Evidence map›Paper›PMID 36567443›Full record

ArticleThoracic cancer2023

Multi-center experience in an optimized right upper lobectomy surgical procedure in China.

Long-Yong Mei, Wen-Zhou Liu, Yu-Chi Xiu, Shao-Lin Tao, Yong-Geng Feng, Qun-You Tan, Shi-Guang Xu, Lei Xian, Bo Deng

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Thoracic cancer, 2023. 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
0.3field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

9 authors at 3 institutions in 1 country.

Long-Yong MeiDepartment of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, China.
Wen-Zhou LiuDepartment of Thoracic and Cardiovascular Surgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yu-Chi XiuDepartment of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, China.
Shao-Lin TaoDepartment of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, China.
Yong-Geng FengDepartment of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, China.
Qun-You TanDepartment of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, China.
Shi-Guang XuDepartment of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, China.
Lei XianDepartment of Thoracic and Cardiovascular Surgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Bo DengDepartment of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, China.ORCID 0000-0002-5112-9221
Army Medical University · CNGeneral Hospital of Shenyang Military Region · CNGuangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis multi-center study was aimed at retrospectively evaluating the feasibility, safety, clinical outcomes, and surgical learning curve of an optimized procedure for right upper lobectomy (RUL), which is challenging because of the anatomical structures and features of this lobe.

methodsThis study included 45 RUL cases of robot-assisted thoracoscopy (RATS) in a pilot cohort and 187 RUL cases of video-assisted thoracoscopy (VATS) in three cohorts. A total of 121 and 111 patients underwent traditional and optimized RUL, respectively. The optimized surgical procedure was performed to consecutively transect the superior arterial trunk and bronchus, and finally disconnect the pulmonary vein and posterior ascending artery with interlobar fissures. Clinical and radiological data were reviewed retrospectively.

resultsOptimized RUL can be performed successfully by RATS or VATS. The optimized procedure yielded better clinical outcomes than the traditional procedure, including shorter operation times, less blood loss, fewer complications, shorter hospital times, lower costs, and a lower likelihood of postoperative intermedius bronchial kinking. Additionally, for calcified interlobar lymph nodes, the optimized VATS group was less likely to be converted to thoracotomy than the traditional group. The skills required to perform optimized VATS RUL can be gained by surgeons after 12 to 15 cases. The two RUL procedures in the pilot cohort showed similar disease-free survival.

conclusionsThe optimized RUL was safe, economical, and feasible, with a short learning curve and satisfactory disease-free survival.

Indexed as

Lung NeoplasmsBronchiDisease-Free SurvivalHumansPneumonectomyRetrospective StudiesThoracic Surgery, Video-Assistedlung cancerright upper lobectomysurgical technology

Identifiers

PMID36567443
PMCPMC9968593
OpenAlexW4312142577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.