Evidence map›Paper›PMID 33024584›Full record

ArticleJournal of gastric cancer2020

Proximal Anterior-Antrum Posterior (PAAP) Overlapping Anastomosis in Minimally Invasive Pylorus-Preserving Gastrectomy for Early Gastric Cancer Located in the High Body and Posterior Wall of the Stomach.

Ji-Hyeon Park, Seong-Ho Kong, Jong-Ho Choi, Shin-Hoo Park, Yun-Suhk Suh, Do-Joong Park, Hyuk-Joon Lee, Han-Kwang Yang

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of gastric cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Ji-Hyeon ParkDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-6811-8895
Seong-Ho KongDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-3929-796X
Jong-Ho ChoiDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6963-7075
Shin-Hoo ParkDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9767-6100
Yun-Suhk SuhDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3319-8482
Do-Joong ParkDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9644-6127
Hyuk-Joon LeeDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9530-647X
Han-Kwang YangDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3495-3048
Seoul National University · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility and safety of intracorporeal overlapping gastrogastrostomy between the proximal anterior wall and antrum posterior wall (PAAP; PAAP anastomosis) of the stomach in minimally invasive pylorus-preserving gastrectomy (PPG) for early gastric cancer (EGC). MATERIALS AND

methodsFrom December 2016 to December 2019, 17 patients underwent minimally invasive PPG with PAAP anastomosis for EGC in the high body and posterior wall of the stomach. Intraoperative gastroscopy was performed with the rotation maneuver during proximal transection. A longer antral cuff (>4-5 cm) was created for PAAP than for conventional PPG (≤3 cm) at the point where a safe distal margin and good vascular perfusion were secured. Because the posterior wall of the proximal remnant stomach was insufficient for intracorporeal anastomosis, the anterior wall was used to create an overlapping anastomosis with the posterior wall of the remnant antrum. The surgical and oncological outcomes were analyzed, and the stomach volume was measured in patients who completed the 6-month follow-up. The results were compared to those after conventional PPG (n=11 each).

resultsPAAP anastomosis was successfully performed in 17 patients. The proximal and distal resection margins were 2.4±1.9 cm and 4.0±2.6 cm, respectively. No postoperative complications were observed during the 1-year follow-up esophagogastroduodenoscopy (n=10). The postoperative remnant stomach (n=11) was significantly larger with PAAP than with conventional PPG (225.6±118.3 vs. 99.1±63.2 mL; P=0.001). The stomach length from the anastomosis to the pylorus was 4.9±2.4 cm after PAAP.

conclusionsPAAP anastomosis is a feasible alternative for intracorporeal anastomosis in minimally invasive PPG for highly posteriorly located EGC.

Indexed as

LaparoscopyMinimally invasive surgical proceduresStomach neoplasmsSurgical anastomosisVolumetric CT

Identifiers

PMID33024584
PMCPMC7521977
OpenAlexW3083426741

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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.