Evidence map›Paper›PMID 22701788›Full record

ArticleInternational journal of surgical oncology2012

Glove port technique for transanal endoscopic microsurgery.

Carrara Alessandro, Mangiola Daniela, Motter Michele, Tirone Andrea, Ghezzi Gianmarco, Silvestri Massimo, Zappalà Orazio, Gasperetti Fabio, Tirone Giuseppe

Abstract read
In one paragraph

Article in International journal of surgical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Transanal Minimally Invasive Surgery for Rectal Lesions.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Transanal Approach to Rectal Polyps and Cancer.Clinics in colon and rectal surgery · 2016
    Review
  9. Transanal Minimally Invasive Surgery.Clinics in colon and rectal surgery · 2015
    Review
  10. Local excision by transanal endoscopic surgery.World journal of gastroenterology · 2015
    Review
  11. Transanal endoscopic microsurgery for early rectal cancer: single center experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014
    Article
  12. 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

9 authors.

Carrara Alessandro1st Division of General Surgery, S. Chiara Hospital, Largo Medaglie d'Oro 1, 38100 Trento, Italy.
Mangiola Daniela
Motter Michele
Tirone Andrea
Ghezzi Gianmarco
Silvestri Massimo
Zappalà Orazio
Gasperetti Fabio
Tirone Giuseppe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. Despite initial enthusiasm, the use of transanal endoscopic microsurgery (TEM) is still quite limited at present because of the expense of highly specialized equipment and the complexity of the learning curve. Furthermore, some authors report a relevant, although temporary, effect on anorectal function because of the considerable anal dilatation which can even produce a rupture of the internal anal sphincter. The "glove TEM" proposes itself as an alternative to traditional TEM that could settle these problems. Materials and Methods. The technique is accurately described together with the necessary equipment to perform it. Between 2011 and 2012, we operated eight patients with this technique for rectal adenomas or early carcinomas achieving R0 resection in all cases and reporting no early or late complications during the first five months of followup. Discussion. This technique offers multiple advantages compared to the original TEM. (i) It allows the use of all available laparoscopic instruments. (ii) It gives a great manoeuvrability of the instruments in contrast to rigid rectoscope systems. (iii) Given the limited length of the device, it permits to operate on tumors closer to the dentate line. (iv) It is less traumatic to the anal sphincter. It is definitively much cheaper. Conclusions. We believe that this new technique is easy to perform, cost-effective, and less traumatic to the anal sphincter compared to traditional TEM.

Identifiers

PMID22701788
PMCPMC3371758

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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.