Evidence map›Paper›PMID 29352442›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2018

Laparoscopic and Endoscopic Cooperative Surgery Versus Endoscopic Submucosal Dissection for the Treatment of Low-Risk Tumors of the Duodenum.

Toshiyasu Ojima, Mikihito Nakamori, Masaki Nakamura, Keiji Hayata, Masahiro Katsuda, Katsunari Takifuji, Hiroki Yamaue

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  9. Observational
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  11. Risk factors for lymph node metastasis and indication of local resection in duodenal neuroendocrine tumors.JGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
  12. Article
  13. Laparoscopic Limited Resection for Duodenal Gastrointestinal Stromal Tumors.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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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 at 1 institution in 1 country.

Toshiyasu OjimaSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Mikihito NakamoriSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Masaki NakamuraSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Keiji HayataSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Masahiro KatsudaSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Katsunari TakifujiSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Hiroki YamaueSecond Department of Surgery, Wakayama Medical University School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan. yamaue-h@wakayama-med.ac.jp.
Wakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been no comparative studies of endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) for patients with duodenal tumors regarding surgical outcomes. The aim of this study is to compare the safety and feasibility of short-term surgical outcomes of ESD and LECS for patients with low-risk tumors of the duodenum.

methodsThis was a single-center retrospective study of 68 consecutive patients with low-risk tumors of the duodenum who received surgical treatments. ESD (n = 50) was performed between 2000 and 2013 and LECS (n = 18) was performed between 2014 and 2017.

resultsThe overall incidence of perioperative complications was significantly higher in the ESD group (28%) than in the LECS group (0%) (P = 0.014). In the ESD group, eight patients with intraoperative perforation of duodenum (16%) were repaired with metal clips. Postoperative duodenal hemorrhage occurred in three patients (6%). Postoperative duodenal stricture requiring endoscopically guided balloon dilation was observed in two patients (4%). Postoperative bile leakage was found in one patient (2%). The size of resected lesion was significantly larger in the LECS group (26.5 mm) than in the ESD group (14.5 mm) (P = 0.003). In LECS group, all 18 patients underwent curative resection; however, the curative resection rate was 52% in ESD group (P = 0.001).

conclusionLECS for patients with low-risk tumors of the duodenum is a safe, feasible, and ideal alternative to ESD with regard to short-term surgical outcomes.

trial registrationUMIN000021200 ( http://www.umin.ac.jp/ctr/ ).

Indexed as

Endoscopic Mucosal ResectionAdultAgedAged, 80 and overConstriction, PathologicDuodenal NeoplasmsDuodenumFemaleGastrointestinal HemorrhageHumansIntestinal PerforationIntraoperative ComplicationsLaparoscopyMaleMiddle AgedOperative TimeDuodenal neoplasmsEndoscopic submucosal dissectionLaparoscopic and endoscopic cooperative surgeryMinimally invasive surgery

Identifiers

PMID29352442
OpenAlexW2788700686

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.