Evidence map›Paper›PMID 26917918›Full record

ArticleJournal of minimal access surgery

Laparoscopic right colectomy: Miles away or just around the corner?

Marco Lotti, Michela Giulii Capponi, Luca Campanati, Paolo Bertoli, Fabrizio Palamara, Federico Coccolini, Luca Ansaloni

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03364478 (Randomized Controlled Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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.

NCT03364478 naunknown statusnot on this map

Randomized Controlled Trial: Comparative Study of Medial-to-Lateral Approach vs Dorsal and Medial Hybrid Approach in Laparoscopic Right Hemicolectomy

TypeinterventionalSponsorShanghai Minimally Invasive Surgery CenterRan2018 to 2022Enrolled326ConditionsOverall Survival, Postoperative ComplicationsArmsDML group, MLA group
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 1 institution in 1 country.

Marco LottiDepartment of General Surgery 1, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Michela Giulii CapponiAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Luca CampanatiAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Paolo BertoliAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Fabrizio PalamaraAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Federico CoccoliniAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Luca AnsaloniAdvanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Ospedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the drive toward centralization of surgery in high-volume centers, the majority of colectomies are still performed by low- or medium-volume surgeons. MATERIALS AND

methodsA modification of the technique of laparoscopic right colectomy (LRC) originally described by Young-Fadok and Nelson was developed. The key points of that technique were maintained, but a different port-site layout and a counterclockwise approach were adopted, to warrant better trocar triangulation, to reduce the need of right colon manipulation and to avoid dissection along false planes. This modified technique was applied in 82 patients by 16 surgeons with no previous experience in LRC.

resultsAverage operative time was 125 ± 35 min. Conversion occurred in 10 cases (12.2%). Grade III postoperative complications occurred in 3 patients (3.6%). No postoperative mortality was observed. Average number of lymph nodes retrieved was 19 ± 6. Average length of stay was 7 ± 4 days.

conclusionProviding low-volume surgeons with simplified and easy-to-learn surgical techniques could improve outcomes and lead to an increased use of laparoscopy.

Indexed as

Colon cancerlaparoscopic right colectomylearningright colonsurgeon volumesurgical education

Identifiers

PMID26917918
PMCPMC4746974
OpenAlexW2210988485

What OpenQuestion holds

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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.