Evidence map›Paper›PMID 23549761›Full record

ArticleSurgical endoscopy2013

Initial experience from a large referral center with robotic-assisted Ivor Lewis esophagogastrectomy for oncologic purposes.

Sebastian G de la Fuente, Jill Weber, Sarah E Hoffe, Ravi Shridhar, Richard Karl, Kenneth L Meredith

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
7.3field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Robotic-Assisted Esophagectomy: Current Situation and Future Perspectives.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2023
    Review
  7. Review
  8. Minimally invasive esophagectomy.Current problems in surgery · 2021
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. [Evidence for robotic surgery in oncological visceral surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  15. Article
  16. Esophagectomy from then to now.Journal of gastrointestinal oncology · 2018
    Review
  17. Article
  18. Robotic oesophago-gastric cancer surgery.Annals of the Royal College of Surgeons of England · 2018
    Article
  19. Robotic surgery for esophageal cancer: Merits and demerits.Annals of gastroenterological surgery · 2017
    Review
  20. 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 2 institutions in 1 country.

Sebastian G de la FuenteDivision of Surgical Oncology, Florida Hospital Orlando, University of Central Florida, 2415 N. Orange Ave, Suite 400, Orlando, FL 32804, USA. Sebastian.delafuente.md@flhosp.org
Jill Weber
Sarah E Hoffe
Ravi Shridhar
Richard Karl
Kenneth L Meredith
Moffitt Cancer Center · USUniversity of Central Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report our initial experience of patients undergoing robotic-assisted Ivor Lewis esophagogastrectomy (RAIL) for oncologic purposes at a large-referral center.

methodsA retrospective review of all consecutive patients undergoing RAIL from 2010-2011 was performed. Basic demographics were recorded. Oncologic variables recorded included: tumor type, location, postoperative tumor margins, and nodal harvest. Immediate 30-day postoperative complications also were analyzed.

resultsFifty patients underwent RAIL with median age of 66 (range 42-82) years. The mean body mass index was 28.6 ± 0.7 kg/m(2); 54% and the majority had an American Society of Anesthesiologists classification of 3. The mean and median number of lymph nodes retrieved during surgery was 20 ± 1.4 and 18.5 respectively. R0 resections were achieved in all patients. Postoperative complications occurred in 14 (28%) patients, including atrial fibrillation in 5 (10%), pneumonia in 5 (10%), anastomotic leak in 1 (2%), conduit staple line leak in 1 (2%), and chyle leak in 2 (4%). The median ICU stay and length of hospitalization (LOH) were 2 and 9 days respectively. Total mean operating time calculated from time of skin incision to wound closure was 445 ± 85 minutes; however, operative times decreased over time. Similarly, there was a trend toward lower complications after the first 29 cases but this did not reach statistical significance. There were no in-hospital mortalities.

conclusionsWe demonstrated that RAIL for esophageal cancer can be performed safely and may be associated with fewer complications after a learning curve, shorter ICU stay, and LOH.

Indexed as

RoboticsAdultAgedAged, 80 and overBody Mass IndexEsophageal NeoplasmsEsophagectomyGastrectomyHumansLaparoscopyLength of StayLymphatic MetastasisMiddle AgedPostoperative ComplicationsReferral and ConsultationRetrospective Studies

Identifiers

PMID23549761
OpenAlexW1993659609

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.