Evidence map›Paper›PMID 19565297›Full record

ArticleSurgical endoscopy2010

Treatment of rectal adenomas by transanal endoscopic microsurgery: 15 years' experience.

Mario Guerrieri, Maddalena Baldarelli, Angelo de Sanctis, Roberto Campagnacci, Massimiliano Rimini, Emanuele Lezoche

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Learning Transanal Total Mesorectal Excision.Clinics in colon and rectal surgery · 2020
    Review
  7. Colorectal endoscopic submucosal dissection in special locations.World journal of gastrointestinal endoscopy · 2019
    Review
  8. Article
  9. Article
  10. Article
  11. Transanal Minimally Invasive Surgery.Clinics in colon and rectal surgery · 2017
    Review
  12. Article
  13. Article
  14. Article
  15. Transanal endoscopic surgery in rectal cancer.World journal of gastroenterology · 2014
    Review
  16. Transanal endoscopic microsurgery: a review.Canadian journal of surgery. Journal canadien de chirurgie · 2014
    Review
  17. Article
  18. Article
  19. Transanal endoscopic microsurgery.Techniques in coloproctology · 2013
    Review
  20. 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

6 authors at 3 institutions in 1 country.

Mario GuerrieriClinica di Chirurgia Generale e Metodologia Chirurgica, Azienda Ospedaliera Umberto I, Università Politecnica delle Marche, Ancona, Italy. guerrieri.m@libero.it
Maddalena Baldarelli
Angelo de Sanctis
Roberto Campagnacci
Massimiliano Rimini
Emanuele Lezoche
Marche Polytechnic University · ITOspedali Riuniti Umberto I · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe authors present their experience with rectal adenomas managed by transanal endoscopic microsurgery (TEM). The goals of this study were to examine our institution's experience by evaluating surgical morbidity, mortality, and local recurrence rate.

methodsThis retrospective study investigated 402 patients who underwent TEM a for preoperative diagnosis of adenoma from January 1993 to October 2008. The mean age was 65 years (range = 22-92 years). All patients were regularly followed up to determine treatment efficacy in terms of local recurrence rate.

resultsNo 30-day perioperative mortality occurred. No conversion to laparoscopic or open procedures was reported. Minor complications occurred in 28 (7%) patients, whereas major complications were found only in 2 (0.5%) patients. Definitive histology confirmed adenomas in 366 cases (91%). At a mean follow-up of 84 months (range = 1-190 months), 16 (4%) adenomas recurred and were successfully retreated by TEM [14 cases (87.5%)] and by conventional surgery [2 patients (12.5%)]. No further recurrences were observed at subsequent follow-up.

conclusionThe findings warrant the conclusion that TEM is a safe, effective treatment for rectal adenomas where endoscopic removal is not applicable and has low morbidity and no mortality.

Indexed as

AdenomaAdultAgedAged, 80 and overAnal CanalDiagnostic ImagingFemaleFollow-Up StudiesHumansIleostomyMaleMicrosurgeryMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsProctoscopy

Identifiers

PMID19565297
OpenAlexW2068191216

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.