Evidence map›Paper›PMID 41220931›Full record

ArticleFrontiers in oncology2025

Conformal sublobar electroresection with volume optimization achieves greater parenchymal preservation than stapler in wedge resection: a volumetric analysis.

Xining Zhang, JingWei Liu, ShiJie Zhang, Jian Li

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Xining ZhangPeking University First Hospital, Beijing, China.
JingWei LiuPeking University First Hospital, Beijing, China.
ShiJie ZhangPeking University First Hospital, Beijing, China.
Jian LiPeking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Wedge resection is widely applied for small pulmonary nodules, yet stapler-based approaches may result in unnecessary parenchymal sacrifice. The CONSERVO (Conformal Sublobar ElectroResection with Volume Optimization) technique is an electrosurgical, shape-respecting method designed to maximize parenchymal preservation while maintaining oncologic and procedural safety. Method: We retrospectively included 104 patients who underwent stapler-based or CONSERVO wedge resection for solitary pulmonary nodules at our center between 2023 and 2024. Propensity score matching and multivariable linear regression were conducted. Key outcomes included lobe to lung volume ratio loss, operative time, incision length, intraoperative bleeding, drainage volume, and complication rate. Result: Baseline characteristics were well-balanced between groups. The CONSERVO group demonstrated superior parenchymal preservation, with significantly lower lobe-to-lung volume ratio loss (4.66% [IQR 1.68%-7.02%] vs. 11.17% [IQR 8.91%-14.48%], p<0.001) and lobe volume loss (149855.5 ± 221949.3mm Conclusion: The CONSERVO approach achieves meaningful parenchymal preservation and offers additional advantages such as smaller incision size while maintaining oncologic and procedural safety. It may be particularly suited for patients with limited pulmonary reserve or those requiring multiple resections, as well as nodules located close to hilar structures.

Indexed as

diathermyminimally invasive surgeryNSCLCsmall pulmonary nodulewedge resection

Identifiers

PMID41220931
PMCPMC12597738

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.