Evidence map›Paper›PMID 34758861›Full record

ArticleJournal of cardiothoracic surgery2021

Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis.

Yunpeng Zhao, Lei Shan, Chuanliang Peng, Bo Cong, Xiaogang Zhao

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04217239 (A Comparison of Short-term and Long- Term Outcomes Between Ivor-Lewis and McKeown Minimally Invasive Esophagectomy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

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.

NCT04217239 nacompletednot on this map

A Comparison of Short-term and Long- Term Outcomes Between Ivor-Lewis and McKeown Minimally Invasive Esophagectomy

TypeinterventionalSponsorThe Second Hospital of Shandong UniversityRan2020 to 2024Enrolled272ConditionsEsophageal CancerArmsMIE Ivor- Lewis, MIE McKeown
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

5 authors.

Yunpeng ZhaoDepartment of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, 250033, China.
Lei ShanDepartment of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, 250033, China.
Chuanliang PengDepartment of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, 250033, China.
Bo CongDepartment of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, 250033, China.
Xiaogang ZhaoDepartment of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, 250033, China. zhaoxiaogang@sdu.edu.cn.ORCID http://orcid.org/0000-0002-5521-1628

Funding

Clinical Research Center of Shandong University 2020SDUCRCC002
6 · The paper itself

Abstract

purposeMinimally invasive oesophagectomy is a technically demanding procedure, and the learning curve for this procedure should be explored. A survival analysis should also be performed.

methodsA total of 214 consecutive patients who underwent minimally invasive oesophagectomy were retrospectively reviewed. To evaluate the development of thoracoscopic-laparoscopic oesophagectomy and compare mature minimally invasive oesophagectomy and open oesophagectomy, we comprehensively studied the clinical and surgical parameters. The cumulative sum (CUSUM) plot was used to evaluate the learning curve for systemic lymphadenectomy. Cox proportional hazards regression analysis was performed to explore the clinical factors affecting survival.

resultsThe bleeding volume, operation time, and postoperative mortality within 3 months significantly decreased after 20 patients. The rise point for node dissection was visually determined to occur at patient 57 in the CUSUM plots. Patients who underwent mature thoracoscopic-laparoscopic oesophagectomy had better surgical data and short-term benefits than patients who underwent an open procedure. Cox proportional hazards regression analysis showed that the maximum diameter of the tumour cross-sectional area and the number of positive nodes significantly influenced survival.

conclusionsThe results suggest that thoracoscopic-laparoscopic oesophagectomy has short-term benefits. There was no evidence that it was associated with a significantly better prognosis for patients with oesophageal cancer. ClinicalTrials Gov ID: NCT04217239; January 2, 2020 retrospectively registered.

Indexed as

Esophageal NeoplasmsEsophagectomyHumansLearning CurveLength of StayMinimally Invasive Surgical ProceduresSurvival AnalysisMinimally invasive surgeryOesophageal surgerySurvival analysisThoracoscopy

Identifiers

PMID34758861
PMCPMC8579515

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Registered trials

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.