Evidence map›Paper›PMID 30133674›Full record

Trial reportArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2018

MINIMALLY INVASIVE LAPAROSCOPIC ESOPHAGECTOMY VS. TRANSHIATAL OPEN ESOPHAGECTOMY IN ACHALASIA: A RANDOMIZED STUDY.

Alberto Jorge Albuquerque Fontan, João Batista-Neto, Ana Carolina Pastl Pontes, Marcos da Costa Nepomuceno, Tadeu Gusmão Muritiba, Rômulo da Silva Furtado

Open access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. ADVANCED MEGAESOPHAGUS TREATMENT: WHICH TECHNIQUE OFFERS THE BEST RESULTS? A SYSTEMATIC REVIEW.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Pooled it
  2. Article
  3. Review
  4. Review
  5. IS THERE NEURAL AND FUNCTIONAL RECOVERY AFTER CLIP REMOVAL IN CERVICAL EXPERIMENTAL SYMPATHECTOMY?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    Article
  6. Review
  7. Article
  8. TRANSHIATAL ESOPHAGECTOMY IS NOT ASSOCIATED WITH POOR QUALITY LYMPHADENECTOMY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019
    Article
  9. Article
  10. Oncologic Resection in Laparoscopic Versus Robotic Transhiatal Esophagectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

6 authors at 1 institution in 1 country.

Alberto Jorge Albuquerque FontanGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
João Batista-NetoGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
Ana Carolina Pastl PontesGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
Marcos da Costa NepomucenoGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
Tadeu Gusmão MuritibaGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
Rômulo da Silva FurtadoGroup of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.
Universidade Federal de Alagoas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen and laparoscopic trans-hiatal esophagectomy has been successfully performed in the treatment of megaesophagus. However, there are no randomized studies to differentiate them in their results.

aimTo compare the results of minimally invasive laparoscopic esophagectomy (EMIL) vs. open trans-hiatal esophagectomy (ETHA) in advanced megaesophagus.

methodA total of 30 patients were randomized, 15 of them in each group - EMIL and ETHA. The studied variables were dysphagia score before and after the operation at 24-months follow-up; pain score in the immediate postoperative period and at hospital discharge; complications of the procedure, comparing each group. Were also studied: surgical time in minutes, transfusion of blood products, length of hospital stay, mortality and follow-up time.

resultsETHA group comprised eight men and seven women; in the EMIL group, four women and 11 men. The median age in the ETHA group was 47.2 (29-68) years, and in the EMIL group of 44.13 (20-67) years. Mean follow-up time was 33 months, with one death in each group, both by fatal aspiration. There was no statistically significant difference between the EMIL vs. ETHA scores for dysphagia, pain and in-hospital complications. The same was true for surgical time, transfusion of blood products and hospital stay.

conclusionThere was no difference between EMIL and ETHA in all the studied variables, thus allowing them to be considered equivalent.

Indexed as

LaparoscopyAdultAgedEsophageal AchalasiaEsophagectomyFemaleHumansMaleMiddle AgedProspective Studies

Identifiers

PMID30133674
PMCPMC6097114
OpenAlexW2886364867

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.