Evidence map›Paper›PMID 26275535›Full record

ArticleSurgical endoscopy2016

Electrocautery device does not provide adequate pulmonary vessel sealing in transumbilical anatomic pulmonary lobectomy.

Hung-Ping Liu, Yen Chu, Yi-Cheng Wu, Ming-Ju Hsieh, Chieng-Ying Liu, Tzu-Ping Chen, Yin-Kai Chao, Ching-Yang Wu, Chi-Ju Yeh, Po-Jen Ko and 1 more

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Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 2 institutions in 1 country.

Hung-Ping LiuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Yen ChuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Yi-Cheng WuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Ming-Ju HsiehLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Chieng-Ying LiuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Tzu-Ping ChenLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Yin-Kai ChaoLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Ching-Yang WuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Chi-Ju YehLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Po-Jen KoLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC.
Yun-Hen LiuLaboratory Animal Center, Department of Surgery, Chang Gung Memorial Hospital at Linko, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC. zebraairmail@gmail.com.
Chang Gung University · TWLinkou Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSafe pulmonary vessel sealing device plays a crucial role in anatomic lung resection. In 2014, we reported high rates of massive bleeding complications during transumbilical lobectomy in a canine model due to difficulty in managing the pulmonary vessel with an endostapler. In this animal survival series, we aimed to evaluate the outcome of pulmonary vessel sealing with an electrocautery device to simplify the transumbilical thoracic surgery.

methodsUnder general anesthesia, a 3-cm longitudinal incision was made over the umbilicus. Under video guidance, a bronchoscope was inserted through the incision for exploration. The diaphragmatic wound was created with an electrocautery knife and used as the entrance into the thoracic cavity. Using the transumbilical technique, anatomic lobectomy was performed with electrosurgical devices and endoscopic vascular staplers in 15 canines.

resultsTransumbilical endoscopic anatomic lobectomy was successfully completed in 12 of the 15 animals. Intraoperative bleeding developed in three animals during pulmonary hilum dissection, where one animal was killed due to hemodynamic instability and the other two animals required thoracotomy to complete the operation. There were five delayed bleeding and surgical mortality cases caused by inadequate vessel sealing by electrosurgical devices. Postmortem examination confirmed correct transumbilical lobectomy in the twelve animals that survived the operations.

conclusionTransumbilical anatomic lobectomy is technically feasible in a canine model; however, the electrosurgical devices were not effective in sealing the pulmonary vessel in the current canine model.

Indexed as

AnimalsDogsElectrocoagulationEndoscopyModels, AnimalPneumonectomyPulmonary ArteryPulmonary VeinsUmbilicusLung resectionTransumbilicus

Identifiers

PMID26275535
OpenAlexW1129454715

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.