Evidence map›Paper›PMID 32358629›Full record

ArticleSurgery today2020

Influence of endoscopic resection on additional laparoscopic distal gastrectomy: a propensity score-matching analysis.

Koji Shindo, Jaymel Castillo, Kenoki Ohuchida, Taiki Moriyama, Shuntaro Nagai, Tomohiko Moriyama, Takao Ohtsuka, Eishi Nagai, Shuji Shimizu, Masufumi Nakamura

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors at 4 institutions in 1 country.

Koji ShindoDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Jaymel CastilloDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Kenoki OhuchidaDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan. kenoki@med.kyushu-u.ac.jp.
Taiki MoriyamaDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Shuntaro NagaiDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Tomohiko MoriyamaInternational Medical Department, Fukuokashi, Fukuoka, Japan.
Takao OhtsukaDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Eishi NagaiDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Shuji ShimizuDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Masufumi NakamuraDepartments of Surgery and Oncology, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuokashi, Fukuoka, Japan.
Kyushu University Hospital · JPFukuoka Higashi Medical Center · JPFukuoka University · JPSaitama International Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is no definite evidence of the feasibility and safety of laparoscopic distal gastrectomy (LDG) for patients who have undergone incomplete endoscopic resection (ER). We investigated the influence of ER prior to LDG by a propensity score matching analysis.

methodsWe retrospectively analyzed the outcomes of gastric cancer patients who underwent LDG with or without prior ER from 2000 to 2014. Propensity score matching was performed to compare the two groups of patients.

resultsAfter matching, 47 patients in the ER group and 94 patients in the non-ER group were selected from a total of 365 patients. A residual tumor was observed in 10 of 47 patients (21.3%). The mean number of dissected lymph nodes in the non-ER group (39.4 ± 14.5) was higher than that in the ER group (31.7 ± 13.5) (P = 0.003). However, other perioperative data, such as the operation time and blood loss volume were similar. The complication rate of the ER group (17.0%) and the non-ER group (9.6%) did not differ to a statistically significant extent (P = 0.2). Among these patients, 6 died during the 5-year follow-up period, but no patients showed signs of recurrence.

conclusionER prior to surgical resection showed no significant influence on postoperative complications or mortality. LDG can be safely performed to achieve radical resection after incomplete ER.

Indexed as

ReoperationAgedEndoscopy, GastrointestinalFeasibility StudiesFemaleGastrectomyHumansLaparoscopyLymph Node ExcisionMaleMiddle AgedPostoperative ComplicationsPropensity ScoreRetrospective StudiesSafetyStomach NeoplasmsEndoscopic resectionGastric cancerLaparoscopic distal gastrectomy

Identifiers

PMID32358629
OpenAlexW3023645911

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.