Evidence map›Paper›PMID 19116740›Full record

ArticleSurgical endoscopy2009

Laparoscopic-assisted anterior resection with double-stapling technique anastomosis: safe and feasible for lower rectal cancer?

Hiroya Kuroyanagi, Takashi Akiyoshi, Masatoshi Oya, Yoshiya Fujimoto, Masashi Ueno, Toshiharu Yamaguchi, Tetsuichiro Muto

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Article in Surgical endoscopy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Guideline
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  8. Review
  9. Feasibility of single-port laparoscopic surgery for sigmoid colon and rectal cancers and preoperative assessment of operative difficulty.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014
    Article
  10. The association of hospital volume with rectal cancer surgery outcomes.International journal of colorectal disease · 2013
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Hiroya KuroyanagiGastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan. hiroya.kuroyanagi@jfcr.or.jp
Takashi Akiyoshi
Masatoshi Oya
Yoshiya Fujimoto
Masashi Ueno
Toshiharu Yamaguchi
Tetsuichiro Muto

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic surgery for rectal cancer has been considered more demanding than laparoscopic colectomy due to its technical difficulties.

objectiveThe aim of this study was to show safety and feasibility of laparoscopic low anterior resection for lower rectal cancer reconstructed by double-stapling technique (DST).

methodsThe present study reviewed 159 patients with rectal cancer undergoing laparoscopic anterior resection reconstructed by DST. They were subdivided into two groups: 98 patients with upper rectal cancer located between 75 and 150 mm from the anal verge (group A) and 61 with lower rectal cancer located within 75 mm from the anal verge (group B). Short-term results and pathological findings were compared between the two groups.

resultsThere was no conversion in both groups. Operating time and intraoperative blood loss were similar in the two groups. No mortality occurred in either group. Overall morbidity rate was 10.2% in group A and 11.5% in group B (p = 0.798). Anastomotic leak rate was similar in the two groups (2.0% in group A versus 3.3% in group B; p = 0.638). Pathological examination of resected specimen showed no involvement of distal resection margin or circumferential resection margin in both groups.

conclusionsThe present study shows that laparoscopic surgery is safe and feasible for lower rectal cancer in a very select group of patients.

Indexed as

AdultAgedAged, 80 and overAnastomosis, SurgicalColonoscopyFeasibility StudiesFemaleHumansMaleMiddle AgedRectal NeoplasmsStatistics, NonparametricSurgical StaplingTreatment Outcome

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Read underepoch 390

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.