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    Journal of Surgery Concepts & Practice    2012, 17 (01): 17-20.   DOI: 10.16139/j.1007-9610.a2792
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    Journal of Surgery Concepts & Practice    2005, 10 (06): 539-541.   DOI: 10.16139/j.1007-9610.a1518
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    Breast cancer patients with 1-2 positive sentinel lymph nodes without axillary lymph node dissection: influencing factors and prognosis
    CHEN Xiaosong, WU Jiayi, HUANG Ou, HE Jianrong, ZHU Li, LI Yafen, CHEN Weiguo, SHEN Kunwei
    Journal of Surgery Concepts & Practice    2019, 24 (05): 428-433.   DOI: 10.16139/j.1007-9610.2019.05.012
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    Objective To analyze the factors influencing breast cancer patients with 1-2 positive sentinel lymph nodes which meets ACOSGO Z0011 criteria without further axillary lymph node dissection (ALND) and their prognosis. Methods Patients with cT1-2N0 invasive breast cancer received breast conserving surgery and radiotherapy were enrolled retrospectively in Comprehensive Breast Health Center, Rujin Hospital between January 2012 and August 2019. Factors which influenced not to receive further ALND in patients with 1-2 positive sentinel lymph node and its association with prognosis were analyzed. Results were listed as odds ratio and 95% confidence interval. Results A total of 161 patients were studied, including 78 patients without ALND in the SLNB group and 83 patients in the ALND group. There were 11 (13.3%) patients with non-SLN metastasis and 4 (4.8%) patients with 3 axillary lymph node (ALN) metastasis in the ALND group. Both univariate and multivariate analysis found that surgical-year was associated with ALND (P<0.001). Patients in more recent surgical-year were received less ALND. Eleven (14.1%) and 6 (3.6%) patients in the SLNB and ALND groups had no further adjuvant chemotherapy, respectively. Univariate analysis showed that age (P<0.001), menopausal status (P=0.016), and ALN surgery(P=0.018) were related with adjuvant chemotherapy. Multivariate analysis showed that only age was independently related with chemotherapy(P<0.001). With a median follow up of 42.0 months, ALN recurrence was found only 1 (1.3%) patient in the SLNB group and none in the ALND group. Conclusions Patients with 1-2 positive sentinel nodes who met the eligible criteria of ACOSOG Z0011 trial could be treated without ALND. The association of ALND with long-term survival deserves further evaluation.
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    Interpretation of the 5th edition WHO classificaion and staging of tumors of digestive system: gastric tumors
    YU Yingyan, ZHU Zhenggang
    Journal of Surgery Concepts & Practice    2020, 25 (03): 207-210.   DOI: 10.16139/j.1007-9610.2020.03.007
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    Journal of Surgery Concepts & Practice    2009, 14 (01): 46-48.   DOI: 10.16139/j.1007-9610.a2173
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    Journal of Surgery Concepts & Practice    2014, 19 (02): 131-135.   DOI: 10.16139/j.1007-9610.a3124
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    Journal of Surgery Concepts & Practice    1998, 3 (03): 90-5.   DOI: 10.16139/j.1007-9610.a0090
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    Interpretation of the 5th edition WHO classification and staging of digestive system tumors: colorectal tumors
    YU Yingyan
    Journal of Surgery Concepts & Practice    2021, 26 (04): 312-317.   DOI: 10.16139/j.1007-9610.2021.04.008
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    Journal of Surgery Concepts & Practice    2017, 22 (05): 411-416.   DOI: 10.16139/j.1007-9610.a3607
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    Journal of Surgery Concepts & Practice    2019, 24 (06): 550-554.   DOI: 10.16139/j.1007-9610.2019.06.017
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    Conversion therapy for far-advanced gastric cancer with paclitaxel hyperthermia intraperitoneal and intravenous chemotherapy: a case report
    JIANG Songyao, ZHAO Liangchao, YAN Xiaowei, HU Jiele, XIANG Ming
    Journal of Surgery Concepts & Practice    2020, 25 (02): 152-154.   DOI: 10.16139/j.1007-9610.2020.02.013
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    Journal of Surgery Concepts & Practice    2017, 22 (03): 240-247.   DOI: 10.16139/j.1007-9610.a3545
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    Journal of Surgery Concepts & Practice    2011, 16 (03): 252-255.   DOI: 10.16139/j.1007-9610.a2687
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    Journal of Surgery Concepts & Practice    2014, 19 (01): 40-43.   DOI: 10.16139/j.1007-9610.a3100
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    Journal of Surgery Concepts & Practice    2009, 14 (05): 516-518.   DOI: 10.16139/j.1007-9610.a2356
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    Chinese interpretation of Japanese Gastric Cancer Treatment Guidelines 2021 (6th edition) and Ruijin clinical practice
    YAN Chao, LU Sheng, YAN Min, ZHU Zhenggang
    Journal of Surgery Concepts & Practice    2023, 28 (04): 326-354.   DOI: 10.16139/j.1007-9610.2023.04.010
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    “Japanese Gastric Cancer Treatment Guidelines” have been important guidelines for the treatment of gastric cancer in Japan and worldwide. The English version “Japanese Gastric Cancer Treatment Guidelines 2021 (6th Edition)” published in January 2023 consists of two parts. The first part includes diagnostic and treatment methods, such as surgery, endoscopic resection, chemotherapy, follow-up. The second part addresses clinical issues, including recommendations and explanations for clinical hot topics. This article will provide a Chinese interpretation of the guidelines and briefly introduce our hospital's clinical practice in the diagnosis and treatment of gastric cancer.

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    Journal of Surgery Concepts & Practice    2007, 12 (05): 411-413.   DOI: 10.16139/j.1007-9610.a1893
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    Journal of Surgery Concepts & Practice    2001, 6 (02): 79-81.   DOI: 10.16139/j.1007-9610.a0497
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    Journal of Surgery Concepts & Practice    2017, 22 (05): 433-437.   DOI: 10.16139/j.1007-9610.a3577
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    Journal of Surgery Concepts & Practice    2007, 12 (03): 234-236.   DOI: 10.16139/j.1007-9610.a1815
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