Evidence map›Paper›PMID 20953884›Full record

Trial reportSurgical endoscopy2011

Application of the transorally inserted anvil (OrVil) after laparoscopy-assisted total gastrectomy.

Chikara Kunisaki, Hirochika Makino, Takashi Oshima, Shoichi Fujii, Jun Kimura, Ryo Takagawa, Takashi Kosaka, Hirotoshi Akiyama, Satoshi Morita, Itaru Endo

2 registry-linked trialsAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01584336 phase2unknown statusnot on this mapstarted 2012, after this paper: background citation

Prospective Multi-center Study of Laparoscopy-assisted Total Gastrectomy for Clinical Stage I Gastric Cancer (KLASS-03)

TypeinterventionalSponsorSoonchunhyang University HospitalRan2012 to 2014Enrolled168ConditionsGastric CancerArmsLATG
NCT02085031 phase2unknown statusnot on this mapstarted 2014, after this paper: background citation

Randomized Controlled Trial on Surgical Safety of Intracorporeal Versus Extracorporeal Roux-en-Y Esophagojejunostomy During Laparoscopic Total Gastrectomy for Gastric Cancer

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2014 to 2015Enrolled136ConditionsStomach Neoplasms, Minimally Invasive Surgery, AnastomosisArmsIntracorporeal Roux-en-Y esophagojejunostomy, Extracorporeal Roux-en-Y esophagojejunostomy
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Body composition assessment and sarcopenia in patients with gastric cancer: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Pooled it
  3. Pooled it
  4. A systematic review of laparoscopic total gastrectomy for gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2015
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. [Reconstruction following gastrectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Current status of laparoscopic total gastrectomy.Annals of gastroenterological surgery · 2019
    Review
  15. Article
  16. Observational
  17. Article
  18. Linear-Stapled Side-to-Side Esophagojejunostomy with Hand-Sewn Closure of the Common Enterotomy After Prophylactic and Therapeutic Total Gastrectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  19. The Advances of Laparoscopic Gastrectomy for Gastric Cancer.Gastroenterology research and practice · 2017
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Chikara KunisakiDepartment of Surgery, Gastroenterological Center, Yokohama City University, 4-57, Urafunecho, Minami-ku, Yokohama 232-0024, Japan. s0714@med.yokohama-cu.ac.jp
Hirochika Makino
Takashi Oshima
Shoichi Fujii
Jun Kimura
Ryo Takagawa
Takashi Kosaka
Hirotoshi Akiyama
Satoshi Morita
Itaru Endo
Yokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopy-assisted total gastrectomy (LATG) is not a commonly performed procedure due to the surgical difficulty associated with reconstruction. Although various reconstruction methods have been reported, a standard technique has not yet been established. In this study, we compared the short-term outcomes of LATG reconstructed by mini-laparotomy and by the newly developed transorally inserted anvil (OrVil).

methodsFrom April 2006, a series of 45 patients underwent LATG. Of these, 15 were reconstructed by mini-laparotomy and 30 by OrVil. Short-term outcomes were compared between the two groups.

resultsOperation time was significantly shortened and intraoperative blood loss significantly reduced by the use of OrVil. The postoperative course, including morbidity, did not differ between the two groups.

conclusionsLATG using OrVil for the treatment of early gastric cancer is a technically feasible surgical procedure with sufficient lymph node dissection, satisfactory early recovery, and acceptable morbidity. It will be necessary to perform this novel technique in a large number of patients to confirm its feasibility.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAnastomosis, Roux-en-YBlood Loss, SurgicalEquipment DesignEsophagusFemaleGastrectomyHumansIntra-Abdominal FatJejunumLaparoscopyLaparotomyLength of Stay

Identifiers

PMID20953884
OpenAlexW2079826933

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.