Evidence map›Paper›PMID 39438919›Full record

ArticleBMC surgery2024

Robot-assisted resection of renal tumor in children and comparison with laparoscopic surgery.

Min He, Shuangai Liu, Ziqi He, Yuwei Wang, Xiaohui Ma, Jiabin Cai, Xuan Wu, Junqin Mao, Lifeng Zhang, Jieni Xiong and 5 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

15 authors.

Min HeDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Shuangai LiuPediatric Cancer Research Center, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Ziqi HeGraduate School, Zunyi Medical University, Zunyi, Guizhou, China.
Yuwei WangDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Xiaohui MaDepartment of Radiology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jiabin CaiDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Xuan WuDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Junqin MaoDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Lifeng ZhangDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Jieni XiongDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Meidan YingCancer Center, Zhejiang University, Hangzhou, Zhejiang, China.
Wanxin PengPediatric Cancer Research Center, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China.
Ting TaoPediatric Cancer Research Center, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China. taot@zju.edu.cn.
Xiang YanDepartment of Urology Surgery, Children's Hospital, Zhejiang University School of Medicine, No.3333 Binsheng Rode, Hangzhou, Zhejiang, China. yanxiang@zju.edu.cn.
Jinhu WangDepartment of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333 Binsheng Rode, Hangzhou, Zhejiang, China. wjh@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobot-assisted surgery (RAS) is being performed with increasing frequency in pediatric oncology. We report our experience with RAS for renal tumors in children and compare the outcomes between RAS and laparoscopic surgery (LAS).

methodsA total of 23 patients with renal tumor who underwent minimally invasive surgery (MIS) between January 2020 and December 2023 were included in the study. The inclusion criteria enrolled in this study was unilateral tumors with maximum tumor diameter less than 10 cm. Patients who had enlarged lymph node, venous thrombosis, preoperative tumor rupture, bilateral renal tumor, or extrarenal extension on imaging were deemed contraindications and excluded. Patient demographics, operative details, postoperative outcomes and follow-up were recorded.

resultsAmong these patients, 17 underwent RAS and 6 underwent LAS. In the RAS group, the median age was 64 months (range, 9-156) with a median weight of 19.48 kg (range, 8.4-46.5); the maximum tumor diameter at operation was 55.65 mm (range, 22-88); the operation time was 188.8 min (range, 120-210), the intraoperative blood loss was 20 ml (range, 5-50), and the length of postoperative hospital stay was 4 days (range 1-9). There was no significant difference in patients' age, weight, location, tumor size, histological pattern and operation time between the two groups (P > 0.05). The RAS group had a significantly less intraoperative blood loss (P = 0.026) and less length of postoperative stay (P = 0.01) than the LAS group.

conclusionOur initial experience suggested that RAS in pediatric renal tumor was feasible and safe, and it reduced surgical trauma and accelerate postoperative recovery for the patients. Due to the limitations of sample size and study quality, the clinical importance of these findings still needs to be further verified.

Indexed as

Kidney NeoplasmsLaparoscopyRobotic Surgical ProceduresAdolescentChildChild, PreschoolFemaleHumansInfantLength of StayMaleNephrectomyOperative TimeRetrospective StudiesTreatment OutcomeChildrenRenal tumorRobot-assistedSurgery

Identifiers

PMID39438919
PMCPMC11495109

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.