Aalbers, Arend G J

Beets, Geerard L

Beets-Tan, Regina G H

Boerma, Evert-Jan G

Borstlap, Jaap

Burger, Jacobus W A

Crolla, Rogier M P H

Daniëls-Gooszen, Alette W

Davids, Paul H P

de Haas, Robbert J

de Korte, Fleur I

Dunker, Michalda S

Fabry, Hans F J

Furnée, Edgar J B

Hazen, Sanne-Marije J A

Hoogendoorn, Stefan

Horsthuis, Karin

Oosterling, Steven J

Peeters, Koen C M J

Posma, Lisanne A E

Sluckin, Tania C

van Breest Smallenburg, Vivian

van Gils, Renza A H

van Koeverden, Sebastiaan

English

ARTS repository - University of Groningen

   University of GroningenASO Visual AbstractDutch Snapshot Research Group; Sluckin, Tania C; Hazen, Sanne-Marije J A; Horsthuis,Karin; Beets-Tan, Regina G H; Aalbers, Arend G J; Beets, Geerard L; Boerma, Evert-Jan G;Borstlap, Jaap; van Breest Smallenburg, VivianPublished in:Annals of surgical oncologyDOI:10.1245/s10434-023-13666-2IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2023Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Dutch Snapshot Research Group, Sluckin, T. C., Hazen, S.-M. J. A., Horsthuis, K., Beets-Tan, R. G. H.,Aalbers, A. G. J., Beets, G. L., Boerma, E.-J. G., Borstlap, J., van Breest Smallenburg, V., Burger, J. W. A.,Crolla, R. M. P. H., Daniëls-Gooszen, A. W., Davids, P. H. P., Dunker, M. S., Fabry, H. F. J., Furnée, E. J.B., van Gils, R. A. H., de Haas, R. J., ... Posma, L. A. E. (2023). ASO Visual Abstract: Evaluation ofNational Surgical Practice for Lateral Lymph Nodes in Rectal Cancer in an Untrained Setting. Annals ofsurgical oncology, 30, 5486–5488. https://doi.org/10.1245/s10434-023-13666-2CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Vol:.(1234567890)Ann Surg Oncol (2023) 30:5486–5488https://doi.org/10.1245/s10434-023-13666-2ASO VISUAL ABSTRACTASO Visual Abstract: Evaluation of National Surgical Practice for Lateral Lymph Nodes in Rectal Cancer in an Untrained SettingTania C. Sluckin1,2,3, Sanne‑Marije J. A. Hazen1,2,3, Karin Horsthuis3,4, Regina G. H. Beets‑Tan5,6,7, Arend G. J. Aalbers8, Geerard L. Beets6,8, Evert‑Jan G. Boerma9, Jaap Borstlap10, Vivian van Breest Smallenburg11, Jacobus W. A. Burger12, Rogier M. P. H. Crolla13, Alette W. Daniëls‑Gooszen14, Paul H. P. Davids15, Michalda S. Dunker16, Hans F. J. Fabry17, Edgar J. B. Furnée18, Renza A. H. van Gils19, Robbert J. de Haas20, Stefan Hoogendoorn21, Sebastiaan van Koeverden22, Fleur I. de Korte23, Steven J. Oosterling24, Koen C. M. J. Peeters25, Lisanne A. E. Posma26, Bareld B. Pultrum27, Joost Rothbarth28, Harm J. T. Rutten6,12, Renske A. Schasfoort29, Wilhelmina H. Schreurs16, Petra C. G. Simons30, Anke B. Smits31, Aaldert K. Talsma32, G. Y. Mireille The33, Fiek van Tilborg34, Jurriaan B. Tuynman1,2,3, Inge J. Vanhooymissen4, Anthony W. H. van de Ven35, Emiel G. G. Verdaasdonk36, Maarten Vermaas37, Roy F. A. Vliegen38, F. Jeroen Vogelaar39, Marianne de Vries19, Joy C. Vroemen40, Sebastiaan T. van Vugt41, Marinke Westerterp42, Henderik L. van Westreenen43, Johannes H. W. de Wilt44, Edwin S. van der Zaag45, David D. E. Zimmerman46, Corrie A. M. Marijnen47,48, Pieter J. Tanis2,3,28,49, Miranda Kusters1,2,3, and on behalf of the Dutch Snapshot Research Group1Department of Surgery, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands; 2Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, the Netherlands; 3Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, the Netherlands; 4Department of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, the Netherlands; 5Department