Evidence map›Paper›PMID 33037476›Full record

ArticleSurgery today2021

Utility of the powered stapler for radical pulmonary resection: a propensity score-matched analysis.

Wataru Shigeeda, Hiroyuki Deguchi, Makoto Tomoyasu, Satoshi Kudo, Yuka Kaneko, Hironaga Kanno, Hajime Saito

Abstract read
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In one paragraph

Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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  8. Advances and safe use of energy devices in lung cancer surgery.General thoracic and cardiovascular surgery · 2022
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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

7 authors at 1 institution in 1 country.

Wataru ShigeedaDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan. shigeeda@iwate-med.ac.jp.
Hiroyuki DeguchiDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Makoto TomoyasuDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Satoshi KudoDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Yuka KanekoDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Hironaga KannoDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Hajime SaitoDepartment of Thoracic Surgery, School of Medicine, Iwate Medical University, 2-1-1, Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Iwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnatomical pulmonary resection, such as lobectomy, is a common procedure. Staplers play an important role in dividing an incomplete interlobular fissure, especially in thoracoscopic surgery. This study evaluates the effectiveness of a powered stapler for reducing the need for intraoperative fibrin glue and the incidence of air leakage after radical pulmonary resection.

methodsThe subjects of this retrospective study were 478 patients who underwent radical pulmonary resection. Propensity score analysis generated two matched pairs of 177 patients treated using powered and manual staplers, respectively.

resultsThe need for fibrin glue intraoperatively during radical pulmonary resection was significantly less in the powered-stapler group (47.5%) than in the manual-stapler group (58.8%, p = 0.033). The incidence of postoperative air leakage following radical pulmonary resection was also significantly lower in the powered-stapler group (2.8%) than in the manual-stapler group (10.7%, p = 0.003). Logistic regression analysis identified use of the powered stapler as a factor independently associated with both non-use of fibrin glue intraoperatively (odds ratio, 0.63; p = 0.040) and no postoperative air leakage (odds ratio, 0.26; p = 0.010).

conclusionUsing a powered stapler to divide the incomplete interlobular fissure decreased the need for additional intraoperative management using fibrin glue and reduced postoperative air leakage in radical pulmonary resection.

Indexed as

Propensity ScoreSurgical StaplersAirAnastomotic LeakDrug UtilizationElectric Power SuppliesFemaleFibrin Tissue AdhesiveHumansIncidenceIntraoperative CareMalePneumonectomyPostoperative ComplicationsRetrospective StudiesThoracoscopyFibrin Tissue AdhesiveBlood productPostoperative air leakagePowered staplerPulmonary resection

Identifiers

PMID33037476
OpenAlexW3091996283

What OpenQuestion holds

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Registered trials

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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.