Evidence map›Paper›PMID 40529740›Full record

ArticleJournal of thoracic disease2025

Clinical outcomes of subxiphoid uniportal video-assisted thoracoscopic thymectomy using a double sternum retractor versus conventional approaches.

Weiyang Chen, Hongtao Tang, Zengwei Yu, Lei Wang, Jie Li, Lin Lin, Jinlan Zhao, Qing Liu, Chunyan Zhao, Lin Ma and 3 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

13 authors.

Weiyang Chen *Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Hongtao Tang *Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Zengwei Yu *Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Lei WangDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Jie LiDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Lin LinDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Jinlan ZhaoAnesthesia Surgery Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Qing LiuIntegrated Care Management Center, West China Hospital, Sichuan University, Chengdu, China.
Chunyan ZhaoDepartment of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, China.
Lin MaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Wenya LiDepartment of Thoracic Surgery, The First Hospital of China Medical University, Shenyang, China.
Longqi ChenDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Dong TianDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The treatment of anterior mediastinal masses primarily utilizes video-assisted thoracoscopic surgery (VATS) thymectomy. This study introduced a subxiphoid uniportal VATS thymectomy (SUVT) using a double sternum retractor without artificial pneumothorax and compared its efficacy and safety to traditional VATS thymectomy (non-SUVT group). Methods: Patients diagnosed with anterior mediastinal masses who underwent the VATS thymectomy in West China Hospital, Sichuan University from June 2023 to May 2024 were included. We utilized the double sternum retractor to elevate the sternum in the SUVT group. The clinicopathologic features and perioperative outcomes of patients were assessed. The Visual Analog Scale (VAS) pain score was used to evaluate postoperative pain. Results: A total of 133 patients underwent the VATS thymectomy, including 41 SUVTs. The mass size was significantly larger in the SUVT group compared to the non-SUVT group (5.18±2.59 Conclusions: The SUVT using a double sternum retractor demonstrated greater effectiveness in the complete removal of anterior mediastinal masses, even with a larger size or superior location and achieved less postoperative pain.

Indexed as

Anterior mediastinal massesdouble sternum retractorsubxiphoid approachthymectomyvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID40529740
PMCPMC12169989

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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.