Evidence map›Paper›PMID 40227724›Full record

ArticleCancers2025

The Effect of Intraoperative Hypothermia on Anastomotic Leakage After Esophagectomy.

Lorenzo Cinelli, Stefano Turi, Francesco Puccetti, Yong-Ha Lee, Riccardo Rosati, Ugo Elmore, On Behalf Of The Osr CCeR Collaborative Group

Abstract read
In one paragraph

Article in Cancers, 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

7 authors.

Lorenzo CinelliDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-2186-9421
Stefano TuriDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-7365-3510
Francesco PuccettiDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-6638-6880
Yong-Ha LeeDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Riccardo RosatiDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-2608-5749
Ugo ElmoreDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-9652-1502
On Behalf Of The Osr CCeR Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesInadvertent intraoperative hypothermia is a common occurrence during major surgery, and some preclinical studies have reported its association with postoperative anastomotic leakage (AL). In the present study, we demonstrated the correlation between intraoperative hypothermia and postoperative outcomes after Ivor Lewis (IL) esophagectomy for cancer.

methodsRetrospectively, patients were divided into three groups on the basis of their time-weighted average temperatures (TWA): normothermia (N-TWA 36-37.5 °C), mild hypothermia (M-TWA 35-36 °C), and severe hypothermia (S-TWA < 35 °C).

resultsStarting from 254 consecutive patients, 95 were included in the final analysis, classified according to intraoperative temperature: S-TWA = 19 (20%), M-TWA = 62 (65.3%), and N-TWA = 14 (14.7%). S-TWA was related to lower BMI (

conclusionsS-TWA seems to be a major independent risk factor for AL after IL esophagectomy. Implementation of perioperative measures, aimed to prevent severe intraoperative hypothermia, could potentially be crucial to improve surgical outcomes.

Indexed as

anastomotic leakagecore temperatureesophagectomyhypothermiaIvor Lewis

Identifiers

PMID40227724
PMCPMC11987843

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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.