Evidence map›Paper›PMID 24067514›Full record

ReviewCanadian journal of surgery. Journal canadien de chirurgie2013

Laparoscopic versus open surgery for the treatment of colorectal cancer: a literature review and recommendations from the Comité de l'évolution des pratiques en oncologie.

Mélanie Morneau, Jim Boulanger, Patrick Charlebois, Jean-François Latulippe, Rasmy Lougnarath, Claude Thibault, Normand Gervais, Comité de l'Évolution des Pratiques en Oncologie

Open access · bronzeAbstract readComparative StudyReview
In one paragraph

Review in Canadian journal of surgery. Journal canadien de chirurgie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Rectal Cancer, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2018
    Guideline
  3. Pooled it
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  6. Review
  7. Article
  8. Article
  9. Article
  10. The risk of postoperative complications is higher in stage I-III colorectal cancer patients with previous abdominal surgery: a propensity score matching analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  11. Article
  12. Article
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  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Observational
  20. 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

8 authors at 6 institutions in 1 country.

Mélanie MorneauFrom the Direction québécoise du cancer, Ministère de la Santé et des Services sociaux du Québec (MSSS).
Jim Boulanger
Patrick Charlebois
Jean-François Latulippe
Rasmy Lougnarath
Claude Thibault
Normand Gervais
Comité de l'Évolution des Pratiques en Oncologie
Hôpital Maisonneuve-Rosemont · CAHôpital Saint-François d'Assise · CAHôpital Saint-Luc · CAInstitut National d'Excellence en Santé et en Services Sociaux · CAMinistry of Health and Social Services · CAMontreal General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdoption of the laparoscopic approach for colorectal cancer treatment has been slow owing to initial case study results suggesting high recurrence rates at port sites. The use of laparoscopic surgery for colorectal cancer still raises a number of concerns, particularly with the technique's complexity, learning curve and longer duration. After exploring the scientific literature comparing open and laparoscopic surgery for the treatment of colorectal cancer with respect to oncologic efficacy and shortterm outcomes, the Comité de l'évolution des pratiques en oncologie (CEPO) made recommendations for surgical practice in Quebec.

methodsScientific literature published from January 1995 to April 2012 was reviewed. Phase III clinical trials and meta-analyses were included.

resultsSixteen randomized trials and 10 meta-analyses were retrieved. Analysis of the literature confirmed that for curative treatment of colorectal cancer, laparoscopy is not inferior to open surgery with respect to survival and recurrence rates. Moreover, laparoscopic surgery provides short-term advantages, including a shorter hospital stay, reduced analgesic use and faster recovery of intestinal function. However, this approach does require a longer operative time.

conclusionConsidering the evidence, the CEPO recommends that laparoscopic resection be considered an option for the curative treatment of colon and rectal cancer; that decisions regarding surgical approach take into consideration surgeon experience, tumour stage, potential contraindications and patient expectations; and that laparoscopic resection for rectal cancer be performed only by appropriately trained surgeons who perform a sufficient volume annually to maintain competence.

Indexed as

LaparoscopyLength of StayColonic NeoplasmsDigestive System Surgical ProceduresEvidence-Based MedicineHumansNeoplasm Recurrence, LocalOperative TimePostoperative PainQuality of LifeRandomized Controlled Trials as TopicRectal NeoplasmsTreatment Outcome

Identifiers

PMID24067514
PMCPMC3788008
OpenAlexW2045164627

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.