Evidence map›Paper›PMID 27815698›Full record

Trial reportInternational journal of colorectal disease2017

Comparison of inflammatory responses following robotic and open colorectal surgery: a prospective study.

Marek Zawadzki, Malgorzata Krzystek-Korpacka, Andrzej Gamian, Wojciech Witkiewicz

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Marek ZawadzkiDepartment of Surgical Oncology, Regional Specialist Hospital, Research and Development Centre at Regional Specialist Hospital, ul. Kamienskiego 73a, 51-124, Wroclaw, Poland. zawadzkimd@gmail.com.ORCID http://orcid.org/0000-0001-8957-5625
Malgorzata Krzystek-KorpackaDepartment of Medical Biochemistry, Wroclaw Medical University, ul. Chalubinskiego 10, 50-368, Wroclaw, Poland. malgorzata.krzystek-korpacka@umed.wroc.pl.
Andrzej GamianDepartment of Medical Biochemistry, Wroclaw Medical University, ul. Chalubinskiego 10, 50-368, Wroclaw, Poland.
Wojciech WitkiewiczDepartment of Surgical Oncology, Regional Specialist Hospital, Research and Development Centre at Regional Specialist Hospital, ul. Kamienskiego 73a, 51-124, Wroclaw, Poland.
Wroclaw Medical University · PLWroclaw Research Centre EIT+ (Poland) · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRobotic colorectal surgery continues to rise in popularity, but there remains little evidence on the stress response following the procedure. The aim of this study was to evaluate the inflammatory response to robotic colorectal surgery and compare it with the response generated by open colorectal surgery.

methodsThis was a prospective nonrandomized comparative study involving 61 patients with colorectal cancer. The evaluation of inflammatory response to either robotic or open colorectal surgery was expressed as changes in interleukin-1β, interleukin-1 receptor antagonist, interleukin-6, tumor necrosis factor-α, C-reactive protein, and procalcitonin during the first three postoperative days.

resultsOf the 61 patients, 33 underwent robotic colorectal surgery while 28 had open colorectal surgery. Groups were comparable with respect to age, sex, BMI, cancer stage, and type of resection. The relative increase of interleukin-1 receptor antagonist at 8 h postoperative, compared to baseline, was higher in the open group (P = 0.006). The decrease of interleukin-1 receptor antagonist on postoperative days 1 and 3, compared to the maximum at 8 h, was more pronounced in the open group than in the robotic group (P = 0.008, P = 0.006, respectively), and the relative increase of interleukin-6 at 8 h after incision was higher in the open group (P = 0.007). The relative increase of procalcitonin on postoperative days 1 and 3 was higher in the open group than the robotic group (P < 0.001, P = 0.004, respectively).

conclusionsThis study shows that when compared with open colorectal surgery, robotic colorectal surgery results in a less pronounced inflammatory response and more pronounced anti-inflammatory action.

Indexed as

RoboticsAgedCalcitoninColorectal SurgeryC-Reactive ProteinCytokinesDemographyFemaleHumansInflammationMalePerioperative CareProspective StudiesTreatment OutcomeCalcitoninC-Reactive ProteinCytokinesColorectal cancerInflammatory responseRobotic surgeryStress response

Identifiers

PMID27815698
OpenAlexW2548662303

What OpenQuestion holds

Textmetadata
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.