Evidence map›Paper›PMID 25801107›Full record

ArticleSurgical endoscopy2015

Transanal endoscopic microsurgery as an outpatient procedure is feasible and safe.

Anne-Sophie Laliberte, Aude Lebrun, Sebastien Drolet, Philippe Bouchard, Alexandre Bouchard

Registry-linked trialAbstract read
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In one paragraph

Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03314025 (Prophylactic Tamsulosin in Prevention of Post-operative Urinary Retention in Men After Transanal Endoscopic Microsurgery), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

NCT03314025 phase2unknown statusnot on this mapstarted 2017, after this paper: background citation

Prophylactic Tamsulosin in Prevention of Post-operative Urinary Retention in Men After Transanal Endoscopic Microsurgery: A Multicenter Randomized, Double-blind, Placebo-controlled Clinical Trial

TypeinterventionalSponsorCHU de Quebec-Universite LavalRan2017 to 2022Enrolled158ConditionsUrinary RetentionArmsTamsulosin Hydrochloride 0.4 MG, Placebo oral capsule, Foley catheter
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Observational
  5. 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
  6. Observational
  7. Observational
  8. 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

5 authors.

Anne-Sophie LaliberteDepartment of Surgery, Quebec City University Hospital Center, Laval University, Quebec City, Canada. annesophielalitalie@hotmail.com.
Aude LebrunDepartment of Surgery, Quebec City University Hospital Center, Laval University, Quebec City, Canada.
Sebastien DroletDepartment of Surgery, Quebec City University Hospital Center, Laval University, Quebec City, Canada.
Philippe BouchardDepartment of Surgery, Quebec City University Hospital Center, Laval University, Quebec City, Canada.
Alexandre BouchardDepartment of Surgery, Quebec City University Hospital Center, Laval University, Quebec City, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal endoscopic microsurgery (TEM) for the excision of rectal tumor is mostly performed as an inpatient procedure. The aim of this study was to assess the feasibility and safety of TEM resection as an outpatient procedure in selected patients. POPULATION: All first 178 consecutive patients who underwent resection of a rectal tumor using TEM in our institution from April 2011 to September 2013 were included.

methodStandardized retrospective chart review was performed. Primary outcome was 30-day mortality and morbidity. Secondary outcomes included unplanned admission and readmission rates, operative and pathologic data.

resultsOf the 175 patients who underwent only TEM, 80% (140/175) were discharged the same day of surgery. There was no mortality. Morbidity rate was 31.4%. Ninety-one percent of 154 patients planned as outpatients were discharged the same day. The most common reason for unplanned admission was urinary retention (7/14; 50%). Twelve patients discharged the day of the procedure were readmitted at 30 days. Median operative time was 60 min (10-256 min). All lesions were removed with grossly negative margins with 15 positive microscopic margins on final pathology. A total of 124 adenomatous polyps and 37 malignant lesions were excised. Mean tumor diameter after fixation was 5.0 cm (range 0.5-11 cm).

conclusionTransanal endoscopic microsurgery as an outpatient procedure is feasible and safe in selected patients. The main reason for unplanned admission was urinary retention in our series.

Indexed as

AdultAgedAged, 80 and overAmbulatory Surgical ProceduresFeasibility StudiesFemaleHumansMaleMicrosurgeryMiddle AgedOperative TimePatient ReadmissionPostoperative ComplicationsRectal NeoplasmsRetrospective StudiesTransanal Endoscopic MicrosurgeryOutpatient procedurePostoperative urinary retentionSame day surgeryTransanal endoscopic microsurgery

Identifiers

PMID25801107

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Registered trials

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.