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Journal J Surg Oncol

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Perceptions of opioid use and prescribing habits in oncologic surgery: A survey of the society of surgical oncology membership.

Heather A Lillemoe, Timothy E Newhook, Thomas A Aloia, Elizabeth G Grubbs, George J Chang, Matthew H G Katz, Jean-Nicolas Vauthey, Jeffrey E Lee, Ching-Wei D Tzeng,

BACKGROUND:The objective of this study was to assess current perceptions surrounding opioid prescribing in surgical oncology to inform perioperative quality improvement initiatives. METHODS:After the Society of Surgical Oncology (SSO) approval, a survey was distributed to its membership. Five sample procedures were used to assess provider perceptions and prescribing habits. Data ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Inaccurate pretreatment staging can impact survival in early stage esophageal adenocarcinoma.

Anthony J Scholer, Abhineet Uppal, Shu-Ching Chang, Debopriya Ghosh, Mary Garland-Kledzik, Juan Santamaria-Barria, Adam Khader, Ahmed Dehal, Trevan Fischer, Melanie Goldfarb,

BACKGROUND:Given the survival advantage of neoadjuvant treatment for locally advanced esophageal cancer, accurate clinical staging is necessary. The aim of this study was to assess the clinical (c) and pathologic (p) staging concordance rates for presumably early stage esophageal adenocarcinoma patients that had upfront esophagectomy (UFE) and evaluate if survival ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Institutional variation in recovery after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: An opportunity for enhanced recovery pathways.

Oliver S Eng, Andrew M Blakely, Kelly J Lafaro, Keith F Fournier, Nadege T Fackche, Fabian M Johnston, Sean Dineen, Benjamin Powers, Ryan Hendrix, Laura A Lambert, Sean Ronnekleiv-Kelly, Kara Vande Walle, Travis E Grotz, Jennifer L Leiting, Sameer H Patel, Vikrom K Dhar, Joel M Baumgartner, Andrew M Lowy, Callisia N Clarke, Harveshp Mogal, Mohammad Y Zaidi, Charles A Staley, Charles Kimbrough, Jordan M Cloyd, Byrne Lee, Mustafa Raoof,

BACKGROUND:Variations in care have been demonstrated both within and among institutions in many clinical settings. By standardizing perioperative practices, Enhanced Recovery After Surgery (ERAS) pathways reduce variation in perioperative care. We sought to characterize the variation in cytoreductive surgery (CRS)/heated intraperitoneal chemotherapy (HIPEC) perioperative practices among experienced US medical centers. ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Impact of surgical indication on patient outcomes and compliance with enhanced recovery program for colorectal surgery: A Francophone multicenter retrospective analysis.

Lucas De Crignis, Karem Slim, Eddy Cotte, Hélène Meillat, Aurélien Dupré,

BACKGROUND AND OBJECTIVE:The impact of surgical indication on compliance with enhanced recovery program (ERP) and on outcomes has never been assessed. This study aims to assess the impact of surgical indication (malignant vs benign) on postoperative outcomes and ERP compliance. METHODS:A multicenter nationwide database was analyzed. Patients who underwent colorectal ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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False-positive pregnancy test secondary to ectopic expression of human chorionic gonadotropin by a gastrointestinal stromal tumor.

Neal Andruska, Lily Mahapatra, Randall Brenneman, Kelly M MacArthur, Peter Oppelt, Brian C Baumann,

Tumors can rarely overexpress human chorionic gonadotropin (hCG) resulting in false-positive pregnancy tests. Here, we report a 44-year-old female with a metastatic gastrointestinal stromal tumor (GIST) who presented with a positive urine pregnancy test before radiotherapy. Further workup ruled out pregnancy. Following radiotherapy, her metastatic disease progressed and her hCG ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Surgical drain placement in distal pancreatectomy is associated with an increased incidence of postoperative pancreatic fistula and higher readmission rates.

