Evidence map›Paper›PMID 33708979›Full record

ArticleAnnals of translational medicine2021

Short-term outcomes of laparoscopic versus open proximal gastrectomy with double-tract reconstruction for Siewert type II and III adenocarcinoma of the esophagogastric junction: a retrospective observational study of consecutive patients.

Fei Ma, Weifeng Wang, Dandan Guo, Yonglei Zhang, Liangqun Peng, Qi Ma, Sheqing Ji, Junhui Chai, Yawei Hua, Xiaobing Chen and 8 more

Abstract read
In one paragraph

Article in Annals of translational medicine, 2021. 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
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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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

18 authors.

Fei MaDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Weifeng WangDepartment of Gastrointestinal Surgery, Xinchang Hospital Affiliated to Wenzhou Medical University, Shaoxing, China.
Dandan GuoDepartment of Radiology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yonglei ZhangDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Liangqun PengDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Qi MaDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Sheqing JiDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Junhui ChaiDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Yawei HuaDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Xiaobing ChenDepartment of Medical Oncology, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Hui WangDepartment of Medical Oncology, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Shuning XuDepartment of Medical Oncology, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Qian LiDepartment of Medical Oncology, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Suxia LuoDepartment of Medical Oncology, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.
Hiroharu YamashitaDepartment of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan.
Kheng Tian LimDepartment of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore.
Tian LiSchool of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Bin ZhangDepartment of General Surgery, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the safety and merits of laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DT) for Siewert type II and III adenocarcinoma of the esophagogastric junction (AEG).

methodsRetrospective analysis of the clinical data of 100 consecutive patients with Siewert II and III AEG treated at the Affiliated Tumor Hospital of Zhengzhou University from October 2010 to October 2019 was performed. Out of these patients, 69 underwent open proximal gastrectomy with double-tract reconstruction (OPG-DT), while 31 underwent LPG-DT. The clinicopathological characteristics, perioperative data, and short-term outcomes of the two groups were compared. A P value <0.05 was considered statistically significant.

resultsMales accounted for 87% of all patients. Lymph nodes (LNs) count, time to first meal, postoperative length of stay, and postoperative complications were similar between the OPG-DT and LPG-DT group. flatus time was significantly shorter in the LPG-DT group (P<0.05), while the duration of operation was significantly shorter in the the OPG-DT group (P<0.001). Furthermore, the LPG-DT group has less blood loss, shorter flatus time, and lower postoperative-day-5 white blood cell (WBC) count and C-reactive protein (CRP) levels (P<0.05).

conclusionsAlthough LPG-DT took longer to perform, its advantages of reduced blood loss and less surgical stress reflected on inflammatory markers supports an acceptable surgical option for Siewert II and III AEG.

Indexed as

Adenocarcinoma of the esophagogastric junction (AEG)digestive tract reconstructiondouble-tract reconstruction (DT)proximal gastrectomy (PG)

Identifiers

PMID33708979
PMCPMC7944316

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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.