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(1) Background: Locoregional lymphadenectomy (LND) in adrenocortical carcinoma (ACC) may impact oncological outcome, but the findings from individual studies are conflicting. The aim of this systematic review and meta-analysis was to determine the oncological value of LND in ACC by summarizing the available literature. (2) Methods: A systematic search on studies published until December 2020 was performed according to the PRISMA statement. The primary outcome was the impact of lymphadenectomy on overall survival (OS). Two separate meta-analyses were performed for studies including patients with localized ACC (stage I–III) and those including all tumor stages (I–IV). Secondary endpoints included postoperative mortality and length of hospital stay (LOS). (3) Results: 11 publications were identified for inclusion. All studies were retrospective studies, published between 2001–2020, and 5 were included in the meta-analysis. Three studies (N = 807 patients) reported the impact of LND on disease-specific survival in patients with stage I–III ACC and revealed a survival benefit of LND (hazard ratio (HR) = 0.42, 95% confidence interval (95% CI): 0.26–0.68). Based on results of studies including patients with ACC stage I–IV (2 studies, N = 3934 patients), LND was not associated with a survival benefit (HR = 1.00, 95% CI: 0.70–1.42). None of the included studies showed an association between LND and postoperative mortality or LOS. (4) Conclusion: Locoregional lymphadenectomy seems to offer an oncologic benefit in patients undergoing curative-intended surgery for localized ACC (stage I–III).
Inland surface water is often the most accessible freshwater source. As opposed to groundwater, surface water is replenished in a comparatively quick cycle, which makes this vital resource — if not overexploited — sustainable. From a global perspective, freshwater is plentiful. Still, depending on the region, surface water availability is severely limited. Additionally, climate change and human interventions act as large-scale drivers and cause dramatic changes in established surface water dynamics. Actions have to be taken to secure sustainable water availability and usage. This requires informed decision making based on reliable environmental data. Monitoring inland surface water dynamics is therefore more important than ever. Remote sensing is able to delineate surface water in a number of ways by using optical as well as active and passive microwave sensors. In this review, we look at the proceedings within this discipline by reviewing 233 scientific works. We provide an extensive overview of used sensors, the spatial and temporal resolution of studies, their thematic foci, and their spatial distribution. We observe that a wide array of available sensors and datasets, along with increasing computing capacities, have shaped the field over the last years. Multiple global analysis-ready products are available for investigating surface water area dynamics, but so far none offer high spatial and temporal resolution.