Evidence map›Paper›PMID 36847673›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2023

Does thoracoscopic basal pyramid segmentectomy really offer functional advantages in comparison with thoracoscopic lower lobectomy?

Stefano Bongiolatti, Alberto Salvicchi, Giovanni Mugnaini, Eduart Vokrri, Domenico Viggiano, Alessandro Gonfiotti, Federico Lavorini, Luca Voltolini

Open access · diamondAbstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
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  4. Lung Segmentectomy in NSCLC Surgery.Life (Basel, Switzerland) · 2023
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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

8 authors at 2 institutions in 1 country.

Stefano BongiolattiThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.ORCID 0000-0003-2722-9270
Alberto SalvicchiThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Giovanni MugnainiThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Eduart VokrriThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Domenico ViggianoThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Alessandro GonfiottiThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.ORCID 0000-0003-2724-9474
Federico LavoriniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Luca VoltoliniThoracic Surgery Unit, Careggi University Hospital, Florence, Italy.ORCID 0000-0002-2818-859X
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe functional impact of thoracoscopic basal segmentectomy in comparison with lower lobectomy has not been investigated in-depth and the aim of this study was to clarify this topic.

methodsWe retrospectively analysed a cohort of patients who underwent surgery between 2015 and 2019 for non-small-cell lung cancer, peripherally located lung nodules, far enough from both the apical segment and the lobar hilum to allow an oncologically safe thoracoscopic lower lobectomy or basal segmentectomy. Pulmonary function tests (PFTs) including spirometry and plethysmography were performed 1 month after surgery and forced expiratory volume in 1 s, forced vital capacity (FVC) and diffusing capacity for carbon monoxide (DLCO) were collected; the difference, the loss and the recovery rate of pulmonary function were calculated and compared with the Wilcoxon-Mann-Whitney test.

resultsDuring the study period, n = 45 and n = 16 patients for video-assisted thoracoscopic surgery (VATS) lower lobectomy and for VATS basal segmentectomy, respectively, completed the study protocol: the 2 groups were homogeneous as to preoperative variables and PFT values. Postoperative outcomes were similar and PFTs revealed significant differences between postoperative forced expiratory volume in 1 s %, FVC%, ΔFVC and ΔFVC%. The loss percentage of FVC%, DLCO% and the recovery rate was better for FVC and DLCO in the VATS basal segmentectomy group.

conclusionsThoracoscopic basal segmentectomy seems to be associated with a more preserved lung function, maintaining more FVC and DLCO levels than lower lobectomy, and could be performed in selected cases ensuring also adequate oncological margins.

Indexed as

Functional assessmentPulmonary function testsSpirometryThoracoscopic basal segmentectomy

Identifiers

PMID36847673
PMCPMC9901411
OpenAlexW4318163914

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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.