Evidence map›Paper›PMID 37434837›Full record

ArticleAmerican journal of translational research2023

Effects of uniportal thoracoscopic pulmonary segmentectomy and lobectomy on patients with early-stage non-small-cell lung cancer and risk factors of postoperative complications.

Deyu Ji, Ronggui Sun, Zhiyong Wu

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
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  7. 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

3 authors at 1 institution in 1 country.

Deyu JiDepartment of Thoracic Surgery, Mingguang People's Hospital No. 379, Mingguang Avenue, Mingguang 239400, Anhui, China.
Ronggui SunDepartment of Thoracic Surgery, Mingguang People's Hospital No. 379, Mingguang Avenue, Mingguang 239400, Anhui, China.
Zhiyong WuDepartment of Thoracic Surgery, Mingguang People's Hospital No. 379, Mingguang Avenue, Mingguang 239400, Anhui, China.
Belarusian State University of Physical Culture · BY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effects of uniportal thoracoscopic pulmonary segmentectomy and lobectomy on patients with early-stage non-small-cell lung cancer (ES-NSCLC) and risk factors of postoperative complications.

methodsThe clinical data of 97 patients with early lung cancer treated in Mingguang People's Hospital between October 2019 and December 2021 were retrospectively analyzed. A total of 45 patients who underwent pulmonary segmentectomy were assigned to the observation group. The remaining 52 patients who underwent lobectomy were assigned to the control group. The perioperative indexes of the two groups were compared, including operation time, intraoperative blood loss, intraoperative lymph node dissection, postoperative indwelling time of drainage tube and postoperative drainage volume. The treatment cost and hospitalization time of the two groups were compared. The changes of inflammatory indexes including C-reactive protein (CRP), interleukin (IL)-1β, IL-6, and tumour necrosis factor (TNF)-α before and after treatment were compared between the two groups. The changes of forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were compared between the two groups. The incidence of postoperative complications in the two groups was counted. Logistic regression was conducted for analyzing the risk factors of postoperative complications.

resultsThe two groups were similar in operation time, intraoperative blood loss, and number of intraoperative lymph node dissected (all P>0.05). The observation group experienced a significantly shorter postoperative indwelling time of drainage tube and less postoperative drainage volume than the control group after surgery (P<0.05). The observation group presented significantly lower CRP, IL-1β, IL-6, and TNF-α levels than the control group (P<0.001). The observation group presented significantly higher FEV1 and FVC levels than the control group at 3 months after operation (P<0.001). The treatment cost of the two groups was not greatly different (P>0.05), but the observation group experienced a significantly shorter hospitalization time than the control group (P<0.001). The two groups were similar in the incidence of complications (P>0.05). According to multivariate logistics regression analysis, age, operation time, and number of lymph nodes dissected were independent risk factors for postoperative complications (P<0.05).

conclusionTo sum up, for patients with early LC, pulmonary segmentectomy is significantly more effective than lobectomy in terms of pulmonary function and inflammatory response, and age, operation time and number of lymph node dissected during operation are independent risk factors affecting postoperative complications.

Indexed as

complicationsearly-stage non-small-cell lung cancerlobectomypulmonary segmentectomyrisk factorsUniportal thoracoscopy

Identifiers

PMID37434837
PMCPMC10331682
OpenAlexW4383998286

What OpenQuestion holds

Textmetadata
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.