Evidence map›Paper›PMID 31118977›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2019

Laparoscopic versus open wedge resection for gastrointestinal stromal tumors of the stomach: a meta-analysis.

Zhangwei Yang, Pingting Li, Yiren Hu

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Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

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

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4 · The record

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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.

Zhangwei YangDepartment of General Surgery, Wenzhou People's Hospital, Wenzhou, China.
Pingting LiDepartment of Operation Room, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yiren HuDepartment of General Surgery, Wenzhou People's Hospital, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the rapid development of minimally invasive surgery, laparoscopic (LAP) wedge resection has become the first-choice treatment for primary gastrointestinal stromal tumors (GISTs) of the stomach.

aimTo investigate the safety and feasibility of LAP wedge resection and the choice of surgical treatment for GISTs of the stomach through a meta-analysis and systematic review. MATERIAL AND

methodsThe literature was widely searched for comparative studies on open (OPEN) and LAP wedge resection for GISTs published before April 2017. The articles were selected after quality assessment.

resultsTen reports met the inclusion criteria, with a total sample size of 485 cases. The operation time was similar between the 2 groups (weighted mean difference (WMD): 8.67 min, 95% confidence interval (CI): -8.60 to 25.94, p = 0.33). However, LAP resulted in less blood loss (WMD -32.20 ml, 95% CI: -56.15 to -8.26, p < 0.01), earlier time to flatus (WMD -1.48 days, 95% CI: -1.90 to -1.06, p < 0.01) and to an oral diet (WMD -1.50 days, 95% CI: -2.25 to -0.47, p < 0.01), shorter hospital stay (WMD -2.03 days, 95% CI: -2.68 to -1.38, p < 0.01), and a decreased overall complication rate (relative risk: 0.48, 95% CI: 0.25-0.89, p = 0.01) compared with OPEN. Moreover, long-term follow-up findings indicated no obvious difference between the 2 groups.

conclusionsThe use of LAP wedge resection for suitable cases is safe and feasible because it causes less blood loss and fewer overall complications and enables faster recovery.

Indexed as

gastric gastrointestinal stromal tumorlaparoscopic surgerymeta-analysisopen surgerysystematic reviewwedge resection

Identifiers

PMID31118977
PMCPMC6528119

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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.