Evidence map›Paper›PMID 40694128›Full record

ArticlePediatric surgery international2025

Long-term outcomes after thoracoscopic versus open surgery for congenital esophageal atresia: propensity-score overlap weighting analysis.

Yoshitsugu Yanagida, Shotaro Aso, Michimasa Fujiogi, Kaori Morita, Mai Kutsukake, Naohiro Takamoto, Kiyohide Fushimi, Jun Fujishiro, Hideo Yasunaga

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article 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

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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

9 authors.

Yoshitsugu YanagidaDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Shotaro AsoDepartment of Health Services Research, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Michimasa FujiogiDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Kaori MoritaDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Mai KutsukakeDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Naohiro TakamotoDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Kiyohide FushimiDepartment of Health Informatics and Policy, Graduate School of Medicine, Institute of Science Tokyo, Tokyo, Japan.
Jun FujishiroDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. FUJISHIROJ-PSU@h.u-tokyo.ac.jp.
Hideo YasunagaDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.

Funding

The Ministry of Health, Labour and Welfare, Japan 23AA2003The Ministry of Health, Labour and Welfare, Japan 24AA2006
6 · The paper itself

Abstract

purposeCongenital esophageal atresia requires neonatal surgery. Although short- and medium-term outcomes of thoracoscopic and open surgery have been investigated, long-term outcomes remain unclear. This study aimed to compare the long-term outcomes of these approaches using a Japanese national inpatient database.

methodsWe identified neonates who underwent open or thoracoscopic surgery for congenital esophageal atresia between April 2016 and March 2022. Patients with prior palliative surgery were excluded. Propensity score overlap weighting analyses were used to compare the outcomes between the groups. The primary outcome was the long-term (1 year after definitive surgery) anastomotic strictures. Secondary outcomes included long- and medium-term (within 30 days to 1 year after definitive surgery) gastroesophageal reflux and medium-term anastomotic strictures.

resultsAmong 395 patients, 67 underwent thoracoscopic surgery and 328 underwent open surgery.　Propensity score overlap weighting analyses revealed no significant differences in long-term anastomotic stricture (5.8% vs. 8.7%; risk difference (RD), - 2.9%; 95% confidence interval (CI), - 10.9 to 5.1), long-term gastroesophageal reflux (2.9% vs. 3.0%; RD, -0.1%; 95% CI - 7.1 to 4.9), medium-term anastomotic stricture (29.4% vs. 18.8%; RD, 10.6%; 95% CI - 2.5 to 23.7), or medium-term gastroesophageal reflux (4.9% vs. 6.0%; RD, - 1.1; 95% CI -7 .1 to 4.9).

conclusionsLong-term outcomes did not differ significantly between thoracoscopic and open surgery for congenital esophageal atresia.

Indexed as

Esophageal AtresiaThoracoscopyAnastomosis, SurgicalFemaleGastroesophageal RefluxHumansInfant, NewbornJapanMalePostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment OutcomeCongenital esophageal atresiaLong-term outcomeNeonatal surgeryOpen surgeryThoracoscopic surgery

Identifiers

PMID40694128
PMCPMC12283821

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