Christopher W Mangieri, Michael Kuncewitch, Brett Fowler, Richard A Erali, Omeed Moaven, Perry Shen, Clancy J Clark,

BACKGROUND:Postoperative pancreatic fistula (POPF) can result in significant morbidity after distal pancreatectomy (DP). It is common practice to place prophylactic surgical drains during DP to monitor and minimize POPF complications; however, their use is controversial. OBJECTIVE:The aim of this study is to determine if drainage helps to prevent adverse outcomes ... Read more >>

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[2020, :]

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Management of orthopedic oncology patients during coronavirus pandemic.

Yavuz Şahbat, Omer Buyuktopcu, Osman Mert Topkar, Bulent Erol,

The new measures implemented in hospitals also altered the operation of orthopedics and traumatology departments. The main purpose of this article is to discuss how orthopedic oncology clinics should be organized during the pandemic and to present the process management scheme for patients requiring orthopedic surgery, including trauma surgery, from ... Read more >>

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[2020, :]

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Impact of progesterone receptor status on response to neoadjuvant chemotherapy in estrogen receptor-positive breast cancer patients.

Michael R Boland, Éanna J Ryan, Timothy Nugent, Darina Gilroy, Michael E Kelly, John Kennedy, Aoife Maguire, Dhafir Alazawi, Terence J Boyle, Elizabeth M Connolly,

INTRODUCTION:Breast cancer patients respond differently to neoadjuvant chemotherapy(NAC) based on receptor subtype. The aim of this study was to assess the impact of progesterone receptor (PgR) status on response to neoadjuvant chemotherapy (NAC) in estrogen receptor (ER)+, human epidermal growth factor receptor (HER)- breast cancer patients. METHODS:ER+ and HER- patients ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Comment on: Disposable customized aerosol containment chamber for oral cancer biopsy: A novel technique during COVID-19 pandemic.

Audrius Dulskas, Michail Klimovskij, Linas Senkus, Narimantas E Samalavicius,

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Detection of sentinel lymph node in laparoscopic surgery for uterine cervical cancer using carbon nanoparticles.

Yating Wang, Zhao Dan, Guangwen Yuan, Gongyi Zhang, Shuanghuan Liu, Yanan Zhang, Bin Li,

BACKGROUND AND OBJECTIVES:Carbon nanoparticles (CNPs) has been widely confirmed the efficiency in sentinel lymph node (SLN) mapping for various solid tumors. This study aims to explore the feasibility and effectiveness of CNPs during laparoscopic surgery for cervical cancer. METHODS:We analyzed 45 women with stage IB1-IIA1 cervical cancer who underwent SLN ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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The impact of near infrared fluorescence imaging on parathyroid function after total thyroidectomy.

Yoo Seok Kim, Ozgun Erten, Bora Kahramangil, Husnu Aydin, Mustafa Donmez, Eren Berber,

BACKGROUND:Compared with conventional thyroidectomy, hypocalcemia rate was reported to be lower after total thyroidectomy (TT) utilizing near infrared fluorescence imaging (NIFI). The aim of this study is to evaluate the impact of NIFI on postoperative parathyroid function after TT. METHODS:This was a retrospective institutional review board-approved study comparing 100 patients who ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Challenges in sentinel node pathology in the era of adjuvant treatment.

Viola Franke, Max F Madu, Carolien Bierman, Willem M C Klop, Winan J van Houdt, Michel W J M Wouters, Bart A van de Wiel, Alexander C J van Akkooi,

BACKGROUND:With the approval of adjuvant therapy for stage III melanoma, accurate staging is more important than ever. Sentinel node biopsy (SNB) is an accurate staging tool, yet the presence of capsular nevi (CN) can lead to a false-positive diagnosis. PATIENTS AND METHODS:Retrospective analysis of the American Joint Committee on Cancer ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Dual protection for day care procedures: Need in Coronavirus Disease 2019 (COVID-19) pandemic.

