ArticleSurgical endoscopy2006
Intracorporeal rectal stapling following laparoscopic total mesorectal excision: overcoming a challenge.
Article in Surgical endoscopy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05067413 (A Prospective Non-randomized Controlled Multi-center Study of Laparoscopic Intracorporeal Distal Rectal Transection by Using the Traditional Approach vs. Using Transanterior Obturator Nerve Gateway Approach for Ultralow Rectal Cancers), which is not on this map. Cited by 23 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.
A Prospective Non-randomized Controlled Multi-center Study of Laparoscopic Intracorporeal Distal Rectal Transection by Using the Traditional Approach vs. Using Transanterior Obturator Nerve Gateway Approach for Ultralow Rectal Cancers
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).Surgical endoscopy · 2011Guideline
- Perioperative safety evaluation of intersphincteric resection combined with rectal eversion and total extra-abdominal resection: a prospective randomized controlled trial.World journal of surgical oncology · 2025Trial
- Short-term follow-up after laparoscopic versus conventional total mesorectal excision for low rectal cancer in a large teaching hospital.International journal of colorectal disease · 2014Trial
- Prospective analysis of 246 fires of da Vinci SureForm SmartFire stapler in colorectal cancer: First Indian study.Journal of minimal access surgery · 2025Article
- Mesentery in Transanal TME.Clinics in colon and rectal surgery · 2022Review
- Current and future role of three-dimensional modelling technology in rectal cancer surgery: A systematic review.World journal of gastrointestinal surgery · 2021Article
- Options for Low Rectal Cancer: Robotic Total Mesorectal Excision.Clinics in colon and rectal surgery · 2021Review
- Transanterior obturator nerve gateway: a novel approach to achieving intracorporeal distal rectal transection for ultralow rectal cancer.Surgical endoscopy · 2021Article
- Association of Transanal Total Mesorectal Excision With Local Recurrence of Rectal Cancer.JAMA network open · 2021Article
- Total Mesorectal Excision Technique-Past, Present, and Future.Clinics in colon and rectal surgery · 2020Review
- Transanal total mesorectal excision (TaTME): single-centre early experience in a selected population.Updates in surgery · 2019Article
- CT/MRI pelvimetry as a useful tool when selecting patients with rectal cancer for transanal total mesorectal excision.Surgical endoscopy · 2016Article
- Transanal total mesorectal excision: Towards standardization of technique.World journal of gastroenterology · 2015Review
- The new approach to the rectal cancer: 'down-to-up' double endolaparoscopic pelvic access. Preliminary evaluation of outcomes.Updates in surgery · 2015Article
- Transanal endoscopic total mesorectal excision: technical aspects of approaching the mesorectal plane from below--a preliminary report.Techniques in coloproctology · 2015Article
- Predicting the pathological features of the mesorectum before the laparoscopic approach to rectal cancer.Surgical endoscopy · 2014Article
- Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): a stepwise description of the surgical technique with video demonstration.Techniques in coloproctology · 2013Article
- Laparoscopic surgery for rectal cancer.Journal of the Royal Society of Medicine · 2012Review
- Minimally invasive surgery for rectal cancer: are we there yet?World journal of gastroenterology · 2011Review
- Laparoscopic surgery for rectal cancer: The state of the art.World journal of gastrointestinal surgery · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDivision of the rectum following total mesorectal excision (TME) using intracorporeal stapling devices is technically difficult due to their width and limited roticulation. More than one cartridge is often required and resultant wedging of the stump may be associated with an appreciable leak rate.
methodsThree-dimensional reconstruction was performed of CT and MRI images from the lower abdomen of six patients undergoing laparoscopic TME using the Amira software environment. The stapling device was virtually reconstructed by in-house developed software, superimposed over the point of division of the rectum and the site of skin entry identified.
resultsThe 45 degrees angulation of available roticulating stapling devices precludes perpendicular division of the rectum following laparoscopic TME. The optimal angulation for transverse rectal stapling varied between 62 degrees and 68 degrees .
conclusionA roticulating stapler with minimum angulation of 65 degrees would achieve transverse division of the rectum following laparoscopic TME.
Indexed as
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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.