Evidence map›Paper›PMID 26819279›Full record

ArticleJapanese journal of clinical oncology2016

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients.

Sang-Woong Lee, Masaru Kawai, Keitaro Tashiro, Eiji Nomura, Takaya Tokuhara, Satoshi Kawashima, Ryo Tanaka, Kazuhisa Uchiyama

Registry-linked trialOpen access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Japanese journal of clinical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05895968 (A Controlled Clinical Study on the Safety and Effectiveness of Barb Suture in Obese Patients Undergoing Posterior Cervical Surgery), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT05895968 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Controlled Clinical Study on the Safety and Effectiveness of Barb Suture in Obese Patients Undergoing Posterior Cervical Surgery

TypeinterventionalSponsorXijing HospitalRan2023 to 2026Enrolled60ConditionsCervical Spinal Stenosis, Posterior Cervical Spine Surgery, Barbed SutureArmsposterior cervical surgery
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Sang-Woong LeeDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka sur079@poh.osaka-med.ac.jp.
Masaru KawaiDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Keitaro TashiroDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Eiji NomuraDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka Department of Gastroenterological and General Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.
Takaya TokuharaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Satoshi KawashimaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Ryo TanakaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Kazuhisa UchiyamaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka.
Osaka Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure.

methodsThe subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied.

resultsBetween July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months.

conclusionsThe use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy.

Indexed as

LaparoscopySuturesAdultAgedAnastomosis, SurgicalAnastomotic LeakDigestive System Surgical ProceduresFemaleHumansIntestine, SmallMaleMiddle AgedProspective StudiesReoperationStomachbarbed suturegastric cancerintracorporeal anastomosislaparoscopic gastrectomy

Identifiers

PMID26819279
PMCPMC4886136
OpenAlexW2278931476

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.