ArticleLangenbecks Archiv fur Chirurgie1985
[Anterior single-stage resection with a manual suture as the standard operation of the proximal and middle third of the rectum].
Article in Langenbecks Archiv fur Chirurgie, 1985. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed, 7 citations in OpenAlex.
- [Is the protective colostomy in left-sided resections of the colorectum necessary?].Langenbecks Archiv fur Chirurgie · 1985Trial
- Endosonographic detection of rectum anastomoses.Surgical endoscopy · 1991Article
- [Results of surgical therapy of rectal cancer at a regional hospital].Langenbecks Archiv fur Chirurgie · 1988Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Of a total of 146 restorative resections 129 one-stage anterior resections were performed in a series of 203 tumours of the rectum. The hand-sutured one-layer anastomosis, well established for the upper third of the rectum, can be equally well effected after resection of the middle third. For this purpose the dissection of the extraperitoneal rectum is carried down as far as to the pectinate line, comparable to the abdominal phase of rectal excision. When the anococcygeal raphe is cut the pectinate line becomes visible upon traction and the anastomosis is readily established from within the abdomen. After release of traction it glides down into it's narrow final embedment in the depth of the pelvis from which a potential dehiscence never becomes apparent before the 7th postoperative day. By this time conservative management without protective colostomy is possible, provided absorbable suture material and adequate drainage are used. Dehiscence rate was 12.4%, operative mortality 1.5%. Single components of reliability of the anastomosis are particularly well visualized and controlled with the hand-suture technique.
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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.