Evidence map›Paper›PMID 31456000›Full record

ArticleSurgery today2020

Four stay-sutures method: a simplified hand-sewn purse-string suture in laparoscopic circular-stapled esophagojejunostomy.

Akihiko Sano, Hitoshi Ojima, Atsushi Ogawa, Kyoichi Ogata, Kana Saito, Takaharu Fukasawa, Makoto Sohda, Yasuyuki Fukai, Yasushi Mochida, Minoru Fukuchi and 3 more

Abstract read
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Article in Surgery today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Akihiko SanoDepartment of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. ak_sano@outlook.jp.ORCID http://orcid.org/0000-0002-9531-5157
Hitoshi OjimaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1, Takabayashi-Nishi, Ohta, Gunma, 373-8550, Japan.
Atsushi OgawaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1, Takabayashi-Nishi, Ohta, Gunma, 373-8550, Japan.
Kyoichi OgataDepartment of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Kana SaitoDepartment of Surgery, Japan Community Healthcare Organization Gunma Central Hospital, 1-7-13 Kouuncho, Maebashi, Gunma, 371-0025, Japan.
Takaharu FukasawaDepartment of Surgery, Japan Community Healthcare Organization Gunma Central Hospital, 1-7-13 Kouuncho, Maebashi, Gunma, 371-0025, Japan.
Makoto SohdaDepartment of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Yasuyuki FukaiDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1, Takabayashi-Nishi, Ohta, Gunma, 373-8550, Japan.
Yasushi MochidaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1, Takabayashi-Nishi, Ohta, Gunma, 373-8550, Japan.
Minoru FukuchiDepartment of Surgery, Japan Community Healthcare Organization Gunma Central Hospital, 1-7-13 Kouuncho, Maebashi, Gunma, 371-0025, Japan.
Hiroshi NaitohDepartment of Surgery, Japan Community Healthcare Organization Gunma Central Hospital, 1-7-13 Kouuncho, Maebashi, Gunma, 371-0025, Japan.
Hiroshi SaekiDepartment of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Ken ShirabeDepartment of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Gunma University · JPJapan Community Healthcare Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic esophagojejunostomy is a challenging procedure because of its technical difficulty. We herein report a new method involving circular-stapled anastomosis using a hand-sewn suture with four stay-sutures and evaluate its outcomes. Esophagojejunostomy using this method was performed in 36 consecutive patients with clinical stage I gastric cancer at the authors' institutions. The key feature of our procedure was the placement of four full-thickness stay-sutures to anchor the esophageal stump prior to the hand-sewn purse-string suture. The median operation time and mean anvil fixation time were 315.5 and 21.9 min, respectively. The mortality rate was 0%, although anastomotic leakage following esophagojejunostomy was observed in 1 patient (2.8%), and anastomotic stenosis was observed in another patient (2.8%). Intracorporeal esophagojejunostomy using the four stay-sutures method appears to be safe and feasible. We believe that this method enables hand-sewn purse-string suturing to be performed more easily.

Indexed as

Surgical StaplersSuture TechniquesFemaleHumansJejunostomyLaparoscopyMaleStomach NeoplasmsCircular staplerHand-sewn purse-string sutureLaparoscopic esophagojejunostomy

Identifiers

PMID31456000
OpenAlexW2970848584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.