitago, Matthew J Weiss, Guillaume Martel, Carlo Pulitano, Luca Aldrighetti, George Poultsides, Andrea Ruzzente, Todd W Bauer, Ana Gleisner, Itaru Endo, Roberto I Troisi, Timothy M Pawlik
{"title":"Impact of Tumor Size on the Survival Benefit of Anatomic Versus Non-Anatomic Resection for Intrahepatic Cholangiocarcinoma.","authors":"Jun Kawashima, Miho Akabane, Mujtaba Khalil, Selamawit Woldesenbet, Yutaka Endo, Kota Sahara, François Cauchy, Federico Aucejo, Hugo P Marques, Rita Lopes, Andreia Rodriguea, Tom Hugh, Feng Shen, Shishir K Maithel, Bas Groot Koerkamp, Irinel Popescu, Minoru Kitago, Matthew J Weiss, Guillaume Martel, Carlo Pulitano, Luca Aldrighetti, George Poultsides, Andrea Ruzzente, Todd W Bauer, Ana Gleisner, Itaru Endo, Roberto I Troisi, Timothy M Pawlik","doi":"10.1245/s10434-025-17270-4","DOIUrl":"10.1245/s10434-025-17270-4","url":null,"abstract":"<p><strong>Background: </strong>The role of anatomic resection (AR) versus non-anatomic resection (NAR) for intrahepatic cholangiocarcinoma (ICC) has not been thoroughly investigated. This study sought to define the impact of tumor size on the relative therapeutic benefit of AR versus NAR for ICC. Specifically, the study aimed to identify a threshold tumor size to define when AR rather than NAR may be warranted to achieve better survival outcomes for patients undergoing resection of ICC.</p><p><strong>Methods: </strong>Patients who underwent liver resection for ICC were identified from an international multi-institutional database. A multivariable Cox model with an interaction term was used to assess the relationship between tumor size and the survival impact of AR.</p><p><strong>Results: </strong>Among 969 patients, 506 (72.9 %) underwent AR, whereas 263 (27.1 %) had an NAR. Multivariable analysis demonstrated an interaction between tumor size and AR (hazard ratio [HR], 0.94; 95 % confidence interval [CI], 0.88-1.00; p = 0.045). A plot of the interaction demonstrated that AR was associated with improved outcomes for tumors size ≥4 cm. Among 257 (26.5 %) patients with tumors smaller than 4 cm, recurrence-free survival (RFS) did not differ between NAR and AR (3-year RFS: 65.2 % [95 % CI, 55.7-76.2] vs 58.1 % [95 % CI, 49.2-68.5]; p = 0.720). In contrast, among 712 (73.4 %) patients with tumors size ≥4 cm, AR was associated with improved RFS (3-year RFS: 34.7 % [95 % CI, 27.5-43.8] vs 44.9 % [95 % CI, 40.4-50.0]; p = 0.018).</p><p><strong>Conclusions: </strong>Anatomic resection was associated with improved RFS for ICC patients with tumors size ≥4 cm, indicating that tumor size may be a valuable criterion to determine the extent of liver resection for resectable ICC patients.</p>","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5637-5647"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claire Delage De Luget, Houssein El Hajj, Eric Lambaudie
{"title":"Robot-Assisted Surgery in Endometrial Cancer: A Dual Benefit for Patients and Surgeons.","authors":"Claire Delage De Luget, Houssein El Hajj, Eric Lambaudie","doi":"10.1245/s10434-025-17277-x","DOIUrl":"10.1245/s10434-025-17277-x","url":null,"abstract":"","PeriodicalId":8229,"journal":{"name":"Annals of Surgical Oncology","volume":" ","pages":"5375-5377"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762879","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}