Evidence map›Paper›PMID 24282364›Full record

ArticleWorld journal of gastroenterology2013

Transanal natural orifice specimen extraction for laparoscopic anterior resection in rectal cancer.

Fang-Hai Han, Li-Xin Hua, Zhi Zhao, Jian-Hai Wu, Wen-Hua Zhan

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Trial
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  12. Transanal versus transabdominal specimen extraction in laparoscopic rectal cancer surgery: a retrospective analysis from China.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  13. Observational
  14. Article
  15. Review
  16. Review
  17. [Transanal extraction vs. minilaparotomy : For laparoendoscopic left-sided colon resection].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Article
  18. Article
  19. Laparoscopic surgery for colorectal cancer in China: an overview.International journal of clinical and experimental medicine · 2014
    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

5 authors at 1 institution in 1 country.

Fang-Hai HanFang-Hai Han, Li-Xin Hua, Zhi Zhao, Jian-Hai Wu, Wen-Hua Zhan, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China.
Li-Xin Hua
Zhi Zhao
Jian-Hai Wu
Wen-Hua Zhan
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate whether transanal natural orifice specimen extraction (NOSE) is a better technique for rectal cancer resection.

methodsA prospectively designed database of a consecutive series of patients undergoing laparoscopic low anterior resection for rectal cancer with various tumor-node-metastasis classifications from March 2011 to February 2012 at the First Affiliated Hospital of Sun Yat-Sen University was analyzed. Patient selection for transanal specimen extraction and intracorporeal anastomosis was made on the basis of tumor size and distance of rectal lesions from the anal verge. Demographic data, operative parameters, and postoperative outcomes were assessed.

resultsNone of the patients was converted to laparotomy. Respectively, there were 16 cases in the low anastomosis and five in the ultralow anastomosis groups. Mean age of the patients was 45.4 years, and mean body mass index was 23.1 kg/m². Mean distance of the lower edge of the lesion from the anal verge was 8.3 cm. Mean operating time was 132 min, and mean intraoperative blood loss was 84 mL. According to the principle of rectal cancer surgery, we performed D2 lymph node dissection in 13 cases and D3 in eight. Mean lymph nodes harvest was 17.8, and the number of positive lymph nodes was 3.4. Median hospital stay was 6.7 d. No serious postoperative complication occurred except for one anastomotic leakage. All patients remained disease free. Mean Wexner score was 3.7 at 11 mo after the operation.

conclusionTransanal NOSE for total laparoscopic low/ultralow anterior resection is feasible, safe and oncologically sound. Further studies with long-term outcomes are needed to explore its potential advantages.

Indexed as

ColonoscopyLaparoscopyNatural Orifice Endoscopic SurgeryAdenocarcinomaAdultAnastomotic LeakColectomyFemaleHumansLymphatic MetastasisLymph Node ExcisionMaleMiddle AgedRectal NeoplasmsRectumTime FactorsLaparoscopic anterior resectionLow/ultra-low anastomosisNatural orifice specimen extractionTotal mesorectal excisionTransanal specimen extraction

Identifiers

PMID24282364
PMCPMC3837275
OpenAlexW2015426890

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.