Evidence map›Paper›PMID 33308023›Full record

SynthesisTherapeutic advances in respiratory disease

Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis.

Junhua Xie, Yuhao Wu, Chun Wu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  7. The Diagnostics and Management of Bronchopulmonary Sequestration: An International Survey among Specialized Caregivers.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2025
    Article
  8. Article
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  11. Thoracotomy in Children: Review from a Low-Income Country.Pediatric health, medicine and therapeutics · 2023
    Article
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  13. 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

3 authors at 1 institution in 1 country.

Junhua XieDivision of Pediatric Surgery, Department of General surgery, Fengdu People's Hospital, Chongqing, China.
Yuhao WuDepartment of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, No. 136 Zhongshan Second Road, Yuzhong District, Chongqing, 400014, China.
Chun WuDepartment of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, No. 136 Zhongshan Second Road, Yuzhong District, Chongqing, 400014, China.ORCID 0000-0001-9263-7938
Ministry of Education of the People's Republic of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA meta-analysis was performed for a comparison of outcomes between video-assisted thoracoscopic surgery (VATS) and thoracotomy for congenital lung malformations (CLM).

methodsElectronic databases, including PubMed, Scopus, Embase, and the Cochrane Library were searched systematically for literature aimed mainly at reporting the therapeutic effects for CLM administrated by VATS and thoracotomy.

resultsA total of 40 studies meeting the inclusion criteria were included, involving 2896 subjects. VATS was associated with fewer complications [odds ratio (OR) 0.54; 95% confidence interval (CI), 0.42-0.69], less use of epidural anesthesia (OR, 0.08; 95% CI, 0.03-0.23), shorter length of hospital stay [standard mean difference (SMD) -0.98; 95% CI, -1.4 to -0.55] and chest drainage (SMD, -0.43; 95% CI, -0.7 to -0.17), as compared with thoracotomy. However, thoracotomy showed superiority in reduced operative time (SMD, 0.44; 95% CI, 0.04-0.84). Pearson analysis (Pearson

conclusionVATS is associated with fewer complications, less use of epidural anesthesia, shorter length of stay and length of chest drainage, but longer operative time, as compared with thoracotomy. Symptomatic patients with CLM using VATS may be prone to conversion to thoracotomy.

Indexed as

Thoracic Surgery, Video-AssistedThoracotomyAnesthesia, EpiduralHumansLength of StayLungOperative TimePostoperative Complicationschildrencongenital lung malformationthoracoscopythoracotomy

Identifiers

PMID33308023
PMCPMC7739138
OpenAlexW3112378681

What OpenQuestion holds

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LicenceCC BY-NC
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.