Deepak Kumar Singh, Sudhendu Shekhar Sharma, Jyotiranjan Swain, Puneet Prakash, Deep Kumar Jain, Avadhesh Kumar Yadav,

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Opportunistic muscle measurements on staging chest CT for extremity and truncal soft tissue sarcoma are associated with survival.

Eileen N Phan, Steven W Thorpe, Felix S Wong, Augustine M Saiz, Sandra L Taylor, Robert J Canter, Leon Lenchik, R Lor Randall, Robert D Boutin,

BACKGROUND AND OBJECTIVES:Computed tomography (CT) measurements of sarcopenia have been proposed as biomarkers associated with outcomes in various cancers and have typically been evaluated at the L3 vertebral level. However, staging imaging for patients with extremity and truncal soft tissue sarcoma (STS) often only includes chest CT imaging which precludes ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Factors associated with the use of vertical rectus abdominus myocutaneous flap reconstruction following abdominoperineal resection for anorectal cancer.

David S Nichols, Ellen Satteson, Patrick Harbor, Anthony DeFranzo, Lisa David, James T Thompson,

BACKGROUND AND OBJECTIVES:Following abdominoperineal resection (APR), primary closure of the perineal defect is often possible. Some patients, however, require flap reconstruction. Identifying these patients preoperatively is critical to facilitate comprehensive patient counseling and optimize surgical efficacy. METHODS:A retrospective review of patients undergoing APR over a 10-year period was performed to ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Oncologic safety of propeller flap and free flap in reconstruction after soft tissue sarcoma resection.

Han Gyu Cha, Min Kyu Kang, Wanlim Kim, Jong Seok Lee, Joon Pio Hong, Hyunsuk Peter Suh,

BACKGROUND AND OBJECTIVES:The propeller flap is a reliable option for reconstruction after soft tissue sarcoma resection. However, some parts of the resection margin may move away from its original position during flap rotation and thus can be excluded from the clinical target volume of adjuvant radiotherapy. This study aimed to ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Recurrence beyond the Milan criteria after curative-intent resection of hepatocellular carcinoma: A novel tumor-burden based prediction model.

Diamantis I Tsilimigras, Rittal Mehta, Alfredo Guglielmi, Francesca Ratti, Hugo P Marques, Olivier Soubrane, Vincent Lam, George A Poultsides, Irinel Popescu, Sorin Alexandrescu, Guillaume Martel, Tom Hugh, Luca Aldrighetti, Itaru Endo, Timothy M Pawlik,

BACKGROUND:Accurate prediction of recurrence patterns of hepatocellular carcinoma (HCC) may allow for prioritization of patients for resection or transplantation as well as guide post-resection surveillance strategies. METHODS:Patients who underwent curative-intent R0 resection for HCC between 2000 and 2017 were identified using a multi-institutional database. A prognostic model that incorporated HCC ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Long term outcomes of total humeral replacement for oncological reconstructions: A single institution experience.

Nicholas M Bernthal, Alexander Upfill-Brown, Zachary D C Burke, Danielle Greig, Richard Hwang, Brooke Crawford, Jeffrey J Eckardt,

BACKGROUND:There is a paucity of data on long-term survivorship and outcomes for total humerus replacements (THR) with only two series reporting 10-year survival. PATIENTS AND METHODS:A review of 769 consecutive, prospectively collected endoprosthetic reconstructions for oncological diagnoses at a single-center between 1980 and 2019 was performed. Patients with THRs were ... Read more >>

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[2020, :]

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The role of percutaneous interventions in the management of lung cancer patients during the Covid-19 pandemic.

Emmanouil I Kapetanakis, Dimitrios K Filippiadis, Ioannis P Tomos, Anna Karakatsani, Anna Koumarianou, Periklis I Tomos,

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Outcomes following periacetabular tumor resection: A 25-year institutional experience.

