Evidence map›Paper›PMID 36564821›Full record

ArticleCost effectiveness and resource allocation : C/E2022

Powered stapling system with gripping surface technology for pulmonary resection of lung cancer: real-world clinical effectiveness.

Chongzhi Gan, Fuchun Zeng, Wei Cong, Tiange Tang, Gang Feng

Open access · goldAbstract read
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2022. 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
0.2field-weighted citation impact, top 46% 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. 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 at 2 institutions in 2 countries.

Chongzhi GanDepartment of Thoracic Surgery, Sichuan Provincial People's Hospital, Chengdu, 610072, Sichuan, People's Republic of China.
Fuchun ZengDepartment of Thoracic Surgery, Sichuan Provincial People's Hospital, Chengdu, 610072, Sichuan, People's Republic of China.
Wei CongDepartment of Thoracic Surgery, Sichuan Provincial People's Hospital, Chengdu, 610072, Sichuan, People's Republic of China.
Tiange TangDepartment of Health Policy and Management, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal St, New Orleans, LA, USA.
Gang FengDepartment of Thoracic Surgery, Sichuan Provincial People's Hospital, Chengdu, 610072, Sichuan, People's Republic of China. steedvan@163.com.
Fourth People's Hospital of Sichuan Province · CNTulane University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSurgical lung resection involves a critical task of stapled ligation and transection of major vascular structures and tissue, which may lead to bleeding and complications. A newer powered stapling system with Gripping Surface Technology (GST) was introduced to account for tissue movements. This study aimed to examine the real-world effectiveness of GST system on intraoperative and postoperative outcomes of pulmonary resection.

methodsA retrospective analysis was conducted using the electronic medical records of Sichuan Provincial People's Hospital between July 2020 and March 2021 in China. Patients who underwent their first procedures of single-port lobectomy or multi-port segmentectomy by video-assisted thoracoscopic surgery were identified and grouped as GST group or manual stapler group (manual group) by the stapler types. The intraoperative outcomes such as bleeding rate, blood loss volume, and intervention rate at the staple line (including intraoperative pressure, suture, and electrocoagulation) were documented by trained nurses during the surgery. Propensity score matching was performed between the two groups, controlling forage, BMI, smoking history, history of surgery, complications, and level of complexity of pneumonectomy.

resultsA total of 108 matched patients were included in the analysis (54 in the GST group and 54 in the manual group). GST group had lower risks for intraoperative bleeding (22.8% vs 51.9%; p = 0.003) and intraoperative interventions (31.5% vs 55.6%; p = 0.02), compared to the manual group. A decrease in the intraoperative blood loss was observed in the GST group, but not statistically significant (134.39 ± 52.82 ml vs 158.11 ± 73.14 ml, p = 0.102). The use of NEOVEIL (reinforcement material to prevent air leakage from the staple line) intraoperatively during surgery was significantly lower in the GST group (24.1%) than in the manual group (50%, p = 0.01).

conclusionThe GST system was associated with better intraoperative outcomes in clinical practice in China.

Indexed as

Gripping surface technologyLobectomyManual staplersNEOVEILPowered staplersPulmonary resectionSegmentectomy

Identifiers

PMID36564821
PMCPMC9789598
OpenAlexW4312179217

What OpenQuestion holds

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LicenceCC BY
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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.