Evidence map›Paper›PMID 27014474›Full record

ArticleJournal of thoracic disease2016

Thoracoscopic surgery via a single-incision subxiphoid approach is associated with less postoperative pain than single-incision transthoracic or three-incision transthoracic approaches for spontaneous pneumothorax.

Bing-Yen Wang, Yin-Chun Chang, Yih-Chen Chang, Kung-Min Wang, Ching-Hsiung Lin, Sheng-Hao Lin, Wei-Cheng Lin

Abstract read
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In one paragraph

Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Subxiphoid video-thoracoscopy.Journal of thoracic disease · 2018
    Article
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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

7 authors.

Bing-Yen Wang1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Yin-Chun Chang1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Yih-Chen Chang1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Kung-Min Wang1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Ching-Hsiung Lin1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Sheng-Hao Lin1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.
Wei-Cheng Lin1 Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua and Chung Shan Medical University, Taichung, Taiwan ; 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan ; 3 Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan ; 4 Division of Thoracic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan ; 5 Division of Thoracic Surgery, Department of Surgery, Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan ; 6 Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, and Chung Shan Medical University, Taichung, Taiwan ; 7 Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComparison of the degree of postoperative pain associated with different thoracoscopic surgical techniques for spontaneous pneumothorax has never reported. In this study we compared perioperative outcomes and degrees of postoperative pain associated with single-incision subxiphoid thoracoscopic surgery, single-incision transthoracic thoracoscopic surgery and three-incision transthoracic thoracoscopic surgery for spontaneous pneumothorax.

methodsDuring the period August 2013 to September 2015, fifty-seven consecutive patients with spontaneous pneumothorax were treated via single-incision subxiphoid thoracoscopic surgery, single-incision transthoracic thoracoscopic surgery or three-incision transthoracic thoracoscopic surgery. Demographic data, operative time, operative blood loss, length of hospital stay, duration of chest tube drainage, postoperative complications, and numeric pain rating scale scores were collected from the medical records for analysis.

resultsAmong the 57 patients, 14 received single-incision subxiphoid thoracoscopic surgery, 26 underwent single-incision transthoracic surgery and 17 received three-incision thoracoscopic surgery. In all patients, surgeries were completed without the need for conversion to open surgery. Patients who underwent the single-incision subxiphoid procedure had significantly lower 1-, 8-, 24- and 32-hour postoperative pain scale scores than patients who underwent the other two procedures. The average and maximum pain scale scores during the first 24 hours were lowest in the single-incision subxiphoid group (P<0.0001).

conclusionsSingle-incision subxiphoid thoracoscopic surgery is associated with significantly lower postoperative pain intensity than transthoracic approaches and therefore may provide an alternative surgical technique for patients with spontaneous pneumothorax.

Indexed as

painPneumothoraxsingle incisionsubxiphoid

Identifiers

PMID27014474
PMCPMC4783728

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