Evidence map›Paper›PMID 23052523›Full record

SynthesisSurgical endoscopy2013

Minimally invasive oesophagectomy versus open surgery: is there an advantage?

Lesley Uttley, Fiona Campbell, Michael Rhodes, Anna Cantrell, Heather Stegenga, Myfanwy Lloyd-Jones

Abstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
6.2field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  6. Article
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  9. Esophageal surgery in minimally invasive era.World journal of gastrointestinal surgery · 2016
    Review
  10. [Evidence base for minimally invasive esophagectomy for esophageal cancer].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Review
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Lesley UttleySchool of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK. l.uttley@sheffield.ac.uk
Fiona Campbell
Michael Rhodes
Anna Cantrell
Heather Stegenga
Myfanwy Lloyd-Jones
University of Sheffield · GBNational Institute for Health and Care Excellence · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOesophageal resection is the main method of curative treatment for cancer of the oesophagus. Despite advances in surgical technology and postoperative care, the survival rate and prognosis of people undergoing oesophagectomy is still poor. The use of minimally invasive techniques in oesophageal surgery offers hope of reduced recovery time due to a reduction in surgical trauma. Although the first reports of thoracoscopy- and laparoscopy-assisted oesophagectomy emerged some 20 years ago, there is still no consensus that the outcomes are clearly superior to outcomes following conventional open surgery. Increasingly, some surgeons promote the use of minimally invasive techniques for oesophagectomy but questions remain over its safety and efficacy compared with open surgery.

methodsWe conducted a systematic review of the literature to compare minimally invasive techniques for oesophagectomy to open surgery. The outcomes of interest for efficacy and safety included mortality, operative complications, recurrence, and quality of life.

resultsThere were 28 included comparative studies. No randomised controlled studies (RCTs) were available and therefore the data need to be interpreted with caution.

conclusionRecommendations for future research are discussed. We argue that it is difficult to conduct an RCT for this procedure due to ethical considerations and suggest ways that future nonrandomised studies could be improved.

Indexed as

Conversion to Open SurgeryEsophageal NeoplasmsEsophagectomyEsophagoscopyHumansNeoplasm Recurrence, LocalPostoperative ComplicationsProspective StudiesQuality of LifeRetrospective Studies

Identifiers

PMID23052523
OpenAlexW2099031778

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.