Evidence map›Paper›PMID 21298548›Full record

SynthesisSurgical endoscopy2011

Minimally invasive oesophagectomy: current status and future direction.

Nick Butler, Stuart Collins, Breda Memon, Muhammed Ashraf Memon

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Esophageal surgery in minimally invasive era.World journal of gastrointestinal surgery · 2016
    Review
  6. Article
  7. Laparoscopic surgery: A qualified systematic review.World journal of methodology · 2015
    Article
  8. [Risk awareness and training for prevention of complications in minimally invasive surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Article
  9. Article
  10. [Evidence base for minimally invasive esophagectomy for esophageal cancer].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Review
  11. Minimally invasive surgery for esophageal cancer - benefits and controversies.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2014
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Current and evolving surgical strategies in thoracic oncology.Indian journal of surgical oncology · 2013
    Article
  17. Article
  18. Article
  19. Article
  20. Impact of minimally invasive surgery in the treatment of esophageal cancer.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Nick ButlerDepartment of Surgery, Ipswich Hospital, Chelmsford Avenue, Ipswich, QLD, Australia.
Stuart Collins
Breda Memon
Muhammed Ashraf Memon

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOesophagectomy is one of the most challenging surgeries. Potential for morbidity and mortality is high. Minimally invasive techniques have been introduced in an attempt to reduce postoperative complications and recovery times. Debate continues over whether these techniques are beneficial to morbidity and whether oncological resection is compromised. This review article will analyse the different techniques employed in minimally invasive oesophagectomy (MIO) and critically evaluate commonly reported outcome measures from the available literature.

methodsMedline, Embase, Science Citation Index, Current Contents, and PubMed databases were used to search English language articles published on MIO. Thirty-one articles underwent thorough analysis and the data were tabulated where appropriate. To date, only level III evidence exists. Where appropriate, comparisons are made with a meta-analysis on open oesophagectomy.

resultsPositive aspects of MIO include at least comparable postoperative recovery data and oncological resection measures to open surgery. Intensive care unit requirements are lower, as is duration of inpatient stay. Respiratory morbidity varies. Negative aspects include increased technical skill of the surgeon and increased equipment requirements, increased operative time and limitation with respect to local advancement of cancer. With increasing individual experience, improvements in outcome measures and the amenability of this approach to increasing neoplastic advancement has been shown.

conclusionMIO has outcome measures at least as comparable to open oesophagectomy in the setting of benign and nonlocally advanced cancer. Transthoracic oesophagectomy provides superior exposure to the thoracic oesophagus compared to the transhiatal approach and is currently preferred. No multicentre randomised controlled trials exist or are likely to come into fruition. As with all surgery, careful patient selection is required for optimal results from MIO.

Indexed as

Minimally Invasive Surgical ProceduresEsophageal NeoplasmsEsophagectomyForecastingHumansIntraoperative ComplicationsLaparoscopyPostoperative Complications

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.