Evidence map›Paper›PMID 39256787›Full record

ArticleWorld journal of surgical oncology2024

Efficacy of neoadjuvant chemotherapy combined with prophylactic intraperitoneal hyperthermic chemotherapy for patients diagnosed with clinical T4 gastric cancer who underwent laparoscopic radical gastrectomy: a retrospective cohort study based on propensity score matching.

Chen-Bin Lv, Lin-Yan Tong, Wei-Ming Zeng, Qiu-Xian Chen, Shun-Yong Fang, Yu-Qin Sun, Li-Sheng Cai

Erratum issuedAbstract read
In one paragraph

Article in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Intraperitoneal chemotherapy for gastric cancer.The Cochrane database of systematic reviews · 2025
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Chen-Bin Lv *Zhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China.
Lin-Yan Tong *Department of Ultrasound, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou City, Fujian Province, China.
Wei-Ming Zeng *Zhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China.
Qiu-Xian ChenZhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China.
Shun-Yong FangZhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China.
Yu-Qin SunZhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China.
Li-Sheng CaiZhangzhou Affiliated Hospital of Fujian Medical University'sDepartment of Gastric Surgery, No.59 Sheng-li Road, Zhangzhou City, Fujian Province, China. cailishengcls@163.com.

Funding

PhD workstation at Zhangzhou Affiliated Hospital of Fujian Medical University PDB202109Startup Fund for Scientific Research at Fujian Medical University 2018QH1214
6 · The paper itself

Abstract

backgroundClinical T4 (cT4) stage gastric cancer presents with frequent postoperative recurrence and poor prognosis. This study is to evaluate the oncological efficacy of laparoscopic radical total gastrectomy combined with postoperative prophylactic hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with cT4N + M0 gastric cancer who received neoadjuvant chemotherapy.

methodsWe reviewed the clinicopathological data of 174 patients with clinical T4 gastric cancer who underwent neoadjuvant chemotherapy followed by laparoscopic radical total gastrectomy between June 2017 and December 2021. Among them, 142 were included in the non-HIPEC group, and 32 in the HIPEC group. Patients in both groups were paired based on propensity score in a 2:1 ratio to assess disparities in tumor recurrence and long-term survival.

resultsAfter matching, there were no significant differences in the clinicopathological data between the two groups. The peritoneum (16.1%) and distant organs (10.9%) were the most frequent locations for recurrence. Prior to matching, the recurrence rates were similar at all sites for both groups. Compared with those in the non-HIPEC cohort, the recurrence rates at all sites, the lung, and the peritoneum were notably lower in the HIPEC cohort. Prior to matching, the 3-year overall survival and disease-free survival rates were similar between the two groups; following matching, the HIPEC group exhibited notably greater survival rates than did the non-HIPEC group. The disparities in survival rates between the groups became even more pronounced after conducting a stratified analysis among patients with stage III disease.

conclusionsNeoadjuvant chemotherapy combined with prophylactic HIPEC after laparoscopic radical gastrectomy can effectively reduce the rate of peritoneal metastasis in patients with cT4N + M0 advanced gastric cancer and significantly improve the prognosis of such patients, which is of great clinical value.

Indexed as

GastrectomyHyperthermic Intraperitoneal ChemotherapyLaparoscopyNeoadjuvant TherapyNeoplasm Recurrence, LocalPropensity ScoreStomach NeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleGastric cancerHyperthermic intraperitoneal chemotherapyLaparoscopic surgeryNeoadjuvant chemotherapy

Identifiers

PMID39256787
PMCPMC11389469

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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.