Evidence map›Paper›PMID 37333809›Full record

ArticleFrontiers in oncology2023

The clinical outcomes of laparoscopic proximal gastrectomy with double-tract reconstruction versus tube-like stomach reconstruction in patients with adenocarcinoma of the esophagogastric junction based on propensity score-matching: a multicenter cohort study.

Zhiwen Xu, Jinping Chen, Shaoqin Chen, Hexin Lin, Kang Zhao, Changyue Zheng, Huibin Liu, Zhihua Chen, Yongan Fu, Qingqi Hong and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 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
1.3field-weighted citation impact, top 19% 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, 5 citations in OpenAlex.

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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

13 authors at 6 institutions in 1 country.

Zhiwen XuDepartment of Gastrointestinal Oncology Surgery, the First Affiliated Hospital of Xiamen University, Xiamen, China.
Jinping ChenDepartment of Gastrointestinal Surgery, the First Hospital of Quanzhou, Quanzhou, China.
Shaoqin ChenDepartment of Gastrointestinal Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Hexin LinDepartment of Gastrointestinal Oncology Surgery, the First Affiliated Hospital of Xiamen University, Xiamen, China.
Kang ZhaoDepartment of Gastrointestinal Oncology Surgery, the Affiliated Hospital of Qinghai University, Xining, China.
Changyue ZhengDepartment of Gastrointestinal Surgery, the Affiliated Hospital of Putian College, Putian, China.
Huibin LiuDepartment of Gastrointestinal Surgery, the Affiliated Hospital of Putian College, Putian, China.
Zhihua ChenDepartment of Gastrointestinal Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yongan FuDepartment of Gastrointestinal Surgery, the First Hospital of Quanzhou, Quanzhou, China.
Qingqi HongDepartment of Gastrointestinal Oncology Surgery, the First Affiliated Hospital of Xiamen University, Xiamen, China.
Wei LinDepartment of Gastrointestinal Surgery, the Affiliated Hospital of Putian College, Putian, China.
Su YanDepartment of Gastrointestinal Oncology Surgery, the Affiliated Hospital of Qinghai University, Xining, China.
Jun YouDepartment of Gastrointestinal Oncology Surgery, the First Affiliated Hospital of Xiamen University, Xiamen, China.
Putian University · CNXiamen University · CNFirst Affiliated Hospital of Fujian Medical University · CNQinghai University Affiliated Hospital · CNThe 180th Hospital of PLA · CNFirst Affiliated Hospital of Xiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DTR) and laparoscopic proximal gastrectomy with tube-like stomach reconstruction (LPG-TLR) are both function-preserving procedures performed for treating AEG. However, there is no clinical consensus on the selection of digestive tract reconstruction after proximal gastrectomy, and the best way to reconstruct the digestive tract remains controversial. This study aimed at comparing the clinical outcomes of LPG-DTR and LPG-TLR to provide some reference to the choice of AEG surgical modalities. Methods: This was a multicenter, retrospective cohort study. we collected clinicopathological and follow-up data of patients with consecutive cases diagnosed with AEG from January 2016 to June 2021 in five medical centers. According to the way of digestive tract reconstruction after tumor resection, patients who underwent LPG-DTR or LPG-TLR were included in the present study. Propensity score matching (PSM) was performed to balance baseline variables that might affect the study outcomes. The QOL of the patients was evaluated using the Visick grade. Results: A total of 124 eligible consecutive cases were finally included. Patients in both groups were matched using the PSM method, and 55 patients from each group were included in the analysis after PSM. There was no statistically significant difference between the two groups in terms of the operation time, amount of intraoperative blood loss, days of postoperative abdominal drainage tube placement, postoperative hospitalization days, total hospitalization cost, the total number of lymph nodes cleared, and the number of positive lymph nodes ( Conclusion: The anti-reflux effect and quality of life of LPG-DTR for AEG were comparable to those of LPG-TLR. Compared with LPG-TLR, LPG-DTR provide better nutrition status for patients with AEG. LPG-DTR is a superior reconstruction method after proximal gastrectomy.

Indexed as

adenocarcinoma of the esophagogastric junctiondigestive tract reconstructiondouble-tract reconstructionproximal gastrectomyquality of lifetube-like stomach reconstruction

Identifiers

PMID37333809
PMCPMC10272833
OpenAlexW4379141720

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