Evidence map›Paper›PMID 38137844›Full record

ArticleLife (Basel, Switzerland)2023

Oncological Adequacy of Laparoscopic Surgery for Bulky Gastric Cancer: Results of a Western Single-Center Series.

Edoardo Maria Muttillo, Alice La Franca, Silvia Stefanelli, Alessandro Coppola, Francesco Saverio Li Causi, Rachele Anna Giannella, Elena Pino, Giorgio Castagnola, Andrea Scarinci, Genoveffa Balducci and 1 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 4 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

11 authors at 1 institution in 1 country.

Edoardo Maria MuttilloDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.ORCID 0000-0003-3562-0392
Alice La FrancaDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.ORCID 0009-0004-3484-9122
Silvia StefanelliDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Alessandro CoppolaDepartment of Surgery, Sapienza University of Rome, Viale Regina Elena 291, 00161 Rome, Italy.
Francesco Saverio Li CausiDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.ORCID 0009-0006-0592-7616
Rachele Anna GiannellaDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Elena PinoDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Giorgio CastagnolaDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Andrea ScarinciDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.ORCID 0000-0001-9453-3411
Genoveffa BalducciDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Paolo MercantiniDepartment of Medical Surgical Science and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00198 Rome, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric cancer is increasing worldwide and one million new cases were estimated globally in 2020. Use of the laparoscopic approach is increasing especially for subtotal gastrectomy. However, to date, solid data on locally advanced bulky tumors are lacking. The aim of this study is to assess the role of laparoscopic surgery in bulky gastric tumors.

methodsWe performed an observational retrospective single-center analysis. The following data were collected and analyzed for each patient: demographics, tumor-related data, intra-operative data, peri-operative data, and pathological data. Statistical analysis was conducted, including descriptive statistics and chi-squared test, to analyze the differences between categorical variables.

resultsO the 116 patients who underwent gastric surgery, 49 patients were included in the study protocol. All patients had bulky gastric tumors. Eighteen patients underwent laparoscopic gastrectomy and 31 open gastrectomy. The median number of lymph nodes removed was 28.5 (15-46) in the laparoscopic group and 23.05 (6-62) in the open group (

conclusionsLaparoscopic surgery is still a subject of debate in locally advanced bulky gastric cancer. Limited data are available concerning Western patients. This study showed superiority in terms of the quality of lymphadenectomy and non-inferiority in terms of radical resection margins.

Indexed as

bulky gastric cancerbulky tumorD2 lymphadenectomygastrectomygastric tumorlaparoscopiclymphadenectomy

Identifiers

PMID38137844
PMCPMC10744348
OpenAlexW4388913550

What OpenQuestion holds

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LicenceCC BY
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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.