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. 2016 Mar 31;2016(3):CD011390. doi: 10.1002/14651858.CD011390.pub2

Saha 2009.

Methods Study design: retrospective cohort study
Participants Country: UK.
 Number eligible: 20.
 Number excluded: 0 (0%).
 Number analysed: 20.
 Average age: 65 years.
 Females: 4 (20%).
 Stage I: 20(100%).
 Stage II: 0 (0%).
 Stage III: 0 (0%).
 Stage IV: 0(0%).
 Squamous cell carcinoma: 0 (0%).
 Adenocarcinoma: 20 (100%).
 Study design: Retrospective cohort study with contemporary controls
 Total follow‐up in months: median: 44 months
 ASA: not stated
 Location: lower third
Inclusion criteria
 Patients undergoing oesophagectomy for T1 oesophageal adenocarcinoma
Interventions Group 1: laparoscopic transhiatal oesophagectomy (N = 16).
 Further details: Number of ports ‐ 5; minilaparotomy incision size ‐ not stated; drain use ‐ not stated.
 Group 2: open transhiatal oesophagectomy (N = 4).
 Further details: incision size ‐ not stated; drain use ‐ not stated.
Outcomes The outcomes reported were short‐term mortality, long‐term recurrence, and number of lymph nodes harvested.
Notes Proportion of people with cancer: 100%
Conversion: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Bias due to confounding Unclear risk No information
Comment: There was no evidence of baseline differences between the groups. However, the sample size was not sufficient to identify baseline differences. In addition, not all confounding factors were listed in the baseline differences table (for example, no information was presented on the differences in the size of the tumours)
Bias due to selection of participants to intervention and control Unclear risk No information
Comment: Patients were selected for laparoscopic transhiatal or open resection at the discretion of the surgeon.
Bias due to differences in co‐interventions which were different between the groups Unclear risk No information
Comment: It was not clear there were other differences in care of the patient apart from the intervention and control.
Bias in the measurement of outcomes High risk Critical risk of bias
Quote: "Outcome assessors were not blinded (author replies)".
Bias due to missing data Low risk Low risk of bias
Comment: All patients were included in the analysis.
Bias in selection of the reported findings High risk Serious risk of bias
Comment: Morbidity was not reported.