Evidence map›Paper›PMID 25860592›Full record

SynthesisSurgery today2016

Minimally invasive esophagectomy performed with the patient in a prone position: a systematic review.

Kazuo Koyanagi, Soji Ozawa, Yuji Tachimori

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgery today, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Four-Point Support Frame Positioning for Obese Patients Undergoing Minimally Invasive Esophagectomy. A Preliminary Institutional Experience.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026
    Article
  5. Current advances and challenges in minimally invasive esophagectomy.International journal of clinical oncology · 2025
    Review
  6. Comparison of COSurgical endoscopy · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Thoracic duct identification with indocyanine green fluorescence during minimally invasive esophagectomy with patient in prone position.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2020
    Article
  16. Minimal Invasive Esophagectomy-a New Dawn of EsophagealSurgery.Indian journal of surgical oncology · 2020
    Review
  17. Minimally Invasive Surgery for Esophageal Cancer in Japan.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2020
    Article
  18. Article
  19. Article
  20. Predictive factors of difficulty of thoracoscopic esophagectomy in the left decubitus position.Esophagus : official journal of the Japan Esophageal Society · 2019
    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

3 authors.

Kazuo KoyanagiEsophageal Surgery Division, Department of Gastrointestinal Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. kkoyanag@ncc.go.jp.
Soji OzawaDepartment of Gastroenterological Surgery, Tokai University School of Medicine, Isehara, Japan.
Yuji TachimoriEsophageal Surgery Division, Department of Gastrointestinal Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe reviewed the surgical results of minimally invasive esophagectomy for esophageal cancer, performed with the patient in a prone position (MIE-PP), to assess its benefits.

methodsA systematic literature search was performed, and articles that fully described the surgical results of MIE-PP were selected. Parameters such as operative time, blood loss, and postoperative outcomes were compared with those obtained for open transthoracic esophagectomy (OE) and minimally invasive esophagectomy in a lateral decubitus position (MIE-LP).

resultsThe conversion rate from MIE-PP to open surgery was very low. MIE-PP was associated with longer operative time and lower blood loss than OE. Although studies from a single institution did not show an apparent difference in morbidity or mortality among the three operative groups, results of a multicenter randomized controlled trial showed a reduction in pulmonary infection and recurrent laryngeal nerve palsy in MIE-PP, compared with OE. The benefits of MIE-PP vs. those of MIE-LP remain controversial.

conclusionTheoretically, the operative results of MIE-PP might be better than those of MIE-LP for patients with esophageal cancer; however, studies have not yet verified this. Further clinical studies are required to establish whether the advantages of MIE-PP can be translated into clinical outcome.

Indexed as

Prone PositionEsophageal NeoplasmsEsophagectomyFeasibility StudiesHumansMinimally Invasive Surgical ProceduresTreatment OutcomeEsophageal cancerMinimally invasiveProne position

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.