Evidence map›Paper›PMID 38057758›Full record

ArticleBMC gastroenterology2023

Convenient method to improve efficiency of lymph node examination after gastrectomy with D2 lymphadenectomy for gastric cancer.

Hanting Xiang, Zhebin Dong, Hengmiao Wu, Yicheng He, Zhengwei Chen, Sangsang Chen, Weiming Yu, Chao Liang

Abstract read
In one paragraph

Article in BMC gastroenterology, 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
–field-weighted citation impact
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. 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

8 authors.

Hanting XiangDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Zhebin DongDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Hengmiao WuDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Yicheng HeDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Zhengwei ChenDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Sangsang ChenDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China.
Weiming YuDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China. yuweiming7601@163.com.
Chao LiangDepartment of General Surgery, the Affiliated Lihuili Hospital, Ningbo University, Ningbo, 315000, People's Republic of China. movingstar-lchao@163.com.

Funding

Medical Science and Technology Project of Zhejiang Province 2023KY236Natural Science Foundation of Ningbo Municipality 2021J279Natural Science Foundation of Ningbo Municipality 2022J264
6 · The paper itself

Abstract

backgroundThe D2 procedure has been accepted as the standard treatment for advanced gastric cancer (GC) in East Asia. Determination of the number of lymph nodes (LNs) after gastrectomy may influence the pathological stage assessment of lymph node metastasis, significantly influencing prognostic evaluations and formulation of chemotherapy regimens.

methodsBetween January 2020 and January 2022, the medical files of 312 patients with clinical stage T0-4aN0-3M0 gastric cancer were reviewed retrospectively, and the patients were assigned to the normal group (lymph nodes were examined roughly), manual group (lymph nodes were manually examined meticulously), and device group (lymph nodes were examined by device). The clinical and pathologic characteristics, number of lymph nodes harvested, and the time required for lymph node examination was compared.

resultsA total of 312 gastric cancer patients (mean age 65.8 ± 10.3 years, 85 females and 227 males) underwent gastrectomy with curative intent at our department. Sex, age, body mass index (BMI), tumor size, clinical TNM stage, and pathologic TNM stage in the three groups showed no statistically significant differences (P > 0.05). The mean number of harvested lymph nodes in the normal, manual, and device group was 24.2, 36.6 and 35.2, respectively, which showed significant differences (P < 0.0001). The mean number of positive lymph nodes in the normal, manual, and device group was 3.5, 3.9 and 3.9, respectively (P = 0.99). The mean time consumption in device group was 15 min while the time consumption in manual group was 52.3 min, which showed a significant difference (P < 0.0001).

conclusionThis improved lymph node examination method offers a simple approach that is worth promoting, and it can improve the number of harvested lymph nodes efficiently.

Indexed as

Stomach NeoplasmsAgedFemaleGastrectomyHumansLymph Node ExcisionLymph NodesMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesGastrectomyGastric cancerLymph node examination

Identifiers

PMID38057758
PMCPMC10701975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.