of Radiology, The Netherlands Cancer Institute, Amsterdam, the Netherlands; 6GROW School for Oncology and Reproduction, University of Maastricht, Maastricht, the Netherlands; 7Department of Radiology, Department of Clinical Research, Odense University Hospital, University of Southern Denmark, Odense, Denmark; 8Department of Surgery, The Netherlands Cancer Institute, Amsterdam, the Netherlands; 9Department of Surgery, Zuyderland Medical Center, Sittard-Geleen, the Netherlands; 10Department of Radiology, Treant Zorggroep, Hoogeveen, the Netherlands; 11Department of Radiology, Jeroen Bosch Hospital, ‘s-Hertogenbosch, the Netherlands; 12Department of Surgery, Catharina Hospital, Eindhoven, the Netherlands; 13Department of Surgery, Amphia Hospital, Breda, the Netherlands; 14Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands; 15Department of Surgery, Diakonessenhuis, Utrecht, the Netherlands; 16Department of Surgery, Northwest Clinics, NWZ Alkmaar, Alkmaar, the Netherlands; 17Department of Surgery, Bravis Hospital, Roosendaal, the Netherlands; 18Department of Surgery, Division of Abdominal Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 19Department of Radiology, Erasmus MC, Rotterdam, the Netherlands; 20Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands; 21Department of Radiology, Isala, Zwolle, the Netherlands; 22Department of Radiology, Radboud University Medical Center, Nijmegen, the Netherlands; 23Department of Radiology, Haaglanden Medical Centre, The Hague, the Netherlands; 24Department of Surgery, Spaarne Gasthuis, Haarlem, the Netherlands; 25Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands; 26Department of Surgery, Slingeland Hospital, Doetinchem, the Netherlands; 27Department of Surgery, Martini Hospital, Groningen, the Netherlands; 28Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC, Rotterdam, © Society of Surgical Oncology 2023Published online: 2 July 2023M. Kusters e-mail: m.kusters@amsterdamumc.nl5487ASO Visual Abstract: Evaluation …              the Netherlands; 29Department of Surgery, Treant Zorggroep, Hoogeveen, the Netherlands; 30Department of Radiology, VieCuri Medical Centre, Venlo, the Netherlands; 31Department of Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands; 32Department of Surgery, Deventer Hospital, Deventer, the Netherlands; 33Department of Radiology, Bravis Hospital, Roosendaal, the Netherlands; 34Department of Radiology, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands; 35Department of Surgery, Flevoziekenhuis, Almere, the Netherlands; 36Department of Surgery, Jeroen Bosch Hospital, ‘s-Hertogenbosch, the Netherlands; 37Department of Surgery, IJsselland Hospital, Capelle aan den IJssel, the Netherlands; 38Department of Radiology, Zuyderland Medical Center, Sittard-Geleen, the Netherlands; 39Department of Surgery, VieCuri Medical Centre, Venlo, the Netherlands; 40Department of Radiology, Flevoziekenhuis, Almere, the Netherlands; 41Department of Surgery, Wilhelmina Assen Hospital, Assen, the Netherlands; 42Department of Surgery, Haaglanden Medical Centre, The Hague, the Netherlands; 43Department of Surgery, Isala, Zwolle, the Netherlands; 44Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands; 45Department of Surgery, Gelre Hospital, Apeldoorn, the Netherlands; 46Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands; 47Department of Radiation Oncology, Netherlands Cancer Institute, Amsterdam, the Netherlands; 48Department