SynthesisWorld journal of surgical oncology2016
Thoracotomy is better than thoracoscopic lobectomy in the lymph node dissection of lung cancer: a systematic review and meta-analysis.
Synthesis in World journal of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Comparison of robot-assisted thoracic surgery versus video-assisted thoracic surgery in the treatment of lung cancer: a systematic review and meta-analysis of prospective studies.Frontiers in oncology · 2023Pooled it
- Pooled it
- What comes next after establishing evidence for video-assisted thoracic surgery lobectomy in early-stage lung cancer?Journal of thoracic disease · 2026Article
- Safety and efficacy of the HilumDirect uVATS for small cell lung cancer: a retrospective study.Frontiers in surgery · 2025Article
- Perioperative outcomes of robotic versus video-assisted thoracoscopic surgery in non-small cell lung cancer patients after neoadjuvant chemoimmunotherapy.Journal of thoracic disease · 2024Article
- Beyond the Frontline: A Triple-Line Approach of Thoracic Surgeons in Lung Cancer Management-State of the Art.Cancers · 2023Review
- Prognostic significance of 4R lymph node dissection in patients with right primary non-small cell lung cancer.World journal of surgical oncology · 2022Article
- Review
- Oncological Outcomes of Robotic Lobectomy and Radical Lymphadenectomy for Early-Stage Non-Small Cell Lung Cancer.Journal of clinical medicine · 2022Article
- Perioperative Outcomes of Video-Assisted Thoracoscopic Surgery Versus Open Thoracotomy After Neoadjuvant Chemoimmunotherapy in Resectable NSCLC.Frontiers in oncology · 2022Article
- Conversion from video-assisted thoracic surgery (VATS) to thoracotomy during major lung resection: how does it affect perioperative outcomes?Interactive cardiovascular and thoracic surgery · 2021Article
- Video-assisted thoracoscopic surgery lobectomy might be a feasible alternative for surgically resectable pathological N2 non-small cell lung cancer patients.Thoracic cancer · 2021Article
- The association of nodal upstaging with surgical approach and its impact on long-term survival after resection of non-small-cell lung cancer.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2020Article
- Long-term outcomes and quality of life should be the future focus of research measuring effectiveness of lung cancer surgery approaches.Journal of thoracic disease · 2019Article
- Non-graspingJournal of thoracic disease · 2019Article
- Postoperative morphine consumption and anaesthetic management of patients undergoing video-assisted or robotic-assisted lung resection: a prospective, propensity score-matched study.Journal of thoracic disease · 2018Article
- The surgeon thunderbolts in 2016 lung cancer literature.Annals of translational medicine · 2018Article
- Endobronchial ultrasound-transbronchial needle aspiration (EBUS/TBNA): a diagnostic challenge for mediastinal lesions.Annals of translational medicine · 2018Review
- A glance at the history of uniportal video-assisted thoracic surgery.Journal of visualized surgery · 2017Review
- Lymphadenectomy during thoracoscopy: techniques and efficacy.Journal of visualized surgery · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to investigate which surgical method is better in lymph node (LN) dissection of lung cancer.
methodsA comprehensive search of PubMed, Ovid MEDLINE, EMBASE, Web of Science, ScienceDirect, the Cochrane Library, Scopus, and Google Scholar was performed to identify studies comparing thoracoscopic lobectomy (video-assisted thoracic surgery (VATS) group) and thoracotomy (open group) in LN dissection.
resultsTwenty-nine articles met the inclusion criteria and involved 2763 patients in the VATS group and 3484 patients in the open group. The meta-analysis showed that fewer total LNs (95% confidence interval [CI] -1.52 to -0.73, p < 0.0001) and N2 LNs (95% CI -1.25 to -0.10, p = 0.02) were dissected in the VATS group. A similar number of total LN stations, N2 LN stations, and N1 LNs were harvested in both groups. Only one study reported that fewer N1 LN stations were dissected in the VATS group (1.4 ± 0.5 vs. 1.6 ± 0.6, p = 0.04).
conclusionsOpen lobectomy could achieve better LN dissection efficacy than thoracoscopic lobectomy in the treatment of lung cancer, especially in the N2 LNs dissection. These findings require validation by high-quality, large-scale randomized controlled trials.
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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.