Evidence map›Paper›PMID 31485734›Full record

ArticleLangenbeck's archives of surgery2019

Comparison of total versus subtotal gastrectomy for remnant gastric cancer.

Hironobu Goto, Shingo Kanaji, Dai Otsubo, Taro Oshikiri, Masashi Yamamoto, Tetsu Nakamura, Satoshi Suzuki, Yasuhiro Fujino, Masahiro Tominaga, Yoshihiro Kakeji

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Prognostic value and nomograms of proximal margin distance in gastric cancer with radical distal gastrectomy.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2020
    Article
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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

10 authors at 2 institutions in 1 country.

Hironobu GotoDepartment of Gastroenterological Surgery, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi City, Hyogo, 673-8558, Japan. hirogoto@med.kobe-u.ac.jp.ORCID http://orcid.org/0000-0002-4337-5529
Shingo KanajiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Dai OtsuboDepartment of Gastroenterological Surgery, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi City, Hyogo, 673-8558, Japan.
Taro OshikiriDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Masashi YamamotoDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Tetsu NakamuraDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Satoshi SuzukiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Yasuhiro FujinoDepartment of Gastroenterological Surgery, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi City, Hyogo, 673-8558, Japan.
Masahiro TominagaDepartment of Gastroenterological Surgery, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi City, Hyogo, 673-8558, Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.
Kobe University · JPHyogo Prefectural Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCompletion gastrectomy (CG) is a common procedure for remnant gastric cancer (RGC). However, partial gastrectomy for gastric cancer has several benefits compared to total gastrectomy in terms of the quality of life. In this study, we evaluated the feasibility and advantage of subtotal resection of the remnant stomach (SR) for clinical stage IA RGC.

methodsA total of 43 patients who underwent gastrectomy for clinical stage IA RGC were included. CG and SR were performed on 27 (62.8%) and 16 patients (37.2%), respectively. The short- and long-term outcomes, including the nutritional status, after CG and SR for clinical stage IA RGC were compared between the two groups.

resultsThere were no significant differences in pathological stage or incidence of postoperative complications between the two groups. The decrease in body weight, body mass index, and serum albumin level was significantly lower in the SR group than in the CG group (P < 0.001, P = 0.025, and 0.008). In the SR group, there was no recurrence at the remaining lymph nodes or gastric stump. The 5-year overall survival rate was 87.8% in the CG group and 86.1% in the SR group, without a significant difference between the two groups (P = 0.959).

conclusionsThe present study showed the noninferiority of SR to CG based on surgical and oncological outcomes for clinical stage IA RGC. Furthermore, SR has an advantage over CG in terms of postoperative nutritional status. Therefore, SR could be an alternative elective treatment option for early RGC located around the anastomotic site.

Indexed as

AgedAged, 80 and overFemaleGastrectomyGastric StumpHumansJapanMaleMiddle AgedNeoplasm StagingNutritional StatusPostoperative ComplicationsQuality of LifeRetrospective StudiesStomach NeoplasmsSurvival RateClinical stageNutritional statusRemnant gastric cancerSubtotal resection of the remnant stomach

Identifiers

PMID31485734
OpenAlexW2971828750

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.