Article
Oncology
Oksana Movchan, Valentin Svintsitskyi
Summary: The feasibility of pelvic and para-aortic lymph node dissection in patients with endometrial cancer is evaluated in this study, based on disease stage, postoperative complications, and patient survival. The duration of the operation and the number of lymph nodes removed are found to be closely related to the volume of surgical intervention.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Article
Oncology
Roger Li, Jonathan J. Duplisea, Firas G. Petros, Graciela M. Nogueras Gonzalez, Shi-Ming Tu, Jose A. Karam, Tam T. Huynh, John F. Ward
Summary: Robotic postchemotherapy retroperitoneal lymph node dissection (r-pcRPLND) can be safely performed with rigorous patient selection, reducing perioperative morbidity while maintaining oncologic control proficiency.
EUROPEAN UROLOGY ONCOLOGY
(2021)
Article
Oncology
Nicolo Bizzarri, Andrea Rosati, Giovanni Scambia, Francesco Fanfani
Summary: Occult endometrial cancer after supracervical hysterectomy is rare, and restaging should be considered for optimal management. A case report described a patient with metastatic parametrium after laparoscopic surgery, highlighting the feasibility of SLN mapping with cervical injection even without the uterine corpus.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Medicine, Research & Experimental
Xi Ding, Qing-Guang Lin, Xiong Zou, You-Ping Liu, Yi-Jun Hua, Yu-Long Xie, Zhi-Qiang Wang, Yi-Nuan Zhang, Yang-Kui Gu, Rui You, Qi Yang, Meng-Xia Zhang, Si-Yuan Chen, Yan-Feng Ouyang, Zi-Kun Yu, Rui Sun, Ming-Yuan Chen
Summary: TORS-RPLND is a feasible, safe, and effective method for treating NPC patients with RPLN recurrence, especially when combined with intraoperative ultrasound positioning. The procedure resulted in en bloc resection in 8 out of 10 patients, with mild complications and a low rate of recurrence.
Article
Surgery
Vanessa El-Achi, Michael Burling, Murad Al-Aker
Summary: This study examined the characteristics and peri-operative outcomes of women with atypical hyperplasia (AH) or endometrial cancer undergoing robotic-assisted hysterectomy (RAH) with sentinel lymph node biopsy (SLNB) or pelvic lymph node dissection (PLND). Results showed a significant trend towards the utilization of SLNB over time, with benefits such as shorter hospital stays, less blood loss, and shorter surgical duration compared to PLND. SLNB was safe and feasible, demonstrating advantages over PLND in terms of peri-operative outcomes.
JOURNAL OF ROBOTIC SURGERY
(2022)
Article
Oncology
Nnamdi I. Gwacham, Karolina A. Kilowski, Fernando O. Recio, Ahmad Awada, Theresa M. Kuhn, Jianbin Zhu, Ameya Patel, Sarfraz Ahmad, Nathalie D. McKenzie, James E. Kendrick, Robert W. Holloway
Summary: The study aimed to determine the prevalence of peritoneal cytologic contamination following robotic hysterectomy for endometrial cancer. The results showed that 13.1% of cases had pelvic contamination. Pelvic contamination was associated with factors such as myometrial invasion, tumor size, lymphovascular space invasion, and lymph node metastasis. Rating: 8 out of 10.
