Evidence map›Paper›PMID 27287905›Full record

SynthesisSurgical endoscopy2017

Intracorporeal versus extracorporeal anastomosis in right hemicolectomy: a systematic review and meta-analysis.

Stefan van Oostendorp, Arthur Elfrink, Wernard Borstlap, Linda Schoonmade, Colin Sietses, Jeroen Meijerink, Jurriaan Tuynman

5 registry-linked trialsOpen access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 128 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 9 pooled it
7.9field-weighted citation impact, top 2% 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.

NCT03045107 naunknown statusnot on this map

Intracorporeal or Extracorporeal Ileocolic Anastomosis After Laparoscopic Right Colectomy.

TypeinterventionalSponsorUniversity of Turin, ItalyRan2017 to 2020Enrolled140ConditionsColon Cancer, AnastomosisArmsLaparoscopic right colectomy with intracorporeal ileocolic anastomosis (IIA), Laparoscopic right colectomy with extracorporeal ileocolic anastomosis (EIA)
NCT03990714 nacompletednot on this map

Intracorporeal Vs Extracorporeal Anastomosis in Patients Undergoing Laparoscopic Right Hemicolectomy: a Multicenter Randomized Clinical Trial (The IVEA-study)

TypeinterventionalSponsorHospital Universitario TorrecárdenasRan2016 to 2018Enrolled168ConditionsColorectal Surgery, Anastomotic Leak, Colectomy, LaparoscopyArmsRight hemicolectomy
NCT04350203 completednot on this map

Surgical-Site Infection After Laparoscopic Right Colectomy: A Cohort Study Comparing Intracorporeal Anastomosis in Front of Extracorporeal Anastomosis

TypeobservationalSponsorHospital PlatóRan2011 to 2020Enrolled108ConditionsSurgical Site InfectionArmsLaparoscopic right colectomy with intracorporeal anastomosis (IA), Laparoscopic right colectomy with extracorporeal anastomosis (EA)
NCT05039762 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Intracorporeal vs. Extracorporeal Anastomosis in Patients Undergoing Laparoscopic Right Hemicolectomy for Colonic Cancer - A Prospective Cohort Study

TypeinterventionalSponsorUniversity of Southern DenmarkRan2020 to 2025Enrolled104ConditionsColon CancerArmsExtracorporeal anastomosis, Intracorporeal anastomosis
NCT05077358 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Intracorporeal Versus Extracorporeal Anastomosis In Laparoscopic Right Colon Resection: A Prospective Randomized Multi-center Clinical Trial

TypeinterventionalSponsorYonsei UniversityRan2021 to 2024Enrolled241ConditionsAdenocarcinoma of the ColonArmsIntracorporeal anastomosis, Extracorporeal anastomosis
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 9 syntheses or guidelines pooled it, 241 citations in OpenAlex.

  1. Intracorporeal Versus Extracorporeal Colo-colic Anastomosis in Minimally-invasive Left Colectomy: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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68 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Stefan van OostendorpDepartment of Surgery, VU University Medical Centre, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands. s.vanoostendorp@vumc.nl.
Arthur ElfrinkDepartment of Surgery, VU University Medical Centre, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands.
Wernard BorstlapDepartment of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Linda SchoonmadeMedical Library, VU University Medical Centre, Amsterdam, The Netherlands.
Colin SietsesDepartment of Surgery, Gelderse Vallei Hospital Ede, Ede, The Netherlands.
Jeroen MeijerinkDepartment of Surgery, VU University Medical Centre, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands.
Jurriaan TuynmanDepartment of Surgery, VU University Medical Centre, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NLAcademic Medical Center · NLZiekenhuis Gelderse Vallei · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic right hemicolectomy for colon cancer is associated with substantial morbidity despite the introduction of enhanced recovery protocols and laparoscopic surgery. Laparoscopic right hemicolectomy with an intracorporeal anastomosis (IA) is less invasive than laparoscopic assisted hemicolectomy, possibly leading to further decrease in post-operative morbidity and faster recovery. The current standard technique includes an extracorporeal anastomosis with mobilization of the colon, mesenteric traction and a extraction wound located in the mid/upper abdomen with relative more post-operative morbidity compared to extraction wounds located in the lower abdomen.

methodsA systematic review of PubMed and Embase databases was performed on studies comparing the intracorporeal versus the extracorporeal performed anastomosis in laparoscopic right hemicolectomy. Primary outcomes were mortality, short-term morbidity and length of stay. For quality assessment, the MINORS checklist was used. Meta-analysis was performed using a random-effects model, and a subgroup analysis was performed for data regarding short-term morbidity and length of stay in studies published in 2012≥.

resultsA total of 2692 papers were identified, 12 non-randomized comparative studies were included in the analysis with a total number of 1492 patients. No significant change in mortality was found (OR 0.36, 95 % CI 0.09-1.46; I

conclusionIntracorporeal anastomosis in laparoscopic right hemicolectomy is associated with reduced short-term morbidity and decreased length of hospital stay suggesting faster recovery as shown in this meta-analysis.

Indexed as

Anastomosis, SurgicalColectomyColonColonic NeoplasmsHumansLaparoscopyTreatment OutcomeAnastomosisExtracorporealIntracorporealLaparoscopic assistedLaparoscopyRight hemicolectomyTotally laparoscopic

Identifiers

PMID27287905
PMCPMC5216072
OpenAlexW2416295769

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.