of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands; 49Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands This cross-sectional retrospective study of 3057 patients from 69 Dutch hospitals (https://doi.org/10.1245/s10434-023-13460-0) examined how and when lateral lymph nodes (LLNs) were treated with additional surgical techniques. These techniques included ‘node-picking,’ the individual removal of a LLN and ‘partial regional node dissection’ (PRND) in which a certain compartment is removed. In total, 64 patients (2%) were treated with additional LLN surgery, and this cohort resulted in 4-year local recurrence (LR) and lateral local recurrence (LLR) rates of 26% and 15%, respectively. A total of 48 patients (75%) had enlarged (≥ 7 mm) LLNs, with a 4-year LLR rate of 19%. Forty of these patients were treated with node-picking (4-year LLR 20%), and 8 via PRND (4-year LLR 14%). Multivariable analysis showed no significant difference between the 48 patients with enlarged LLNs who underwent additional LLN surgery versus 110 patients with enlarged LLNs who did not. These data insinuate that approximately one-third of patients with enlarged LLNs also undergo additional LLN surgical treatment, but these surgical techniques did not result in satisfactory long-term recurrence rates. Outcomes of LLN surgery after adequate training needs further research.What are the oncological implicaons of addional surgical pracces performed to treat suspicious lateral lymph nodes?64 paents underwent LLN surgery: 4-yr lateral recurrence (LR) 26%, lateral local recurrence (LLR) 15%48/64 had enlarged (≥7mm) LLNs: LR 26%, LLR 19%3057 patientsincluded in the Snapshot Rectal Cancer 2016 study  2883 excluded:2710 no LLNs and/or no additional LLN surgery 168 LLNs <7mm without additional LLN surgery5 LLNDs for concurrent high-risk prostate cancer48 Patientsprimarily enlarged (≥7mm) LLNs: TME + additional LLN surgery  174 patientsenlarged (≥7mm) LLNs and/or underwent additional LLN surgery16 Patientsprimarily smaller (<7mm) LLNs: TME + additional LLN surgery 110 Patientsprimarily enlarged (≥7mm) LLNs:TME procedure only010204-year LLR rates (%) per surgical treatmentNode-picking Paral regional dissecon No addional surgery but enlarged LLNs20%14% 13%Evaluation of National Surgical Practice for Lateral Lymph Nodes (LLNs) in Rectal Cancer in an Untrained SettingSluckin et al. Ann Surg Oncol. Visual Abstract by @TaniaSluckin @MirandaKusters for @AnnSurgOncol5488 T. C. Sluckin et al.ACKNOWLEDGEMENTS Collaborators of the Dutch Snapshot Research Group: Susanna M. van Aalten, Femke J. Amelung, Marjolein Ankersmit, Imogeen E. Antonisse, Jesse F. Ashruf, Tjeerd S. Aukema, Henk Avenarius, Renu R. Bahadoer, Frans C. H. Bakers, Ilsalien S. Bakker, Fleur Bangert, Renée M. Barendse, Heleen M. D. Beekhuis, Willem A. Bemelman, Maaike Berbée, Shira H. de Bie, Robert H. C. Bisschops, Robin D. Blok, Liselotte W. van Bockel, Anniek H. Boer, Frank C.den Boer, Leonora S. F. Boogerd, Wernard A. A. Borstlap, Johanna E. Bouwman, Sicco J. Braak, Manon N. G. J. A. Braat, Jen-nifer Bradshaw, Amarins T. A. Brandsma, Wim T. van den Broek, Sjirk W. van der Burg, Thijs A. Burghgraef, David W. G. ten Cate, Heleen M. Ceha, Jeltsje S. Cnossen, Robert R. J. Coebergh van den Braak, Esther C. J. Consten, Maaike Corver, Sam Curutchet, Emmelie N. Dekker, Jan Willem T. Dekker, Ahmet Demirkiran, Tyche Derksen, Arjen L. Diederik, Anne M. Dinaux, Kemal Dogan, Ilse M. van Dop, Kitty E. Droogh-de Greve, Hanneke