Evidence map›Paper›PMID 30976890›Full record

GuidelineDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2019

[Updated German S3 guidelines on esophageal cancer and supplements from a surgical perspective].

A H Hölscher, I Gockel, R Porschen

Abstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% 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, 23 citations in OpenAlex.

  1. Classification of esophageal cancer by using hyperspectral data.International journal of computer assisted radiology and surgery · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Surgical treatment of esophageal cancer-New technologies, modern concepts].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  9. Review
  10. Using the da Vinci X® - System for Esophageal Surgery.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

3 authors at 3 institutions in 1 country.

A H HölscherContilia Zentrum für Speiseröhrenerkrankungen, Elisabeth Krankenhaus Essen, Essen, Deutschland. a.hoelscher@contilia.de.
I GockelKlinik und Poliklinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.
R PorschenKlinik für Innere Medizin, Klinikum Bremen-Ost, Bremen, Deutschland.
Elisabeth-Krankenhaus Essen · DEKlinikum Bremen-Mitte · DEKlinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The updated German S3 guidelines recommend transthoracic subtotal esophagectomy with 2‑field lymphadenectomy for surgical treatment of esophageal cancer in patients with squamous cell carcinoma and adenocarcinoma of the esophagogastric (AEG type I) junction of the middle and lower third. For AEG type III transhiatal extended total gastrectomy with distal esophageal resection is favored. Patients with AEG type II can be treated by both procedures under the prerequisite that an R0 resection can be achieved. A limited resection of the distal esophagus and the proximal stomach can only be considered in cT1 N0 M0 possibly cT2 AEG junction without an oncological risk constellation, i.e. grade G1/G2, intestinal type and no poorly cohesive carcinoma, because the rate of lymph node metastasis at the distal stomach is less than 2%. Minimally invasive procedures provide advantages compared to open esophagectomy due to the lower rate of postoperative total and especially pulmonary complications. This is true for hybrid esophagectomy (laparoscopy and thoracotomy) versus open access in cases of intrathoracic anastomoses and for total minimally invasive esophagectomy including robotic techniques versus open access in cervical esophagogastrostomy.

Indexed as

AdenocarcinomaEsophageal NeoplasmsEsophagectomyEsophagogastric JunctionGastrectomyHumansLymph Node ExcisionAdenocarcinomaGastrectomyMinimally invasive esophagectomyPostoperative complicationsSquamous cell carcinoma

Identifiers

PMID30976890
OpenAlexW2935741978

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.