GYNECOLOGIC ONCOLOGY
(2023)
Article
Obstetrics & Gynecology
Nadav Michaan, Ido Laskov, Asaf Aizic, Oded Brautbar, Dan Grisaru
Summary: The study proposes a new treatment algorithm using laparoscopic sentinel lymph node biopsy followed by open radical hysterectomy in node-negative cases for early stage cervical cancer. This approach aims to reduce the need for laparotomies and offer a bimodal treatment option for node-positive patients, although the oncological safety of this strategy requires further evaluation.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Surgery
Hye Jin Kim, Gyu-Seog Choi, Heman Joshi, Seung Hyun Cho, Jun Seok Park, Soo Yeun Park, Seung Ho Song, Min Kyu Kang
Summary: This study describes the technical details of robotic and laparoscopic salvage lateral pelvic node dissection (LPND) and evaluates the short-term outcomes in patients with recurrent LPNs. The results show that both robotic and laparoscopic salvage LPND are safe and feasible with favorable surgical outcomes. However, the surgical approach should be carefully chosen in patients with large-sized and invasive recurrent LPNs.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Zsolt Varga, Peter Kolozsi, Kitti Nagy, Dezso Toth
Summary: Gastric cancer is a major cause of cancer-related deaths worldwide and requires individualized treatment for optimal outcomes. Lymph node dissection plays a crucial role in postoperative complications and nodal staging. Insufficient or excessive dissection can lead to inaccurate staging and increased complications.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Lei Zhang, Feiyu Shi, Chenhao Hu, Zhe Zhang, Junguang Liu, Ruihan Liu, Guanghui Wang, Jianqiang Tang, Junjun She
Summary: This study evaluated the perioperative, genitourinary functional, and mid-term oncological outcomes of laparoscopic and robotic-assisted lateral lymph node dissection for patients with advanced lower rectal cancer. The results showed that the robotic-assisted surgery group had better perioperative outcomes, genitourinary function recovery, and similar mid-term oncological outcomes compared to the laparoscopic surgery group.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Vanessa El-Achi, Jennifer Weishaupt, Jonathan Carter, Sam Saidi
Summary: Surgery is the main treatment for endometrial cancer and complex atypical endometrial hyperplasia. Robotic-assisted hysterectomy is increasingly used in morbidly obese patients, especially in women with a BMI over 50 kg/m(2).
JOURNAL OF ROBOTIC SURGERY
(2021)
Article
Surgery
Hajime Morohashi, Yoshiyuki Sakamoto, Takuya Miura, Takuji Kagiya, Kenta Ogasawara, Yoshiya Takahashi, Kentaro Sato, Yutaro Hara, Hirokazu Ogasawara, Kenichi Hakamada
Summary: Comparing the short-term outcomes of robotic-assisted laparoscopic lateral lymph node dissection (RALLD) and laparoscopic lateral lymph node dissection (LLLD), this study found that while the operative time was longer in the RALLD group, the postoperative hospital stay was shorter and the rate of anastomotic leakage was lower. These results suggest that RALLD may be a feasible and useful modality for lower rectal cancer.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Obstetrics & Gynecology
Yanzhou Wang, Li Deng, Shuai Tang, Yuya Dou, Yuanyang Yao, Yudi Li, Yuan Deng, Yong Chen, Zhiqing Liang
Summary: The study suggests that vNOTES surgery is feasible and may lead to a reduced postoperative hospital stay, faster recovery, and better cosmetic outcomes in patients with endometrial cancer. However, further prospective research is needed to confirm its broader clinical application.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Biochemistry & Molecular Biology
Jung Hoon Bae, Jumyung Song, Ri Na Yoo, Ji Hoon Kim, Bong-Hyeon Kye, In Kyu Lee, Hyeon-Min Cho, Yoon Suk Lee
Summary: This study compared the short-term outcomes of laparoscopic and robotic LPNDs. The results showed that robotic LPND had a longer operation time and more harvested lateral lymph nodes compared to laparoscopic LPND. However, both procedures had similar rates of postoperative complications and length of hospital stay, indicating that both laparoscopic and robotic LPND are safe and feasible for locally advanced rectal cancers.
