Evidence map›Paper›PMID 34584584›Full record

ArticlePrzeglad gastroenterologiczny2021

Lymph node retrieval in radical gastrectomy: the pathologist alone or the surgeon-pathologist team?

Leonardo S Lino-Silva, Hortencia E Mendoza-Lara, Alberto M León-Takahashi, César Zepeda-Najar, Rosa A Salcedo-Hernández

Open access · goldAbstract read
In one paragraph

Article in Przeglad gastroenterologiczny, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 2 institutions in 1 country.

Leonardo S Lino-SilvaDepartment of Surgical Pathology, Instituto Nacional de Cancerología, Tlalpan, Mexico City, Mexico.
Hortencia E Mendoza-LaraDepartment of Surgical Pathology, Instituto Nacional de Cancerología, Tlalpan, Mexico City, Mexico.
Alberto M León-TakahashiDepartment of Surgical Oncology, Instituto Nacional de Cancerología, Tlalpan, Mexico City, Mexico.
César Zepeda-NajarDepartment of Surgical Oncology, Hospital Angeles Tijuana, Tijuana, Baja California Norte, Mexico.
Rosa A Salcedo-HernándezDepartment of Surgical Oncology, Instituto Nacional de Cancerología, Tlalpan, Mexico City, Mexico.
Instituto Nacional de Cancerología · MXUniversidad de Tijuana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLymph node (LN) dissection is an important prognostic factor in gastric cancer. There is little information comparing the LN count depending on whether they are dissected in the operating room or in the pathology laboratory.

aimTo establish if the LN count is greater in either of them. MATERIAL AND

methodsFrom 2015 to 2017 all consecutive gastrectomies with D2 dissection were prospectively evaluated based in either of 2 protocols: One started in the operating room where the surgeon separated the LN levels and then submitted the entire adipose tissue with LNs (undissected) to pathology in separate containers; the pathologist dissected the LNs from the specimens. The second protocol consisted of sending the tissue/LNs to pathology as usual (adipose tissue and LN attached to the stomach).

resultsA total of 83 patients were analysed. The mean age was 58.4 years. The median number of LNs dissected in the protocol starting in the operating room was 56 (IQR: 37-74), whereas the pathology laboratory dissected a median of 39 LNs (IQR 26-53) (

conclusionsThe LN final count is significantly higher when LN levels are separated beforehand in the operating room compared to dissection only in pathology; however, this does not impact survival, perhaps because the number of dissected nodes in both groups is high and the quality of the surgery is good.

Indexed as

gastric cancerlymph node directionlymph nodes

Identifiers

PMID34584584
PMCPMC8456766
OpenAlexW3198916884

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.