Evidence map›Paper›PMID 24838660›Full record

Trial reportSurgery today2014

Randomized controlled trial of the LigaSure vessel sealing system versus conventional open gastrectomy for gastric cancer.

Junya Fujita, Shuji Takiguchi, Kazuhiro Nishikawa, Yutaka Kimura, Hiroshi Imamura, Shigeyuki Tamura, Chikara Ebisui, Kentaro Kishi, Kazumasa Fujitani, Yukinori Kurokawa and 2 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Current status of laparoscopic total gastrectomy.Annals of gastroenterological surgery · 2019
    Review
  6. 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

12 authors.

Junya FujitaDepartment of Surgery, NTT West Osaka Hospital Osaka, Osaka, Japan.
Shuji Takiguchi
Kazuhiro Nishikawa
Yutaka Kimura
Hiroshi Imamura
Shigeyuki Tamura
Chikara Ebisui
Kentaro Kishi
Kazumasa Fujitani
Yukinori Kurokawa
Masaki Mori
Yuichiro Doki

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLigaSure, a bipolar electronic vessel sealing system, has become popular in abdominal surgery but few clinical studies have been conducted to evaluate its effectiveness in radical gastrectomy for gastric cancer.

methodsIn this multicenter, prospective, randomized controlled trial, patients with curative gastric cancer were randomly assigned to undergo gastrectomy either with LigaSure or a conventional technique.

resultsOf the 160 patients enrolled, 80 were randomized to the LigaSure group and 78 to the conventional group. Patient characteristics were well balanced in the two groups. There were no significant differences between the LigaSure and conventional groups in blood loss (288 vs. 260 ml, respectively; P = 0.748) or operative time (223 and 225 min, respectively; P = 0.368); nor in the incidence of surgical complications or duration of postoperative hospital stay. In a subgroup analysis of patients who underwent gastrectomy that preserved the distal part of the greater omentum, the use of LigaSure significantly reduced blood loss (179 vs. 245 ml; P = 0.033), and the duration of the operation (195 vs. 221 min; P = 0.039).

conclusionsLigaSure did not contribute to reducing intraoperative blood loss, operative time, or other adverse surgical outcomes. The usefulness of the device may be limited to a specific part of the surgical procedure in open gastrectomy.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overElectrocoagulationFemaleGastrectomyHemostasis, SurgicalHumansLigationMaleMiddle AgedProspective StudiesStomach NeoplasmsYoung Adult

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.