Evidence map›Paper›PMID 29863131›Full record

ArticleAnnals of gastroenterological surgery2018

Surgical outcomes of laparoscopic distal gastrectomy compared to open distal gastrectomy: A retrospective cohort study based on a nationwide registry database in Japan.

Kazuhiro Yoshida, Michitaka Honda, Hiraku Kumamaru, Yasuhiro Kodera, Yoshihiro Kakeji, Naoki Hiki, Tsuyoshi Etoh, Hiroaki Miyata, Yuichi Yamashita, Yasuyuki Seto and 2 more

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. [Evidence in minimally invasive oncological gastric surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Pooled it
  3. Pooled it
  4. Trial
  5. Clinical advantages of robotic gastrectomy for gastric cancer over conventional laparoscopic approach: a retrospective cohort study using a nationwide registry database in Japan.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Escalation and de-escalation in surgery for gastric cancer.International journal of clinical oncology · 2025
    Review
  11. Review
  12. Differential impact of frailty on surgical and non-surgical site complications in patients with gastric cancer undergoing gastrectomy.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. A Path to High-Value Gastric Cancer Surgery Care Delivery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  18. Article
  19. Article
  20. 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

12 authors at 11 institutions in 1 country.

Kazuhiro YoshidaGraduate School of Medicine Department of Surgical Oncology Gifu University Gifu Japan.
Michitaka HondaDepartment of Minimally Invasive Medical and Surgical Oncology Fukushima Medical University Fukushima Japan.
Hiraku KumamaruDepartment of Healthcare Quality Assessment Graduate School of Medicine University of Tokyo Tokyo Japan.
Yasuhiro KoderaDepartment of Gastroenterological Surgery Graduate School of Medicine Nagoya University Nagoya Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery Department of Surgery Graduate School of Medicine Kobe University Kobe Japan.
Naoki HikiDepartment of Gastroenterological Surgery Gastroenterological Center Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo Japan.
Tsuyoshi EtohFaculty of Medicine Department of Gastroenterological and Pediatric Surgery Oita University Oita Japan.
Hiroaki MiyataDepartment of Health Policy and Management School of Medicine Keio University Tokyo Japan.
Yuichi YamashitaDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.
Yasuyuki SetoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Seigo KitanoOita University Oita Japan.
Hiroyuki KonnoHamamatsu University School of Medicine Hamamatsu Japan.
Oita University · JPFukuoka University · JPFukushima Medical University · JPGifu University · JPHamamatsu University School of Medicine · JPJapanese Foundation For Cancer Research · JPKeio University · JPKobe University · JPNagoya University · JPThe Japanese Society of Gastroenterological Surgery · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To clarify the safety profile of laparoscopic distal gastrectomy (LDG) for gastric cancer patients, the short-term outcome of LDG was compared to that of open distal gastrectomy (ODG) by propensity score matching using data from the Japanese National Clinical Database (NCD). We conducted a retrospective cohort study of patients undergoing distal gastrectomy between January 2012 and December 2013. Using the data for 70 346 patients registered in the NCD, incidences of mortality and morbidities were compared between LDG patients and ODG patients in the propensity score matched stage I patients (ODG: n = 14 386, LDG: n = 14 386) and stage II-IV patients (ODG: n = 3738, LDG: n = 3738), respectively. There was no significant difference in mortality rates between LDG and ODG at all stages. Operating time was significantly longer in LDG compared to ODG, whereas blood loss and incidences of superficial surgical site infection (SSI), deep SSI, and wound dehiscence were significantly higher in ODG at all stages. Interestingly, pancreatic fistula was found significantly more often in LDG (1%) compared to ODG (0.8%) (

Indexed as

gastric cancerlaparoscopic surgerynational clinical databaseopen gastrectomypropensity score matching

Identifiers

PMID29863131
PMCPMC5881294
OpenAlexW2779862428

What OpenQuestion holds

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LicenceCC BY
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.