Evidence map›Paper›PMID 31612330›Full record

ReviewSurgery today2020

Staged esophagectomy: surgical legacy or a bailout option?

Dimitrios Schizas, Adamantios Michalinos, Athanasios Syllaios, Dionysios Dellaportas, Emmanouil I Kapetanakis, Georgios Hadjigeorgiou, Chrysovalantis Vergadis, Konstantinos Lasithiotakis, Theodoros Liakakos

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgery today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Dimitrios SchizasFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital Ag, Thoma 17 str. Goudi, Athens, Greece.
Adamantios MichalinosDepartment of Anatomy, European University of Cyprus, Diogenous 6 Str, CY-2404, Engomi, Nicosia, Cyprus. amichalinos@hotmail.com.
Athanasios SyllaiosFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital Ag, Thoma 17 str. Goudi, Athens, Greece.
Dionysios DellaportasSecond Department of Surgery, National and Kapodistrian University of Athens, Aretaieion University Hospital, Vasillisis Sofias 76 str, Athens, Greece.
Emmanouil I KapetanakisDepartment of Thoracic Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Rimini 1 Str. Chaidari, Athens, Greece.
Georgios HadjigeorgiouDepartment of Anatomy, European University of Cyprus, Diogenous 6 Str, CY-2404, Engomi, Nicosia, Cyprus.
Chrysovalantis VergadisFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital Ag, Thoma 17 str. Goudi, Athens, Greece.
Konstantinos LasithiotakisDepartment of General Surgery, University Hospital of Heraklion, Panepistimiou 12 str, Heraklion, Greece.
Theodoros LiakakosFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital Ag, Thoma 17 str. Goudi, Athens, Greece.
National and Kapodistrian University of Athens · GREuropean University Cyprus · CYUniversity Hospital of Heraklion · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Staged esophagectomy was developed in the mid-twentieth century in an attempt to reduce high rates of postoperative morbidity and mortality. Nowadays, the operation has almost been abandoned due to its significant disadvantages, especially the need for multiple surgeries, inability of patients to feed between operations, and morbidity of esophageal stoma. However, staged esophagectomy is still occasionally useful for very high-risk patients and in particular cases, for example multiple cancers of the aerodigestive tract and emergent esophagectomy. Staged esophagectomy is based on the division of surgical stress into two operations, which gives the patient time to recover before final restoration. Gastric tube ischemic preparation may be a more important mechanism in staged esophagectomy. This approach may survive and expand with the application of ischemic gastric pre-conditioning through embolization or laparoscopic ligation of the gastric arteries, which is a less explored and promising technique.

Indexed as

Esophageal NeoplasmsEsophagectomyEsophagusGastric ArteryHumansIschemic PreconditioningLaparoscopyLigationPreoperative CareEsophageal resectionEsophagectomyGastric ischemic preconditioningStaged esophagectomy

Identifiers

PMID31612330
OpenAlexW2979360504

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.