Evidence map›Paper›PMID 27638274›Full record

ArticleJournal of robotic surgery2012

Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: a case-control study.

Alexis Sánchez, Omaira Rodríguez, Elias Nakhal, Hugo Davila, Rair Valero, Renata Sánchez, Romina Pena, Maria F Visconti

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Minimally invasive thoracic surgery: robot-assisted versus video-assisted thoracoscopic surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Review
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Alexis SánchezRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela. dralexissanchez@hotmail.com.
Omaira RodríguezRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Elias NakhalRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Hugo DavilaRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Rair ValeroRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Renata SánchezRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Romina PenaRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Maria F ViscontiRobotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela.
Central University of Venezuela · VEHospital Clínico Universitario de Caracas · VE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive surgery has become the gold standard for the treatment of achalasia. The incorporation of robotic technology can improve many limitations of laparoscopic surgery, through, for example, the availability of three-dimensional vision, increasing the degrees of movement, avoiding the fulcrum effect and optimizing ergonomics. The aim of this study was to compare robotic-assisted laparoscopic Heller myotomy (RAHM) with laparoscopic Heller myotomy (LHM) in terms of efficacy and safety. Thirty-one patients with diagnosis of achalasia confirmed by esophagogram and manometry were included. Dysphagia and weight loss were the main complaints in both groups. 18 patients were treated with LHM and 13 patients with RAHM. There was no difference in mean operative time (76 ± 13 vs. 79 ± 20 min; P = 0.73). Intraoperative complications were less frequent in the robotic-assisted procedures (5.5% vs. 0%); however, this was a non-significant difference. 94.5-100% of patients had relief of their symptoms. We conclude that RAHM is a safe and effective procedure. The operative time is no longer than in LHM, but it is necessary to evaluate the technique in randomized clinical trials to determine its advantages in terms of intraoperative complications.

Indexed as

AchalasiaMyotomyRobotic surgery

Identifiers

PMID27638274
OpenAlexW1992811147

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.