Evidence map›Paper›PMID 33575680›Full record

ArticleFacts, views & vision in ObGyn2021

Step-by-step surgical procedures for a correct identification of the sentinel lymph node in endometrial cancer.

S Restaino, A Finelli, A Lucidi, A Ercoli, G Scambia, F Fanfani

Open access · greenAbstract read
In one paragraph

Article in Facts, views & vision in ObGyn, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 98% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 4 institutions in 1 country.

S RestainoFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Ginecologia Oncologica, Dipartimento per la Tutela della Salute della Donna e della Vita Nascente, L.go A. Gemelli; 00167 Roma, Italia.
A FinelliGynecologic Oncology Department of Medicine and Aging Sciences University "G. d'Annunzio"of Chieti-Pescara, Via dei Vestini 131, 66100 Chieti (CH), Italy.
A LucidiGynecologic Oncology Department of Medicine and Aging Sciences University "G. d'Annunzio"of Chieti-Pescara, Via dei Vestini 131, 66100 Chieti (CH), Italy.
A ErcoliGynecologic Oncology, Università degli Studi di Messina, Piazza Pugliatti, 1, 98122 Messina ME, Italy.
G ScambiaFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Ginecologia Oncologica, Dipartimento per la Tutela della Salute della Donna e della Vita Nascente, L.go A. Gemelli; 00167 Roma, Italia.
F FanfaniFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Ginecologia Oncologica, Dipartimento per la Tutela della Salute della Donna e della Vita Nascente, L.go A. Gemelli; 00167 Roma, Italia.
Università Cattolica del Sacro Cuore · ITUniversity of Chieti-Pescara · ITAgostino Gemelli University Polyclinic · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with endometrial cancer, the common method for assessing the status of lymph nodes (LN) is lymphadenectomy. The sentinel lymph node (SLN) biopsy is a revolutionary concept and it will play an increasingly important role in surgical practice. The surgical technique of the sentinel lymph node is less destructive than lymphadenectomy, and it requires less anatomical knowledge.

methodsStep by step technique of cervical injection, the preparation of the anatomical spaces and the identification of the main structures to detect and remove the SLN safely in patients affected by endometrial cancer stage IA.

resultsWe identify the three different lymphatic pathways drainage from the uterine cervix and show how anatomical retroperitoneal knowledge is essential for the safe dissection of anatomical spaces. In literature it is reported that in about 9% of cases the SLN is located at the lumbo-aortic level, so it is clear how important it is to know the anatomy to follow the highlighted lymph pathway to identify first lymph node absorber of the drainage.

conclusionAnatomical knowledge and the correct preparation of the anatomical spaces make the identification of the sentinel lymph node safe and feasible.

Indexed as

endometrial cancerlaparoscopysentinel lymph node

Identifiers

PMID33575680
PMCPMC7863689
OpenAlexW3128962807

What OpenQuestion holds

Textmetadata
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.