Evidence map›Paper›PMID 32166751›Full record

ArticleJournal of surgical oncology2020

Image-guided video-assisted thoracoscopic resection (iVATS): Translation to clinical practice-real-world experience.

Ritu R Gill, Julianne Barlow, Michael T Jaklitsch, Eric J Schmidlin, Phillip M Hartigan, Raphael Bueno

Open access · hybridAbstract read
In one paragraph

Article in Journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  4. Review
  5. Role of subxiphoid uniportal video-assisted thoracoscopic surgery in pulmonary metastasectomy.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2022
    Review
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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

6 authors at 2 institutions in 1 country.

Ritu R GillDepartment of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID http://orcid.org/0000-0001-8119-8407
Julianne BarlowDepartment of Surgery, Brigham & Women's Hospital, Boston, Massachusetts.
Michael T JaklitschDepartment of Surgery, Brigham & Women's Hospital, Boston, Massachusetts.
Eric J SchmidlinDepartment of Radiology, Brigham & Women's Hospital, Boston, Massachusetts.
Phillip M HartiganDepartment of Anesthesiology Perioperative and Pain Medicine, Brigham & Women's Hospital, Boston, Massachusetts.
Raphael BuenoDepartment of Surgery, Brigham & Women's Hospital, Boston, Massachusetts.
Brigham and Women's Hospital · USBeth Israel Deaconess Medical Center · US

Funding

Lung Navigation System for Localizing and Resecting NodulesR01EB025964 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI BUENO, RAPHAEL, JAGADEESAN, JAYENDER · 2018 to 2021
$1.6M
NIBIB NIH HHS R01 EB025964
6 · The paper itself

Abstract

objectiveWe developed a novel approach for localization and resection of lung nodules, using image-guided video-assisted thoracoscopic surgery (iVATS). We report our experience of translating iVATS into clinical care.

methodsMethodology and workflow for iVATS developed as part of the Phase I/II trial were used to train surgeons, radiologists, anesthesiologists, and radiology technologists. Radiation dose, time from induction to incision, placement of T-bar to incision and incision to closure, hospital stay, and complication rates were recorded.

resultsFifty patients underwent iVATS for resection of 54 nodules in a clinical hybrid operating room (OR) by six surgeons. Fifty-two (97%) nodules were successfully resected. Forty-two (84%) patients underwent wedge resection, four (7%) lobectomies, and two (4%) segmentectomy all with lymph node dissection. Median time from induction to incision was 89 minutes (range: 13-256 minutes); T-bar placement was 14 minutes (10-29 minutes); and incision to closure, 107 minutes (41-302 minutes). Average and total procedure radiation dose were: median = 6 mSieverts (range: 2.9-35 mSieverts). No deaths were reported and median length of stay was 3 days (range: 1-12 days).

conclusionsTranslation of iVATS into clinical practice has been initiated using a safe step-wise process, combining intraoperative C-arm computed tomography scanning and thoracoscopic surgery in a hybrid OR.

Indexed as

AgedAged, 80 and overClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCohort StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingProspective StudiesSolitary Pulmonary NoduleThoracic Surgery, Video-AssistedTomography, X-Ray ComputedTranslational Research, Biomedicaladvanced image-guided operating roomC-arm CTfiducialshybrid operating roomlung cancerVATS

Identifiers

PMID32166751
PMCPMC7383497
OpenAlexW3011555666

What OpenQuestion holds

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LicenceCC BY
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.