Evidence map›Paper›PMID 38738243›Full record

ArticleJournal of thoracic disease2024

A preliminary study of modified inflatable mediastinoscopic and single-incision plus one-port laparoscopic esophagectomy.

Hua Tang, Zhihao Song, Rongqiang Wei, Kai Yan, Zihao Chen, Kenan Huang, Ning Xin, Noriyuki Hirahara, Inderpal S Sarkaria, Xinyue Li and 2 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

12 authors.

Hua Tang *Department of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Zhihao Song *Department of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Rongqiang Wei *Department of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Kai YanDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.ORCID https://orcid.org/0009-0000-6760-2223
Zihao ChenDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Kenan HuangDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Ning XinDepartment of Thoracic Surgery, People's Liberation Army 960th Hospital, Jinan, China.
Noriyuki HiraharaDepartment of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Japan.
Inderpal S SarkariaDivision of Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Xinyue LiDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Bin WuDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Zhifei XuDepartment of Thoracic Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Esophageal malignancies have a high morbidity rate worldwide, and minimally invasive surgery has emerged as the primary approach for treating esophageal cancer. In recent years, there has been increasing discussion about the potential of employing inflatable mediastinoscopic and laparoscopic approaches as an option for esophagectomy. Building on the primary modification of the inflatable mediastinoscopic technique, we introduced a secondary modification to further minimize surgical trauma. Methods: We conducted a retrospective analysis of patients who underwent inflatable mediastinoscopy combined with laparoscopic esophagectomy at the Second Affiliated Hospital of Naval Medical University from March 2020 to March 2023. The patients were allocated to the following two groups: the traditional (primary modification) group, and the secondary modification group. Operation times, intraoperative bleeding, and postoperative complications were compared between the groups. Results: The procedure was successfully performed in all patients, and conversion to open surgery was not required in any case. There were no statistically significant differences in the surgical operation time, intraoperative bleeding, number of dissected lymph nodes, and rate of postoperative anastomotic leakage between the two groups. However, a statistically significant difference was observed in the length of the mobilized esophagus between the two groups. The mobilization of esophagus to the level of diaphragmatic hiatus via the cervical incision was successfully achieved in more patients in the secondary modification group than the primary modification group. Conclusions: Inflatable mediastinoscopy combined with single-incision plus one-port laparoscopic esophagectomy is a safe and effective surgical procedure. The use of a 5-mm flexible endoscope, ultra-long five-leaf forceps, and LigaSure Maryland forceps facilitates esophageal mobilization and lymph node dissection through a single cervical incision.

Indexed as

Esophageal cancerinflatable mediastinoscopic esophagectomyminimally invasive esophagectomy

Identifiers

PMID38738243
PMCPMC11087624

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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.