Evidence map›Paper›PMID 40146493›Full record

ArticleAnnals of surgical oncology2025

Retroperitoneal-First Laparoscopic Approach (Retlap)-Assisted Additional Lymph Node Dissection for Incidental Gallbladder Cancer: A Novel and Reasonable Approach to the Hepatoduodenal Ligament.

Takuma Karasuyama, Gozo Kiguchi, Osamu Takeyama

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Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 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

3 authors.

Takuma Karasuyama *Department of Surgery, Hirakata Kohsai Hospital, Hirakata-shi, Osaka-fu, Japan.
Gozo Kiguchi *Department of Hepatobiliary Surgery, Kansai Medical University, Hirakata-shi, Osaka-fu, Japan. gozo_kiguchi@kuhp.kyoto-u.ac.jp.
Osamu TakeyamaDepartment of Surgery, Hirakata Kohsai Hospital, Hirakata-shi, Osaka-fu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of incidental gallbladder cancer (IGBC) has been reported to be approximately 1% in patients undergoing cholecystectomy.

methodsA 59-year-old woman underwent laparoscopic cholecystectomy for symptomatic cholelithiasis, and IGBC was diagnosed based on a pathological examination. The depth of invasion was T3a, and additional lymph node dissection was performed using Retlap.

resultsThe operation time was 326 min, the retention time was 153 min, and the estimated blood loss was 30 mL. The patient was discharged on the sixth postoperative day without any complications. Pathologically, 13 lymph nodes were dissected but there were no malignant findings.

conclusionRetlap-assisted additional lymph node dissection for IGBC is not affected by intra-abdominal adhesions, provides a good visual field, does not require mobilization of the colon, and allows minimally invasive surgery. Since the robotic approach for IGBC has already been safely implemented,

Indexed as

Cholecystectomy, LaparoscopicGallbladder NeoplasmsLaparoscopyLigamentsLymph Node ExcisionFemaleHumansIncidental FindingsMiddle AgedPrognosisRetroperitoneal Space

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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.