Evidence map›Paper›PMID 30174869›Full record

ArticleJournal of thoracic disease2018

Comparison of non-intubated versus intubated video-assisted thoracoscopic lobectomy for lung cancer.

Zeead M AlGhamdi, Lyfuxu Lynhiavu, Young Kyu Moon, Mi Hyoung Moon, Seha Ahn, Yunho Kim, Sook Whan Sung

Registry-linked trialAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05595096 (Comparison of Thoracic Paravertebral Nerve Block Combined Laryngeal Mask Airway With Preservation of Spontaneous Breathing Versus General Anesthesia Using Double-lumen Endobronchial Intubation in Patients Undergoing Thoracoscopic Surgery), which is not on this map. Cited by 50 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 5 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.

NCT05595096 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of Thoracic Paravertebral Nerve Block Combined Laryngeal Mask Airway With Preservation of Spontaneous Breathing Versus General Anesthesia Using Double-lumen Endobronchial Intubation in Patients Undergoing Thoracoscopic Surgery:

TypeinterventionalSponsorZhenjiang First People's HospitalRan2021 to 2022Enrolled59ConditionsThoracoscopic SurgeryArmsGeneral anesthesia with preservation of spontaneous breathing
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 5 syntheses or guidelines 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

7 authors.

Zeead M AlGhamdiDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Lyfuxu LynhiavuDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Young Kyu MoonDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Mi Hyoung MoonDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Seha AhnDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Yunho KimDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Sook Whan SungDepartment of Thoracic & Cardiovascular Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-intubated, or awake, video-assisted thoracoscopic surgery has been implemented for non-anatomical lung resection and the results obtained were encouraging to consider the approach for anatomical pulmonary resection. This study was conducted to evaluate the perioperative outcomes of the non-intubated and intubated video-assisted thoracoscopic lobectomy in lung cancer in regards to feasibility and safety.

methodsA retrospective analysis of 62 consecutive video-assisted thoracoscopic lobectomies (31 lobectomies as non-intubated, 31 lobectomies as intubated) performed in Seoul St. Mary's Hospital, The Catholic University of Korea between January and December 2016.

resultsBoth groups share comparable clinical characteristics including the age, sex, BMI, FEV1, DLCO, smoking history, lung lobes procedure, histological type and pathological staging. There was no difference in the mean of postoperative hospitalization period (6.9 versus 7.6 days, P=0.578) and the total chest tube duration (5.6 versus 5.4 days, P=0.943) between non-intubated and intubated lobectomy respectively. Both groups had a comparable surgical outcome for the anesthesia duration, operative time, blood loss and postoperative complications. The operative time required for lobe-specific surgery was shorter in the non-intubated group except for the LLL (mean 121.7 minutes for non-intubated group versus 118.3 minutes for the intubated group). The only statistically significant surgical outcome was for the number of dissected lymph nodes between both groups (the mean number of nodes for the non-intubated group was 12.6 versus 18.0 nodes for the intubated group, P=0.003). One patient in the non-intubated group required conversion to single lung intubation and mini-thoracotomy because of bleeding with no conversion in the intubated group. No mortality encountered in either group.

conclusionsThe perioperative surgical outcomes for the non-intubated video-assisted thoracoscopic lobectomy are comparable to the intubated technique. Non-intubated video-assisted thoracoscopic lobectomy is safe and is technically feasible. However, further prospective randomized studies are needed for a better comparison between non-intubated and intubated VATS lobectomy.

Indexed as

lobectomyLung cancernon-intubated surgeryvideo-assisted thoracic surgery (VATS)

Identifiers

PMID30174869
PMCPMC6105965

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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.