Evidence map›Paper›PMID 26452727›Full record

ArticleWorld journal of surgical oncology2015

Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: a matched case-control study.

Nicola de'Angelis, Salah Alghamdi, Andrea Renda, Daniel Azoulay, Francesco Brunetti

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
2.3field-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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  6. Robotic versus laparoscopic distal pancreatectomy - The first meta-analysis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016
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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 5 institutions in 2 countries.

Nicola de'AngelisUnit of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, AP-HP, Université Paris Est, UPEC, 51, avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France. nic.deangelis@yahoo.it.
Salah AlghamdiUnit of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, AP-HP, Université Paris Est, UPEC, 51, avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France. salah.alghamdi@hotmail.com.
Andrea RendaDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80125, Naples, Italy. renda@unina.it.
Daniel AzoulayUnit of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, AP-HP, Université Paris Est, UPEC, 51, avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France. daniel.azoulay@hmn.aphp.fr.
Francesco BrunettiUnit of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, AP-HP, Université Paris Est, UPEC, 51, avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France. francesco.brunetti@hmn.aphp.fr.
Assistance Publique – Hôpitaux de Paris · FRParis-Est Sup · FRUniversité Paris Cité · FRUniversité Paris-Est Créteil · FRUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery for transverse colon cancer has rarely been described. This study reports our initial experience in robotic resection for transverse colon cancer, by comparing robotic transverse colectomy (RC) to laparoscopic transverse colectomy (LC) in terms of safety, feasibility, short-term outcomes, and the surgeon's psychological stress and physical pain.

methodsThe study population included the first 22 consecutive patients who underwent RC between March 2013 and December 2014 for histologically confirmed transverse colon adenocarcinoma. These patients were compared with 22 matched patients undergoing LC between December 2010 and February 2013. Patients were matched based on age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, American Joint Committee on Cancer (AJCC) tumor stage, and tumor location (ratio 1:1). Mortality, morbidity, operative, and short-term oncologic outcomes were compared between groups. The operating surgeon's stress and pain were assessed before and after surgery on a 0-100-mm visual analog scale.

resultsThe demographic and preoperative characteristics were comparable between RC and LC patients. No group difference was observed for intraoperative complications, blood loss, postoperative pain, time to flatus, time to regular diet, and hospital stay. RC was associated with longer operative time than LC (260 min vs. 225 min; p = 0.014), but the overall operative and robotic time in the RC group decreased over time reflecting the increasing experience in performing this procedure. No conversion to laparotomy was observed in the RC group, while two LC patients were converted due to uncontrolled bleeding and technically difficult middle colic pedicle dissection. Postoperative complications (Dindo-Clavien grade I or II) occurred in 11.3 % of patients with no group difference. Mortality was nil. All resections were R0, with >12 lymph nodes harvested in 90.9 % of RC and 95.5 % of LC patients. The surgeon's stress was not different between RC and LC, whereas the surgeon's hand and neck/shoulder pain were significantly lower after RC.

conclusionsRC for transverse colon cancer appears to be safe and feasible with short-term outcomes comparable to LC.

Indexed as

AdenocarcinomaAgedAged, 80 and overCase-Control StudiesColectomyColonic NeoplasmsColon, TransverseFemaleHumansLaparoscopyMaleMiddle AgedPainRobotic Surgical ProceduresStress, PsychologicalTreatment Outcome

Identifiers

PMID26452727
PMCPMC4598969
OpenAlexW2126086033

What OpenQuestion holds

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LicenceCC BY
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.