Joseph Ippolito, Jennifer Thomson, Kathleen Beebe, Francis Patterson, Joseph Benevenia,

BACKGROUNDS AND OBJECTIVES:Following tumor resection involving the acetabulum (periacetabular), various methods of reconstruction exist. The objective of this study was to analyze functional outcomes and complication rates by extent of periacetabular tumor resection, as well as by method of reconstruction. METHODS:Twenty-three patients underwent periacetabular resection for a primary pelvic bone ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Diagnostic and prognostic value of preoperative systemic inflammatory markers in anaplastic thyroid cancer.

Lingyun Zhang, Han Luo, Liying Wang, Yang Liu, Shu Rui, Zhujuan Wu, Tao Wei, Rixiang Gong, Zhihui Li, Jingqiang Zhu,

BACKGROUND:Easily accessible, generalized, and inexpensive methods are expected to differentiate anaplastic thyroid carcinoma (ATC) from advanced differentiated thyroid cancer (aDTC). We aimed to explore potential diagnostic and prognostic value of systematic inflammatory markers (SIMs) in ATC and aDTC. METHODS:About 22 ATC, 101 aDTC, and 100 matched early DTC patients were ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Predictors of recurrence after total thyroidectomy plus neck dissection and radioactive iodine ablation for high-risk papillary thyroid carcinoma.

Yonghan Kim, Jong-Lyel Roh, Dongeun Song, Kyung-Ja Cho, Seung-Ho Choi, Soon Yuhl Nam, Sang Yoon Kim,

BACKGROUND:American Thyroid Association (ATA) proposed management guidelines for differentiated thyroid cancer, including a three-tiered risk stratification system for structural recurrence. This study aimed to compare the various 2015 ATA criteria for the strength of association with the recurrence of high-risk papillary thyroid carcinoma (PTC). STUDY DESIGN:This study included 545 consecutive ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Multi-institutional analysis of stereotactic body radiotherapy for sarcoma pulmonary metastases: High rates of local control with favorable toxicity.

Brian C Baumann, Karen De Amorim Bernstein, Thomas F DeLaney, Charles B Simone, James D Kolker, Edwin Choy, William P Levin, Kristy L Weber, Ashok Muniappan, Abigail T Berman, Arthur Staddon, Lee Hartner, Brian Van Tine, Angela Hirbe, Eli Glatstein, Stephen M Hahn, Suneel N Nagda, Yen-Lin Chen,

BACKGROUND/OBJECTIVES:Oligometastatic sarcoma pulmonary metastases (PM's) are traditionally treated with resection and/or chemotherapy. We hypothesize that stereotactic body radiotherapy (SBRT) is an effective, safe alternative to surgery that can achieve excellent local control (LC) with a favorable toxicity profile. METHODS:Patients treated with SBRT for sarcoma PM's from 2011 to 2016 at ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Percutaneous imaging-guided biopsies in patients with COVID-19 positive cancer performed at the peak of the COVID-19 pandemic.

Luis Gorospe, Ana María Ayala-Carbonero, Rosa Mariela Mirambeaux-Villalona, Amparo Benito-Berlinches, Ana Gómez-Rueda, Sara Fra-Fernández, Gemma María Muñoz-Molina, Andrés González-García,

J Surg Oncol (Journal of surgical oncology)
[2020, :]

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Predictors of hemodynamic instability in patients with pheochromocytoma and paraganglioma.

Lulu Ma, Le Shen, Xiuhua Zhang, Yuguang Huang,

BACKGROUND AND OBJECTIVES:Intraoperative hemodynamic instability is common in patients with pheochromocytoma and paraganglioma. The aim of this study was to identify the predictive risk factors of intraoperative hemodynamic instability. METHODS:A total of 428 patients having elective resection of pheochromocytoma and/or paraganglioma at Peking Union Medical College Hospital between January 2014 ... Read more >>

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[2020, :]

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