Evidence map›Paper›PMID 37347097›Full record

ArticleJournal of minimally invasive surgery2023

Intrathoracic anastomosis using handsewn purse-string suturing by the double-ligation method in laparo-thoracoscopic esophagectomy.

Takamasa Takahashi, Yuji Kaneoka, Atsuyuki Maeda, Yuichi Takayama, Hiroki Aoyama, Takahiro Hosoi, Kazuaki Seita

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of minimally invasive surgery, 2023. 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
0.3field-weighted citation impact, top 40% 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

7 authors at 1 institution in 1 country.

Takamasa TakahashiDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0003-2430-1839
Yuji KaneokaDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0001-6212-463X
Atsuyuki MaedaDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0003-2731-7836
Yuichi TakayamaDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0002-7484-8480
Hiroki AoyamaDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0003-1044-0686
Takahiro HosoiDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0001-7878-005X
Kazuaki SeitaDepartment of Surgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID https://orcid.org/0000-0003-1977-3436
Ogaki Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: In minimally invasive esophagectomy (MIE), it is important to reduce the rate of anastomotic leakage to ensure its safety. At our institute, the double-ligation method (DLM) has been introduced to insert and fix the anvil of the circular stapler for intracorporeal circular esophagojejunostomy in gastric surgery. We adopted this method for intrathoracic anastomosis (IA) in MIE. The aim of this study was to investigate the safety of IA with DLM in MIE. Methods: In this study, 48 patients diagnosed with primary middle or lower third segment thoracic esophageal carcinoma with clinical stage I, II, III or IV disease were retrospectively evaluated. Postoperative outcomes were assessed. Results: Among the 48 patients, 42 patients underwent laparo-thoracoscopic esophagectomy and IA using a circular stapler with the DLM. The average total operation time and thoracoscopic operation time were 433 and 229 minutes, respectively. The average purse-string suturing time was 4.7 minutes. The rates of anastomotic leakage and stenosis were 2.4% and 14.3%, respectively. The overall incidence of postoperative complications (Clavien-Dindo grade of ≥III) was 16.7%. The average postoperative stay was 16 days. Conclusion: The procedure of IA using a circular stapler with the DLM in MIE was safe and provided a low rate of anastomotic leakage.

Indexed as

Circular staplerEsophageal cancerIntrathoracic anastomosisThoracoscopic surgery

Identifiers

PMID37347097
PMCPMC10280111
OpenAlexW4380997827

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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.