Article
Oncology
Nobuhisa Matsuhashi, Yuta Sato, Jesse Yu Tajima, Shigeru Kiyama, Takao Takahashi, Masashi Kuno, Masahide Endo, Masahiro Fukada, Chika Mizutani, Yoshihisa Tokumaru, Itaru Yasufuku, Tomonari Suetsugu, Yoshihiro Tanaka, Naoki Okumura, Katsutoshi Murase, Takuya Saiki, Kazuhiro Yoshida
Summary: This study explored the accuracy and usefulness of SYNAPSE VINCENT images of pelvic anatomy in lateral lymph node dissection (LLD) for rectal cancer. The results showed that the system could be used for simulation and navigation before and during surgery, helping experienced surgeons carry out operations more accurately.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Obstetrics & Gynecology
Monica Hagan Vetter, Blair Smith, Jason Benedict, Erinn M. Hade, Kristin Bixel, Larry J. Copeland, David E. Cohn, Jeffrey M. Fowler, David O'Malley, Ritu Salani, Floor J. Backes
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2020)
Review
Oncology
Taylor B. Turner, David M. Kushner, Abigail Ford Winkel, Gerald McGwin, Stephanie V. Blank, Jeffery M. Fowler, Kenneth H. Kim
GYNECOLOGIC ONCOLOGY
(2020)
Article
Oncology
Kenneth H. Kim, Kathleen N. Moore, Rebecca C. Arend, Jamie N. Bakkum-Gamez, Shannon N. Westin
GYNECOLOGIC ONCOLOGY
(2020)
Article
Obstetrics & Gynecology
Warner K. Huh, John L. Johnson, Emily Elliott, Jonathan D. Boone, Charles A. Leath, Joy L. Kovar, Kenneth H. Kim
Summary: This study aimed to determine the near-optimal dose, safety, and efficacy of nerindocianine for pelvic ureter detection in women undergoing minimally invasive pelvic surgery. The results showed that 88.9% of subjects had visualization of the ureter 90 minutes post-dosing, with no significant differences observed among the three FDA-cleared surgical imaging systems used.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Oncology
David S. Miller, Virginia L. Filiaci, Robert S. Mannel, David E. Cohn, Takashi Matsumoto, Krishnansu S. Tewari, Paul DiSilvestro, Michael L. Pearl, Peter A. Argenta, Matthew A. Powell, Susan L. Zweizig, David P. Warshal, Parviz Hanjani, Michael E. Carney, Helen Huang, David Cella, Richard Zaino, Gini F. Fleming
JOURNAL OF CLINICAL ONCOLOGY
(2020)
Article
Oncology
Whitney N. Goldsberry, Sarah S. Summerlin, Allison Guyton, Brittani Caddell, Warner K. Huh, Kenneth H. Kim, Margaret I. Liang
Summary: The cost sharing patterns of PARP inhibitors were evaluated between patients, payors, and financial assistance programs. Out-of-pocket costs for patients were generally low, with 75% paying less than $5 per month. Nearly 50% of patients utilized financial assistance programs to access PARP inhibitors.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Oncology
Victoria R. Cerda, Diana Lu, Marla Scott, Kenneth H. Kim, Bobbie Jo Rimel, Mitchell Kamrava
Summary: This study evaluated patients with ovarian cancer on PARPi maintenance and found that one-third of them experienced oligoprogression, defined as limited to <=3 sites. The sites of oligoprogression were commonly in the pelvic, peritoneal, and liver regions. Patients with oligoprogression may benefit from local consolidation therapy, but further validation with a larger dataset is needed to assess the value of trials investigating local therapy for these patients.
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
(2022)
Article
Pediatrics
Chase R. Cawyer, Christina Blanchard, Kenneth H. Kim
Summary: This study found that implementing a financial literacy curriculum can improve the sense of well-being in residents and fellows, but the improvement in financial stress is not significant. Therefore, this type of curriculum should be considered for inclusion in other graduate medical education programs.
Article
Obstetrics & Gynecology
Courtney A. Penn, Erica V. Carballo, Christine S. Walsh, Oliver Zivanovic, Kenneth H. Kim
Summary: Based on a study conducted on Chinese patients, we conclude that the use of HIPEC during primary cytoreductive surgery in the US healthcare sector is cost-effective for patients, regardless of residual disease status.
