Evidence map›Paper›PMID 40220196›Full record

Trial reportPediatric surgery international2025

Continuous clamping facilitates distal fistula dissection in thoracoscopic repair of type C esophageal atresia: a novel surgical technique.

Shichun Zhu, Zhenyong Liu, Bing Li

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric surgery international, 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

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. Trial
  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

3 authors.

Shichun ZhuDepartment of Pediatric Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Zhenyong LiuDepartment of Pediatric Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Bing LiDepartment of Pediatric Surgery, Huai'an Maternal and Child Health Care Hospital Affiliated to Yangzhou University, Huai'an, China. haalibing@126.com.

Funding

Maternal and Child Health Research Project of Jiangsu Province F201713Science and Technology Plan Project of Huai'an City HAP202001
6 · The paper itself

Abstract

purposeTo determine whether continuous clamping improves distal fistula dissection in thoracoscopic type C esophageal atresia repair.

methodsBetween January 2019 and May 2024, 31 patients with type C esophageal atresia underwent thoracoscopic repair. Patients were randomly assigned to receive either conventional surgery (control group, n = 16) or surgery with continuous clamping during distal fistula dissection (study group, n = 15). This study compared intraoperative parameters (fistula dissection time, total surgical duration, etc.) and postoperative outcomes (anastomotic leak, anastomotic stenosis, etc.) between groups.

resultsBaseline characteristics did not differ significantly between groups, including gender, age, admission weight, gestational age, and comorbid congenital anomalies (all P > 0.05). The study group demonstrated significantly fewer intraoperative interruptions (1.2 ± 0.3 vs. 5.5 ± 1.3 episodes, P < 0.05), shorter fistula ligation time (15.3 ± 4.5 vs. 32.3 ± 10.6 min), and shorter total operative duration (121.5 ± 13.5 vs. 153.1 ± 15.0 min) compared with the control group (all P < 0.05).

conclusionContinuous clamping during distal fistula dissection significantly reduces cyanosis-related surgical pauses, shortens fistula ligation time, and decreases total operative time, improving efficiency in thoracoscopic type C esophageal atresia repair.

Indexed as

DissectionEsophageal AtresiaThoracoscopyConstrictionFemaleHumansInfant, NewbornMaleOperative TimePostoperative ComplicationsTreatment OutcomeContinuous clampingEsophageal atresiaNeonatalThoracoscopyTracheoesophageal fistula

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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.