Evidence map›Paper›PMID 40119279›Full record

ArticleBMC surgery2025

Study on the learning curve for thoracoscopic and laparoscopic radical resection of esophageal cancer.

Kexin Cao, Kun Li, Geng Zhang, Zhijun Chen, Jian Zhu

Abstract read
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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. Article
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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

5 authors.

Kexin Cao *Department of Thoracic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, People's Republic of China.
Kun Li *Department of Anesthesiology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China.
Geng ZhangDepartment of Thoracic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, People's Republic of China.
Zhijun ChenDepartment of Thoracic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, People's Republic of China. zhijunch@126.com.
Jian ZhuDepartment of Thoracic Cardiovascular Surgery, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China. zhujian0718@163.com.

Funding

Medical Science and Technology Research Program with Joint Construction Project of Henan Province LHGJ20210509The "Three Heroes and One Team" Talent Project of the Central Theater Command General Hospital of the People's Liberation Army No.2023-1692
6 · The paper itself

Abstract

backgroundThe procedure for thoracoscopic and laparoscopic radical resection of esophageal cancer is complicated, so the operation time is long, which can easily negatively affect the self-confidence of young thoracic surgeons. This retrospective cohort study aimed to improve young thoracic surgeons' understanding of this type of surgery by analyzing the learning curve.

methodsFrom October 2017 to August 2018, 64 patients who underwent thoracoscopic and laparoscopic radical resection of esophageal cancer by a single team were reviewed by a retrospective cohort study. These patients were divided into four groups according to the date of operation. The baseline data, operation time, the amount of bleeding during the operation, and the number of lymph nodes sampled were compared. Then, the quality of the different stages of the operation was analyzed and evaluated.

resultsThere were no significant differences in the general baseline data, chest tube duration, or number of samples collected from the right laryngeal nodes among the four groups (p > 0.05). With the accumulation of experience, several key measures of surgical benefit were significantly different among the four groups. Specifically, the operation time became shorter, the amount of bleeding gradually decreased, the number of lymph nodes sampled gradually increased, and the number of left para-recurrent laryngeal nerve lymph nodes sampled gradually increased (p < 0.05).

conclusionAccording to the learning curve, approximately 16 patients needed to complete this type of operation in 300 min, and 22 patients needed to be independently sampled from more than 20 lymph nodes.

Indexed as

Esophageal NeoplasmsEsophagectomyLaparoscopyLearning CurveThoracoscopyAdultAgedClinical CompetenceFemaleHumansLymph Node ExcisionMaleMiddle AgedOperative TimeRetrospective StudiesEsophageal cancerLaparoscopyLearning curveSurgical qualityThoracoscopy

Identifiers

PMID40119279
PMCPMC11927204

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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.