Evidence map›Paper›PMID 28271268›Full record

ArticleSurgical endoscopy2017

Robotic versus laparoscopic rectal resection for sphincter-saving surgery: pathological and short-term outcomes in a single-center analysis of 130 consecutive patients.

Alain Valverde, Nicolas Goasguen, Olivier Oberlin, Magali Svrcek, Jean-François Fléjou, Alain Sezeur, Henri Mosnier, Rémi Houdart, Renato M Lupinacci

Erratum issuedAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  14. [Evidence in minimally invasive oncological surgery of the colon and rectum].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
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  19. Experience With Transitioning From Laparoscopic to Robotic Right Colectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Alain ValverdeService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Nicolas GoasguenService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Olivier OberlinService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Magali SvrcekService d'Anatomie Pathologique, Hôpital Saint Antoine, Paris, France.
Jean-François FléjouService d'Anatomie Pathologique, Hôpital Saint Antoine, Paris, France.
Alain SezeurService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Henri MosnierService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Rémi HoudartService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France.
Renato M LupinacciService de Chirurgie Digestive, Groupe Hospitalier Diaconesses Croix Saint Simon, 125, rue d'Avron, 75020, Paris, France. rmlupinacci@gmail.com.
Groupe Hospitalier Diaconesses Croix Saint-Simon · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive sphincter-saving rectal resection represents a challenging procedure. Robotic surgery for rectal cancer has several advantages over conventional surgery in performing precise dissection and was proved to be safe and effective in previous studies. However, comparison between laparoscopic and robotic rectal resection has drawn contradictory results. The aim of the present study was to compare robotic and laparoscopic sphincter-saving rectal resections for short-term and pathological outcomes.

methodsBetween January 2013 and May 2016, we performed a total of 258 robotic surgeries, including 146 colorectal resections (56%). For this study, we included the first 65 sphincter-saving robotic resections and compared them to the last 65 consecutive laparoscopic resections. The laparoscopic group was constituted by the last 65 consecutively operated patients who matched the inclusion criteria.

resultsPatients' baseline characteristics were similar in both the groups. Conversion rate was greater in the laparoscopic group (17 vs. 5%, p=0.044). Reoperation rate, overall and severe morbidity, and median hospital stay were similar in both the groups. Quality of mesorectal excision specimen was considered complete or near complete in 97 and 96% in the laparoscopic and robotic groups, respectively. There was no difference in the rates of negative circumferential radial margin, distal margin, and surgical success measured by composite criteria.

conclusionThe main finding of this study was that robotic proctectomy for sphincter-saving procedures offers similar quality of TME with a statistically significant lower rate of conversion when compared to laparoscopic proctectomy.

Indexed as

AdultAgedAnal CanalConversion to Open SurgeryDigestive System Surgical ProceduresFemaleHumansLaparoscopyLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsRectal NeoplasmsRectumReoperationLaparoscopyMinimally invasive surgical proceduresRectal cancerRobotics

Identifiers

PMID28271268
OpenAlexW4244346572

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.