Evidence map›Paper›PMID 26720634›Full record

ArticlePloS one2015

Open Right Hemicolectomy:Lateral to Medial or Medial to Lateral Approach?

Pingping Xu, Li Ren, Dexiang Zhu, Qi Lin, Yunshi Zhong, Wentao Tang, Qingyang Feng, Peng Zheng, Meiling Ji, Ye Wei and 1 more

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

10 citing papers in PubMed.

  1. Trial
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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

11 authors.

Pingping XuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Li RenDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Dexiang ZhuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Qi LinDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Yunshi ZhongDepartment of Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai, China.
Wentao TangDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Qingyang FengDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Peng ZhengDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Meiling JiDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Ye WeiDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Jianmin XuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCurrently, no published studies have compared the clinical outcomes of the medial-to-lateral approach (MA) and lateral-to-medial approach (LA) for open right hemicolectomy. Thus, the present study aimed to assess whether one of these approaches has any potential benefits over the other.

methodsA retrospective study was performed of all patients who underwent open right hemicolectomy with pathologically confirmed disease who met the eligibility criteria between June 2008 and June 2012. The population was divided into an MA group and an LA group by propensity scoring. We compared patient demographic and clinical characteristic variables between the two groups and assessed short-term and long-term outcomes.

resultsA total of 450 patients (MA, n = 150; LA, n = 300) were evaluated. The operation time (MA,138.4 minutesvs.LA,166.2 minutes; P < .05) and blood loss (MA,52.0mL vs. LA,62.6mL; P < .05)were significantly lower in the MA group. No differences in the number of harvested lymph nodes and oncologic outcomes were observed between the two groups. Further subgroup analysis for stage III colon cancer revealed that the MA group had significantly more retrieved lymph nodes (MA,18.8vs. LA,16.0; P = .028). There were no differences in other variables between the two groups.

conclusionsThe MA reduced operative time and blood loss compared with the LA. We thus concluded that the MA provided short-term benefits compared with the LA in open right hemicolectomy for right-sided colon cancer.

Indexed as

AdultAgedAged, 80 and overColectomyDemographyFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingPostoperative ComplicationsTime FactorsTreatment Outcome

Identifiers

PMID26720634
PMCPMC4697815

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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.