ArticleSurgical endoscopy2004
Laparoscopic-assisted approach in rectal cancer patients: lessons learned from >200 patients.
Article in Surgical endoscopy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).Surgical endoscopy · 2011Guideline
- Transanterior obturator nerve gateway: a novel approach to achieving intracorporeal distal rectal transection for ultralow rectal cancer.Surgical endoscopy · 2021Article
- Three-year outcome after transanal versus laparoscopic total mesorectal excision in locally advanced rectal cancer: a multicenter comparative analysis.BMC cancer · 2020Article
- Robotic Surgery for Rectal Cancer: An Update in 2015.Cancer research and treatment · 2016Review
- Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: "down-to-up" total mesorectal excision (TME)--short-term outcomes in the first 20 cases.Surgical endoscopy · 2013Article
- Robotic total mesorectal excision: operative technique and review of the literature.Techniques in coloproctology · 2013Review
- Minilaparoscopy-assisted transrectal low anterior resection (LAR): a preliminary study.Surgical endoscopy · 2013Article
- Surgical issues in locally advanced rectal cancer treated by preoperative chemoradiotherapy.Journal of the Korean Surgical Society · 2013Article
- Laparoscopic surgery for rectal cancer: review of published literature 2000-2009.Surgery today · 2011Review
- Laparoscopic and open abdominoperineal resection for cancer: how patient selection and complications differ by approach.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011Article
- Laparoscopic resection for low rectal cancer: evaluation of oncological efficacy.International journal of colorectal disease · 2011Article
- Current status of robotic colorectal surgery.Journal of robotic surgery · 2011Article
- Laparoscopic total mesorectal excision for rectal cancer: experience of a single center with a series of 174 patients.Surgical endoscopy · 2011Article
- The role of minimally invasive surgery and outcomes in colorectal cancer.The Permanente journal · 2011Article
- Safety and feasibility of laparoscopic intersphincteric resection for very low rectal cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Article
- Laparoscopic resection of extraperitoneal rectal cancer: a comparative analysis with open resection.Surgical endoscopy · 2009Article
- Initial surgical experience in laparoscopic total mesorectal excision for middle and lower third rectal cancer: short-term results.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2009Article
- Phase I trial of neoadjuvant chemoradiotherapy (CRT) with capecitabine and weekly irinotecan followed by laparoscopic total mesorectal excision (LTME) in rectal cancer patients.Investigational new drugs · 2009Article
- Multidimensional analysis of the learning curve for laparoscopic colorectal surgery: lessons from 1,000 cases of laparoscopic colorectal surgery.Surgical endoscopy · 2009Article
- Results of a multicenter study of 1,057 cases of rectal cancer treated by laparoscopic surgery.Surgical endoscopy · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe applicability of laparoscopic surgery in the treatment of colorectal diseases is still controversial. Early reports on laparoscopic-assisted colectomy in patients with colon cancer suggested that it minimizes surgical trauma, decreases perioperative complications, and leads to a more rapid recovery. To our knowledge, no previous studies have compared the laparoscopic vs the open approach in rectal cancer. The aim of this paper was to assess the results of laparoscopic techniques in patients with rectal cancer.
methodsFrom March 1998 to February 2003, all patients admitted to our unit with adenocarcinoma of the rectum were evaluated for surgery by the laparoscopic approach.
resultsA total of 220 patients with a mean age of 67.3 years were included in the study. One hundred thirty patients (59%) were treated with neoadjuvant chemoradiotherapy. In >75% of the patients, a surgical procedure with sphincter preservation was performed. The rate of conversion to the open approach was 20%. Ten patients had intraoperative complications. Fifty-eight patients (26.3%) developed postoperative complications. The length of hospital stay was 6.8 days. The distribution of tumor stages was as follows: stage I, 16.81%; stage II, 33.6%; stage III, 26.36%; stage IV, 19.09%. The mean number of lymph nodes was 13.8. The incidence of local relapse was 5.3%, with a follow-up of 18 months.
conclusionLaparoscopic surgery can be safely performed in patients with adenocarcinoma of the rectum with good short-term results. Randomized controlled trials are needed to confirm these results.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.