Evidence map›Paper›PMID 36774436›Full record

ArticleAnnals of surgical oncology2023

Comparison of Short-Term Outcomes Between Robot-Assisted and Video-Assisted Segmentectomy for Small Pulmonary Nodules: A Propensity Score-Matching Study.

Mu-Zi Yang, Zi-Hui Tan, Ji-Bin Li, Chu-Long Xie, Tian-Yu Sun, Hao Long, Jian-Hua Fu, Lan-Jun Zhang, Peng Lin, Hao-Xian Yang

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In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Mu-Zi Yang *Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zi-Hui Tan *Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Ji-Bin LiState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Chu-Long XieDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Tian-Yu SunDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hao LongDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jian-Hua FuDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Lan-Jun ZhangDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Peng LinDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hao-Xian YangDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China. yanghx@sysucc.org.cn.ORCID http://orcid.org/0000-0002-1940-3657
Sun Yat-sen University · CN

Funding

Excellent Surgery Study Project of Bethune Charitable Foundation CESS2021LB15Guangzhou Science and Technology Program 202103000023National Natural Science Foundation of China 82072572Natural Science Foundation of Guangdong Province 2018A030313410Natural Science Foundation of Guangdong Province 2020A151501311Sun Yat-sen University Clinical Research 5010 Program 2019012
6 · The paper itself

Abstract

backgroundOur study aimed to compare the short-term outcomes between robot-assisted segmentectomy (RAS) and video-assisted segmentectomy (VAS) for small pulmonary nodules.

methodsThe study included of 299 segmentectomies (132 RAS and 167 VAS procedures) for small pulmonary nodules between June 2018 and November 2021. The patients were divided into two groups: the RAS group and the VAS group. Propensity score-matching (PSM) analysis was performed to minimize bias. A logistic regression model was performed to identify the independent risk factors associated with complications.

resultsBefore PSM, the following clinical variables were not balanced: age (P = 0.004), tumor size (P < 0.001), forced expiratory volume for 1 s (FEV1), and FEV1 percentage (P < 0.001). The patients with RAS had a shorter operative time (P = 0.014), less blood loss, a shorter postoperative hospital stay, less use of strong opioids, less drainage on postoperative day 1, and less postoperative total drainage, but more cost (all P < 0.001). Conversion to open surgery was performed for two patients in the VAS group but none in the RAS group. After PSM, 53 pairs were successfully matched. The data again suggested that the patients with RAS had less blood loss, a shorter postoperative hospital stay, and less use of strong opioids, but more cost (all P < 0.001). The operation time also was shorter in the RAS group, with a borderline statistically significant P value (0.053).

conclusionsIn our study, RAS had better short-term outcomes than VAS, indicating a safer and more efficient technique than VAS.

Indexed as

Multiple Pulmonary NodulesRoboticsHumansMastectomy, SegmentalPneumonectomyPropensity ScoreRetrospective StudiesThoracic Surgery, Video-Assisted

Identifiers

PMID36774436
OpenAlexW4320040353

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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.