Evidence map›Paper›PMID 30054740›Full record

ArticleSurgical endoscopy2018

Modularized laparoscopic regional en bloc mesogastrium excision (rEME) based on membrane anatomy for distal gastric cancer.

Jian Shen, Xiaogang Dong, Zhu Liu, Guoguang Wang, Jing Yang, Fei Zhou, Ming Lu, Xiang Ma, Yuan Li, Chaoyang Tang and 3 more

Abstract read
In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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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

13 authors.

Jian ShenDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Xiaogang DongDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Zhu LiuDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Guoguang WangDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Jing YangDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Fei ZhouDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Ming LuDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Xiang MaDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Yuan LiThe Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Chaoyang TangDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Xiagang LuoDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Qinghong ZhaoDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China.
Jianping ZhangDepartment of General Surgery, The Second Affiliated Hospital, Nanjing Medical University, Jiangjiayuan No. 121, Nanjing, 210011, Jiangsu, China. drzhang_jp@126.com.ORCID 0000-0002-1929-792X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of the study was to evaluate the safety and feasibility of a new surgical procedure named modularized laparoscopic regional En bloc mesogastrium excision (rEME) based on the membrane anatomy in distal laparoscopic radical gastrectomy for gastric cancer.

methodsFrom January 2014 to June 2017, 92 consecutive cases of patients with stages I-III distal gastric cancer were divided into 2 groups: laparoscopic radical gastrectomy plus standard D

results85 patients (SD group, n = 40 and rEME group, n = 45) were finally included for analysis. There were no significant differences in the median total numbers of dissected LNs (31.98 ± 10.48 vs. 34.93 ± 13.12, p = 0.261), LNs in the greater curvature (12.18 ± 6.55 vs. 13.62 ± 8.09, p = 0.444), LNs in the lesser curvature (19.55 ± 7.40 vs. 17.98 ± 8.31, p = 0.365) between the SD and rEME groups. The rEME group showed lower loss of blood volume (107.11 ± 60.13 ml vs. 146.25 ± 85.78 ml, p = 0.019). No significant differences were found in recovery time of digestive tract functions, postoperative complication rates and length of hospital stay between the two groups.

conclusionLaparoscopic radical gastrectomy plus modularized rEME based on the membrane anatomy is a safe and feasible procedure for distal gastric cancer.

Indexed as

AbdomenGastrectomyGastroenterostomyStomach NeoplasmsAgedChinaFemaleHumansLaparoscopyLength of StayLymph Node ExcisionMaleMesenteryMiddle AgedNeoplasm StagingOutcome and Process Assessment, Health CareD2 LN dissectionGastric cancerMembrane anatomyrEMESurgical technique

Identifiers

PMID30054740
PMCPMC6182322

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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.