Evidence map›Paper›PMID 40454320›Full record

ArticleJournal of surgical case reports2025

Traction-assisted chest elevation (TRACE)-a novel technique for improving intraoperative ergonomics in endoscopic mastectomy.

Thaddaeus Jun Kiat Tan, Allen Wei-Jiat Wong, Hui Wen Chua

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Thaddaeus Jun Kiat TanDepartment of Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886, Singapore.ORCID https://orcid.org/0000-0002-6021-5615
Allen Wei-Jiat WongDepartment of Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886, Singapore.ORCID https://orcid.org/0000-0001-7924-5155
Hui Wen ChuaDepartment of Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886, Singapore.ORCID https://orcid.org/0000-0002-4777-4527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic mastectomy has provided patients and surgeons with more favorable cosmetic outcomes as compared to standard mastectomy. A major limitation is the increased operative time attributable to technical challenges faced by surgeons. One such challenge faced by procedurists pertains to optimizing the view of the medial breast parenchyma after dissection past the vertex of the breast. We report a technique termed Traction-Assisted Chest Elevation (TRACE) which involves placement of two tension sutures to apply anterior traction at the medial skin flap to optimize endoscopic views for this aspect of endoscopic mastectomy. The optimized ergonomics and improved visualization allows more precise dissection and shortens operative time. Use of TRACE resulted in a reduction of the operative time from an average of 133 min to 90 min. TRACE is a novel technique for optimizing the intraoperative endoscopic view during endoscopic mastectomy and can potentially reduce overall operative time.

Indexed as

breast cancerendoscopic mastectomyminimally invasive surgery

Identifiers

PMID40454320
PMCPMC12125981

What OpenQuestion holds

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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.