Evidence map›Paper›PMID 28203556›Full record

ArticleAnnals of surgical treatment and research2017

Complete mesocolic excision in right hemicolectomy: comparison between hand-assisted laparoscopic and open approaches.

Qin-Song Sheng, Zhe Pan, Jin Chai, Xiao-Bin Cheng, Fan-Long Liu, Jin-Hai Wang, Wen-Bin Chen, Jian-Jiang Lin

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of surgical treatment and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05713903 (Comparison of Laparoscopic Versus Open Right Colectomy for Right Colon Cancer, According to the Complete Mesocolic Excision), which is not on this map. Cited by 14 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 8 pooled it
1.4field-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.

NCT05713903 narecruitingnot on this mapstarted 2023, after this paper: background citation

Comparison of Laparoscopic Versus Open Right Colectomy for Right Colon Cancer, According to the Complete Mesocolic Excision (CME) Principles: a Prospective Randomized Controlled Trial

TypeinterventionalSponsorLarissa University HospitalRan2023 to 2028Enrolled114ConditionsColon CancerArmsLaparoscopic right colectomy, Open right colectomy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 8 syntheses or guidelines pooled it, 25 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

8 authors at 2 institutions in 1 country.

Qin-Song ShengDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Zhe PanDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Jin ChaiDepartment of Colorectal and Anal Surgery, Yinzhou No.3 Hospital, Ningbo, China.
Xiao-Bin ChengDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Fan-Long LiuDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Jin-Hai WangDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Wen-Bin ChenDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Jian-Jiang LinDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Zhejiang University · CNNingbo No. 2 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo demonstrate the feasibility, safety, and technical strategies of hand-assisted laparoscopic complete mesocolic excision (HAL-CME) and to compare oncological outcomes between HAL-CME and the open approach (O-CME) for right colon cancers.

methodsPatients who were scheduled to undergo a right hemicolectomy were divided into HAL-CME and O-CME groups. Measured outcomes included demographic variables, perioperative parameters, and follow-up data. Demographic variables included age, sex distribution, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, previous abdominal surgery, tumor localization, and potential comorbidities. Perioperative parameters included incision length, operative time, blood loss, conversion rate, postoperative pain score, postoperative first passage of flatus, duration of hospital stay, total cost, number of lymph nodes retrieved, TNM classification, and postoperative complications. Follow-up data included follow-up time, use of chemotherapy, local recurrence rate, distant metastasis rate, and short-term survival rate.

resultsIn total, 150 patients (HAL-CME, 78; O-CME, 72) were included. The groups were similar in age, sex distribution, BMI, ASA classification, history of previous abdominal surgeries, tumor localization, and potential comorbidities. Patients in the HAL-CME group had shorter incision lengths, longer operative times, less operative blood loss, lower pain scores, earlier first passage of flatus, shorter hospital stay, higher total costs, similar numbers of lymph nodes retrieved, similar TNM classifications, and a comparable incidence of postoperative complications. The 2 groups were also similar in local recurrence rate, distant metastasis rate, and short-term survival rate.

conclusionThe results demonstrate that the HAL-CME procedure is a safe, valid, and feasible surgical method for right hemicolon cancers.

Indexed as

ColectomyColon neoplasmsHand-assisted laparoscopyLaparoscopyLymph node excisionMesocolon

Identifiers

PMID28203556
PMCPMC5309182
OpenAlexW2588709910

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.