Evidence map›Paper›PMID 42289640›Full record

ArticleAnnals of surgical oncology2026

Robotic Multivisceral Resection for Gastroesophageal Junction Tumor: Proximal Gastrectomy with Double-Tract Reconstruction and Distal Pancreatectomy.

Anneliese N Hierl, Taisuke Imamura, Brian D Badgwell, Paul F Mansfield, Naruhiko Ikoma

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2026. 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

5 authors.

Anneliese N HierlDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Taisuke ImamuraDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Brian D BadgwellDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Paul F MansfieldDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Naruhiko IkomaDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. nikoma@mdanderson.org.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
TRAINING OF ACADEMIC SURGICAL ONCOLOGISTST32CA009599 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Ashley M Holder, Jennifer A. Wargo · 1988 to 2026
$13.2M
CLC NIH HHS T32 CA 009599NCI NIH HHS P30 CA016672NCI NIH HHS T32 CA009599The University of Texas MD Anderson Cancer Center support grant P30 CA016672
6 · The paper itself

Abstract

backgroundLocally advanced gastroesophageal junction (GEJ) tumors are surgically challenging, requiring balance between R0 resection and preserving quality of life.

resultsAfter a favorable response to neoadjuvant FOLFOX chemotherapy, the patient underwent resection. The case was completed in less than 6 h. Pathology showed a 6.3-cm, moderately differentiated T4bN2 adenocarcinoma. Despite advanced-stage disease and indications of peritoneal spread, the patient had prompt recovery (Fig. 1). Key considerations included careful patient selection after preoperative chemotherapy and achievement of R0 resection with meticulous mediastinal and oncologic lymph node dissection. For optimal functional outcomes and prevention of internal hernias, the authors perform hand-sewn esophagojejunostomy, appropriate spacing between the esophagojejunostomy and gastrojejunostomy, upright fixation of the remnant stomach, and closure of the hiatal, mesenteric, and Petersen defects.

conclusionThis case demonstrates that PG-DTR and en bloc DPS are feasible and may provide functional benefits for select patients who have locally advanced GEJ tumors with direct pancreatic invasion. The robotic approach may enhance postoperative recovery, supporting early resumption of systemic therapy.

Indexed as

AdenocarcinomaEsophagogastric JunctionGastrectomyPancreatectomyPlastic Surgery ProceduresRobotic Surgical ProceduresStomach NeoplasmsAgedAnastomosis, SurgicalHumansMalePrognosisSplenectomyDistal pancreatectomy with splenectomyDouble tract reconstructionGastroesophageal tumorsRobotic proximal gastrectomy

Identifiers

PMID42289640

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.