Evidence map›Paper›PMID 25097695›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2014

Enhanced recovery (ERAS) protocol in patients undergoing laparoscopic total gastrectomy.

Michał Pędziwiatr, Maciej Matłok, Mikhail Kisialeuski, Piotr Major, Marcin Migaczewski, Piotr Budzyński, Sebastian Ochenduszko, Kazimierz Rembiasz, Andrzej Budzyński

Abstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  4. Article
  5. Article
  6. Laparoscopic treatment of large gastrointestinal stromal tumors (> 5 cm).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  7. Article
  8. Are we ready for the ERAS protocol in colorectal surgery?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2017
    Article
  9. Article
  10. Article
  11. Laparoscopic assisted total gastrectomy for gastric cancer - operative technique.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015
    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

9 authors.

Michał Pędziwiatr2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Maciej Matłok2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Mikhail Kisialeuski2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Piotr Major2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Marcin Migaczewski2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Piotr Budzyński2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.
Sebastian OchenduszkoDepartment of Oncology, University Hospital, Krakow, Poland.
Kazimierz Rembiasz2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Andrzej Budzyński2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland ; Department of Endoscopic, Metabolic and Soft Tissue Tumors Surgery, University Hospital, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic technique combined with the ERAS (Enhanced Recovery after Surgery) protocol enables a shorter hospital stay and a lower complication rate. Although it has been widely used in many patients undergoing elective abdominal surgery, especially in patients with colorectal cancer, there are only a few papers describing laparoscopic total gastrectomy and the enhanced recovery protocol in patients with gastric cancer. Minimally invasive gastrectomy is still an uncommon procedure, mostly because of its difficulty.

aimTo present the preliminary results of treatment of patients with gastric neoplasms who underwent laparoscopic gastrectomy D2 with perioperative care according to ERAS principles. MATERIAL AND

methodsEleven patients (5 male and 6 female, age 52-77 years) underwent laparoscopic D2 gastrectomy with intracorporeal esophagojejunal anastomosis. In all patients the ERAS protocol was implemented. We analyzed operation time, complications and hospital stay. Additionally we focused on operative technique as well as the perioperative care protocol.

resultsThe mean duration of the procedure was 245 min. There was 1 conversion due to unclear tumor infiltration. Mean hospital stay was 4.6 days. One postoperative complication (central venous catheter sepsis) was reported. Histological analysis confirmed the tentative diagnosis (R0 resection) in 10/11 patients. There were no readmissions.

conclusionsLaparoscopic gastrectomy is a valuable alternative to the classical approach and combined with the ERAS protocol can result in reduced hospital stay. However, due to the small group of patients it is difficult to adequately assess the incidence of early and late complications of the laparoscopic procedures; therefore further research is needed.

Indexed as

enhanced recoveryfast-trackgastrectomylaparoscopypostoperative care

Identifiers

PMID25097695
PMCPMC4105686

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LicenceCC BY-NC-ND
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Registered trials

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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.