Evidence map›Paper›PMID 31820152›Full record

ArticleSurgical endoscopy2020

Linear or circular stapler? A propensity score-matched, multicenter analysis of intracorporeal esophagojejunostomy following totally laparoscopic total gastrectomy.

Katsuhiro Murakami, Kazutaka Obama, Shigeru Tsunoda, Shigeo Hisamori, Tatsuto Nishigori, Koya Hida, Seiichiro Kanaya, Seiji Satoh, Dai Manaka, Michihiro Yamamoto and 11 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

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

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. ModifiedThe Journal of international medical research · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

21 authors.

Katsuhiro MurakamiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kazutaka ObamaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. kobama@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-2924-6701
Shigeru TsunodaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Shigeo HisamoriDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Tatsuto NishigoriDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Koya HidaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Seiichiro KanayaDepartment of Surgery, Osaka Red Cross Hospital, Osaka, Japan.
Seiji SatohDepartment of Gastroenterological Surgery and Oncology, Himeji Medical Center, Himeji, Japan.
Dai ManakaDepartment of Surgery, Kyoto Katsura Hospital, Kyoto, Japan.
Michihiro YamamotoDepartment of Surgery, Shiga General Hospital, Moriyama, Japan.
Yoshio KadokawaDepartment of Gastrointestinal Surgery, Tenri Hospital, Tenri, Japan.
Atsushi ItamiDepartment of Surgery, Kobe City Nishi-Kobe Medical Center, Kobe, Japan.
Hiroshi OkabeDepartment of Surgery, Otsu City Hospital, Otsu, Japan.
Hiroaki HataDepartment of Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Eiji TanakaDepartment of Surgery, Kobe City Medical Center West Hospital, Kobe, Japan.
Yoshito YamashitaDepartment of Surgery, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan.
Masato KondoDepartment of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
Hisahiro HosogiDepartment of Surgery, Kyoto City Hospital, Kyoto, Japan.
Nobuaki HoshinoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Shiro TanakaDepartment of Clinical Biostatistics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Yoshiharu SakaiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54, Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPresently, there is no consensus as to what procedure of intracorporeal esophagojejunostomy (EJS) in totally laparoscopic total gastrectomy (TLTG) is best to reduce postoperative complications. The aim of this study was to demonstrate the superiority of linear stapled reconstruction in terms of anastomotic-related complications for EJS in TLTG.

methodsWe collected data on 829 consecutive gastric cancer patients who underwent TLTG reconstructed by the Roux-en-Y method with radical lymphadenectomy between January 2010 and December 2016 in 13 hospitals. The patients were divided into two groups according to reconstruction method and matched by propensity score. Postoperative EJS-related complications were compared between the linear stapler (LS) and the circular stapler (CS) groups.

resultsAfter matching, data from 196 patients in each group were analyzed. The overall incidence of EJS-related complications was significantly lower in the LS group than in the CS group (4.1% vs. 11.7%, p = 0.008). The incidence of EJS anastomotic stenosis during the first year after surgery was significantly lower in the LS group than in the CS group (1.5% vs. 7.1%, p = 0.011). The incidence of EJS bleeding did not differ significantly between the groups, although no bleeding was observed in the LS group (0% vs. 2.0%, p = 0.123). The incidence of EJS leakage did not differ significantly between the groups (2.6% vs. 3.6%, p = 0.771).

conclusionThe use of linear stapled reconstruction is safer than the use of circular stapled reconstruction for intracorporeal EJS in TLTG because of its lower risks of stenosis.

Indexed as

Propensity ScoreAdultAgedAged, 80 and overAnastomosis, SurgicalEsophagoplastyFemaleGastrectomyHumansLaparoscopyMaleMiddle AgedRetrospective StudiesAnastomotic stenosisCircular staplerEsophagojejunostomyLinear staplerTotally laparoscopic total gastrectomy

Identifiers

PMID31820152

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.