Evidence map›Paper›PMID 23813055›Full record

Observational studyTechniques in coloproctology2014

Atypical indications for transanal endoscopic microsurgery to avoid major surgery.

X Serra-Aracil, L Mora-Lopez, M Alcantara-Moral, C Corredera-Cantarin, C Gomez-Diaz, S Navarro-Soto

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Trans-anal endoscopic microsurgery for non- adenomatous rectal lesions.World journal of gastrointestinal surgery · 2023
    Article
  6. Article
  7. Review
  8. Observational
  9. Evolution of Transanal Total Mesorectal Excision.Clinics in colon and rectal surgery · 2020
    Review
  10. Observational
  11. Observational
  12. Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  13. Observational
  14. Observational
  15. Transanal Minimally Invasive Surgery.Clinics in colon and rectal surgery · 2017
    Review
  16. Article
  17. Further evidence for preoperative chemoradiotherapy and transanal endoscopic surgery (TEM) in T2-3s,N0,M0 rectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
    Observational
  18. Observational
  19. Removal of gallstone from mesorectum after laparoscopic cholecystectomy - new indication for transanal endoscopic microsurgery technique.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016
    Article
  20. Local excision by transanal endoscopic surgery.World journal of gastroenterology · 2015
    Review
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 1 institution in 1 country.

X Serra-AracilColoproctology Unit, General and Digestive Surgery Service, Parc Tauli University Hospital, Autonomous University of Barcelona, 08208, Sabadell, Barcelona, Spain, jserraa@tauli.cat.
L Mora-Lopez
M Alcantara-Moral
C Corredera-Cantarin
C Gomez-Diaz
S Navarro-Soto
Universitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal endoscopic microsurgery (TEM) was originally designed for the removal of rectal tumors, principally incipient adenomas, and adenocarcinomas up to 20 cm from the anal verge. However, with the evolution of the technique and the increase in surgeons' experience, new indications have emerged and TEM may now be used in place of other surgical procedures which are associated with higher morbidity. The aim of our study was to evaluate our group's use of TEM or transanal endoscopic operations (TEO) for conditions other than rectal tumors.

methodsAn observational study of TEM (using Wolf equipment) or TEO (using Storz equipment) for indications other than excision of rectal tumors was conducted from June 2004 to July 2012.

resultsFour hundred twenty-four procedures were performed using TEM/TEO: removal of adenocarcinomas in 148 (34.9 %) patients, adenomas in 236 (55.7 %), post-polypectomy excision in 12 (2.8 %), removal of neuroendocrine tumors in 8 (1.9 %), and atypical indications in 20 (4.7 %). Atypical indications were pelvic abscess (3), benign rectal stenoses (2), rectourethral fistula after prostatectomy (3), gastrointestinal stromal tumor (3), endorectal condylomata acuminata (1), rectal prolapse (2), extraction of impacted fecaloma in the rectosigmoid junction (1), repair of traumatic and iatrogenic perforation of the rectum (2), and presacral tumor (3).

conclusionsThe use of TEM/TEO in atypical indications may benefit patients by avoiding surgical procedures associated with greater morbidity.

Indexed as

AbscessEndoscopy, GastrointestinalNatural Orifice Endoscopic SurgeryPelvisRectal DiseasesAnal CanalCondylomata AcuminataConstriction, PathologicDebridementDrainageFecal ImpactionGastrointestinal Stromal TumorsHumansIntestinal PerforationMicrosurgeryRectal Fistula

Identifiers

PMID23813055
OpenAlexW2006162697

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.