GYNECOLOGIC ONCOLOGY REPORTS
(2022)
Article
Oncology
B. A. Davidson, T. B. Turner, K. H. Kim, I Cass, L. Calat, G. McGwin, D. M. Kushner
Summary: This study assessed the wellness and burnout among gynecologic oncology clinicians and found that female clinicians, especially over the age of 40 and those in non-private practice, were more susceptible to burnout. Female clinicians also reported poorer work-life balance and higher levels of stress and feeling overwhelmed compared to male clinicians and advanced practice providers. There was a reluctance among clinicians, especially gynecologic oncologists, to seek mental health support or take medication. Including advanced practice providers in future research could help mitigate burnout among healthcare clinicians.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Obstetrics & Gynecology
Jhalak Dholakia, Yeon Woo Lee, Karen H. Lu, Warner K. Huh, S. Diane Yamada, Katherine C. Fuh, Amanika S. Kumar, Margaret I. Liang, Navya Nair, Kenneth H. Kim
Summary: This study highlights the increase in anti-Asian violence during the COVID-19 pandemic and the underrepresentation of Asian American/Pacific Islanders (AAPI) in leadership roles. It explores the personal and professional experiences of AAPI gynecologic oncology trainees and evaluates the impact of a virtual panel discussion with leaders in the field.
GYNECOLOGIC ONCOLOGY REPORTS
(2022)
Article
Oncology
Monica D. Levine, Rachel Pearlman, Heather Hampel, Casey Cosgrove, David Cohn, Alexis Chassen, Adrian Suarez, David A. Barrington, Joseph P. McElroy, Steven Waggoner, John Nakayama, Caroline Billingsley, Kim Resnick, Stephen Andrews, Sareena Singh, Eric Jenison, Aine Clements, Robert Neff, Paul J. Goodfellow
Summary: This prospective multicenter study revealed actionable germline variants in 10% of unselected women with newly diagnosed EC, supporting the use of up-front MGPT for all EC patients. The discovery that BRCA1 or BRCA2 heterozygotes frequently had type II cancers points to therapeutic opportunities for women with aggressive histologic EC subtypes.
JCO PRECISION ONCOLOGY
(2021)
Article
Oncology
Jhalak Dholakia, David E. Cohn, J. Michael Straughn, Sarah E. Dilley
Summary: The study assessed the potential cost-effectiveness of prehabilitation in medically frail patients undergoing surgery for EOC, finding that prehabilitation was not only more effective but also cost-saving, by reducing complication rates and decreasing care facility requirements to save healthcare costs.
JOURNAL OF GYNECOLOGIC ONCOLOGY
(2021)
Article
Oncology
Taylor B. Turner, Kenneth H. Kim
Summary: The study aimed to test the feasibility of a simulation-based robotic hysterectomy curriculum, collect objective measurements of trainee progress, map learning curves, and provide systematic evaluation. Results showed that most residents were able to complete the simulated hysterectomy by the end of the training period, demonstrating high levels of participation and engagement in the training.
JOURNAL OF GYNECOLOGIC ONCOLOGY
(2021)
Article
Oncology
Teresa K. L. Boitano, Haller J. Smith, Joshua G. Cohen, Emma C. Rossi, Kenneth H. Kim
Summary: This study evaluated the effectiveness of a robotic surgery training program for fellows in gynecologic oncology. Participants showed a significant increase in confidence in complex procedures and concepts such as radical hysterectomy, lymph node dissection, troubleshooting, and managing complications after completing the training course. Faculty comfort and practice patterns were identified as primary reasons for limitations during robotic procedures.
JOURNAL OF GYNECOLOGIC ONCOLOGY
(2021)
Article
Oncology
Dimitrios Nasioudis, Stefan Gysler, Nawar Latif, Lory Cory, Robert L. Giuntoli II, Sarah H. Kim, Fiona Simpkins, Lainie Martin, Emily M. Ko
Summary: The prevalence of ERBB2 gene amplification was investigated among patients with gynecologic malignancies. The study found that ERBB2 amplification is frequently encountered in uterine serous carcinoma and mucinous ovarian carcinoma, but less common in endometrioid endometrial carcinoma.
GYNECOLOGIC ONCOLOGY
(2024)