Evidence map›Paper›PMID 41729398›Full record

ArticleClinical journal of gastroenterology2026

A case of robotic-assisted distal gastrectomy and cholecystectomy for gastric cancer and cholelithiasis in a patient with severe kyphosis.

Keisuke Ieta, Yasunari Ubukata, Masaki Suzuki, Shigeo Maki, Hideyuki Saito, Katsuya Osone, Yohei Miyamae, Keitaro Hirai, Ichiro Sakamoto, Tetsushi Ogawa

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In one paragraph

Article in Clinical journal of gastroenterology, 2026. 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

10 authors.

Keisuke IetaDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan. keietta@gmail.com.ORCID http://orcid.org/0009-0006-7014-7691
Yasunari UbukataDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Masaki SuzukiDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Shigeo MakiDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Hideyuki SaitoDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Katsuya OsoneDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Yohei MiyamaeDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Keitaro HiraiDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Ichiro SakamotoDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.
Tetsushi OgawaDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, 36 Takamatsucho, Takasaki, Gunma, 370-0829, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe kyphosis presents significant anatomical challenges in laparoscopic surgery, including a restricted operative field and limited instrument mobility. We report an 85-year-old woman with marked thoracolumbar kyphosis who underwent successful robotic-assisted distal gastrectomy and cholecystectomy for gastric cancer and cholelithiasis. Preoperative three-dimensional CT simulation was used to plan port placement. Because of the low-lying costal arches, conventional laparoscopic methods were unsuitable. The da Vinci Xi surgical system enabled effective elevation of the costal margin and liver using robotic arms and a soft silicone disc, securing a sufficient operative field. Despite anatomical difficulties, the procedures were completed safely with minimal blood loss. Pathological findings revealed pT4aN3bM0 pStage ⅢC disease. The patient was discharged without major complications. This case highlights how robotic-assisted surgery can overcome anatomical barriers and be a viable option in patients with spinal deformities.

Indexed as

CholecystectomyCholelithiasisGastrectomyKyphosisRobotic Surgical ProceduresStomach NeoplasmsAged, 80 and overFemaleHumansCholecystectomyGastrectomyGastric cancerKyphosisRobotic surgery

Identifiers

PMID41729398

What OpenQuestion holds

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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.