Evidence map›Paper›PMID 22527811›Full record

ArticleUpdates in surgery2012

Comparison of ventilation and cardiovascular parameters between prone thoracoscopic and Ivor Lewis esophagectomy.

Luigi Bonavina, Letizia Laface, Emmanuele Abate, Michele Punturieri, Emiliano Agosteo, Marco Nencioni

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Clinical Outcomes of Minimally Invasive Enucleation of Leiomyoma of the Esophagus and Esophagogastric Junction.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  7. Article
  8. Review
  9. Minimally invasive esophagectomy for Barrett's adenocarcinoma.Translational gastroenterology and hepatology · 2018
    Review
  10. Review
  11. Anaesthesia during oesophagectomy.Journal of thoracic disease · 2017
    Review
  12. Article
  13. Article
  14. Article
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

6 authors at 3 institutions in 1 country.

Luigi BonavinaDepartment of General Surgery, University of Milano Medical School, Milan, Italy. luigi.bonavina@unimi.it
Letizia Laface
Emmanuele Abate
Michele Punturieri
Emiliano Agosteo
Marco Nencioni
University of Milan · ITIRCCS Policlinico San Donato · ITBocconi University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thoracoscopic esophagectomy in the prone position is associated with better surgical ergonomics compared to the left lateral decubitus position due to the effects of gravity pooling blood outside the operative field and the reduced need for lung retraction. The aim of this study was to evaluate the physiological effects of prone thoracoscopic esophagectomy with single-lumen intubation on ventilation, respiratory gas exchange, and cardiovascular parameters. Thirty-two consecutive patients underwent esophagectomy either through a prone thoracoscopic approach or through a right thoracotomic approach. Samples of arterial and central venous blood, as well as ventilation and cardiovascular parameters were obtained at baseline, during induction of anesthesia, throughout the operation, and after extubation. Patients undergoing prone thoracoscopic esophagectomy showed higher oxygenation levels (p < 0.001), and a significantly lower mean pulmonary shunt fraction (p = 0.001). Perioperative hemodynamics remained stable throughout the surgical procedures. Thoracoscopic esophagectomy in the prone position with two-lung ventilation was associated with a significant improvement of global oxygen delivery and a significant reduction of the pulmonary shunt when compared to the Ivor Lewis operation.

Indexed as

HemodynamicsProne PositionPulmonary VentilationAdenocarcinomaAdultAgedAged, 80 and overEsophageal NeoplasmsEsophagectomyFemaleHumansMaleMiddle AgedOxygen ConsumptionPatient PositioningThoracoscopy

Identifiers

PMID22527811
OpenAlexW2067356720

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.