Evidence map›Paper›PMID 40140808›Full record

ArticleBMC surgery2025

Robotic resection of mediastinal tumors: surgical approach and procedure.

Hiroe Aoshima, Motoka Omata, Hiroaki Shidei, Akira Ogihara, Shota Mitsuboshi, Tamami Isaka, Takako Matsumoto, Masato Kanzaki

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

8 authors.

Hiroe AoshimaThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Motoka OmataThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Hiroaki ShideiThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Akira OgiharaThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Shota MitsuboshiThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Tamami IsakaThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Takako MatsumotoThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Masato KanzakiThe Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan. kanzaki.masato@twmu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMediastinal tumors (MTs) develop in various sites within the thoracic cavity, and the robotic surgical approach for MTs varies depending on the tumor location. This study aimed to assess the optimal approach for robotic surgery for MTs.

methodsFrom April 2012 to May 2023, 141 cases of MTs removed by robotic surgery were noted. Of these, 130 cases, excluding those with combined lung resection, combined chest wall resection, and biopsy, were investigated for the MT location, surgical approach, operative time, and console time.

resultsOf the participants, 61 were male and 69 were female, with a median age of 60 (16-85) years and a median tumor diameter of 23 (2.5-150) mm. Additionally, 5 upper MTs, 99 anterior MTs, 22 middle MTs, and 4 posterior MTs were observed. The median operative and console time was 146 (38-371) and 76 (14-239) min, respectively. All cases, except for one case of the upper and middle MTs, were operated in the lateral position via a lateral approach. Of the 99 anterior MTs, 87, 9, and 3 were operated via lateral approach, subxiphoid approach, and single incision, respectively. Of the 87 patients who underwent the lateral approach, 78 and 12 underwent surgery in the 30° lateral decubitus position and lateral positions, respectively.

conclusionsStandardizing the robotic surgery approach for MTs on the basis of tumor location enhances procedural safety and feasibility.

Indexed as

Mediastinal NeoplasmsRobotic Surgical ProceduresAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesYoung AdultLateral approachMediastinal tumorRobotic-assisted thoracic surgerySubxiphoid approachSurgical approach

Identifiers

PMID40140808
PMCPMC11938628

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LicenceCC BY-NC-ND
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Registered trials

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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.