M. H. Duijsens, Johan Duyck, Eino B. van Duyn, Laurentine S. E. van Egdom, Bram Eijlers, Youssef El-Massoudi, Saskia van Elderen, Anouk M. L. H. Emmen, Marc Engel-brecht, Anne C. van Erp, Jeroen A. van Essen, Thomas Fassaert, Eline A. Feitsma, Shirin S. Feshtali, Bas Frietman, Anne M. van Geel, Elisa-beth D. Geijsen, Anna A. W. van Geloven, Michael F. Gerhards, Hugo Gielkens, Lucas Goense, Marc J. P. M. Govaert, Wilhelmina M. U. van Grevenstein, E. Joline de Groof, Irene de Groot, Nadia A. G. Hakken-brak, Mariska D.den Hartogh, Vera Heesink, Joost T. Heikens, Ellen M. Hendriksen, Sjoerd van den Hoek, Erik J. R. J. van der Hoeven, Christiaan Hoff, Anna Hogewoning, Cornelis R. C. Hogewoning, Roel Hompes, Francois van Hoorn, René L. van der Hul, Rieke van Hulst, Farshad Imani, Bas Inberg, Martijn P. W. Intven, Pedro Janssen, Chris E. J. de Jong, Jacoline Jonkers, Daniela Jou-Valencia, Bas Keizers, Stijn H. J. Ketelaers, Eva Knöps, Sylvia Kok, Stephanie E. M. Kolderman, Robert T. J. Kortekaas, Julie C. Korving, Ingrid M. Koster, Jasenko Krdzalic, Pepijn Krielen, Leonard F. Kroese, Eveline J. T. Krul, Derk H. H. Lahuis, Bas Lamme, An A. G. van Landeghem, Jeroen W. A. Leijtens, Mathilde M. Leseman-Hoogenboom, Manou S. de Lijster, Martijn S. Marsman, Milou.H. Martens, Ilse Masselink, Wout van der Meij, Philip Meijnen, Jarno Melenhorst, Dietrich J. L. de Mey, Julia Moelker-Galuzina, Linda Morsink, Erik J. Mulder, Karin Muller, Gijs-bert D. Musters, Joost Nederend, Peter A. Neijenhuis, Lindsey C. F. de Nes, M. Nielen, Jan B. J. van den Nieuwboer, Jonanne F. Nieuwenhuis, Joost Nonner, Bo J. Noordman, Stefi Nordkamp, Pim B. Olthof, Daan Ootes, Vera Oppedijk, Pieter Ott, Ida Paulusma, Ilona T. A. Pereboom, Jan Peringa, Zoë Pironet, Joost D. J. Plate, Fatih Polat, Ingrid G. M. Poodt, Jeroen F. Prette, Seyed M. Qaderi, Jan M. van Rees, Rutger-Jan Renger, Anouk J. M. Rombouts, Lodewijk J. Roosen, Ellen A. Roskott-ten Brinke, Dennis B. Rouw, Tom Rozema, Heidi Rütten, Marit E. van der Sande, Boudewijn E. Schaafsma, Merel M. Scheurkogel, Arjan P. Schouten van der Velden, Puck M. E. Schuivens, Colin Sietses, Marjan J. Slob, Gerrit D. Slooter, Martsje van der Sluis, Bo P. Smalbroek, Ernst J. Spillenaar-Bilgen, Patty H. Spruit, Tanja C. Stam, Sofieke J. D. Temmink, Jeroen A. W. Tielbeek, Aukje A. J. M. van Tilborg, Dorothée van Trier, Maxime J. M. van der Valk, G. Boudewijn C. Vasbinder, Cornelis J. Veeken, Laura A. Velema, Wouter M. Verduin, Tim Verhagen, Paul M. Verheijen, An-Sofie E. Verrijssen, Anna V. D. Verschuur, Harmke Verwoerd-van Schaik, Sophie Voets, Clementine L. A. Vogelij, Johanna Vos-Westerman, Johannes A. Wegdam, Bob J. van Wely, Paul P. van Westerveld, Allard G. Wijma, Bart W. K. de Wit, Fennie Wit, Karlijn Woensdregt, Victor van Woerden, Floor S. W. van der Wolf, Sander van der Wolk, Johannes M. Wybenga, Bobby Zamaray, Herman J. A. Zandvoort, Dennis van der Zee, Annette Zeil-stra, Kang J. Zheng, Marcel Zorgdrager.FUNDING The Snapshot Rectal Cancer 2016 study received funding from the Dutch Cancer Society (KWF), reference no. 12768.Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

ASO Visual Abstract:Evaluation of National Surgical Practice for Lateral Lymph Nodes in Rectal Cancer in an Untrained Setting

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ASO Visual Abstract:Evaluation of National Surgical Practice for Lateral Lymph Nodes in Rectal Cancer in an Untrained Setting

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