Evidence map›Paper›PMID 28803344›Full record

Observational studyInternational journal of colorectal disease2017

Outcome one year after robot-assisted rectal cancer surgery: a consecutive cohort study.

Sanne Harsløf, Anders Stouge, Niels Thomassen, Sissel Ravn, Søren Laurberg, Lene Hjerrild Iversen

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. The incidence and risk factors of low anterior resection syndrome (LARS) after sphincter-preserving surgery of rectal cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  2. Review
  3. Article
  4. Low anterior resection syndrome.Annals of gastroenterological surgery · 2023
    Review
  5. 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

6 authors at 1 institution in 1 country.

Sanne HarsløfSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark. sanneharslof@gmail.com.ORCID http://orcid.org/0000-0002-6809-0909
Anders StougeSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Niels ThomassenSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Sissel RavnSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Søren LaurbergSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Lene Hjerrild IversenSurgical Department, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate outcome after robot-assisted rectal cancer surgery (RARCS). We focused on conversion rate, postoperative complications, pathological evaluation (adequacy of resection margins), and bowel function (low anterior resection syndrome (LARS)) 1 year after surgery.

methodsAn observational study of prospectively registered patients with data obtained from medical records. Data comprise the initial 208 rectal cancer patients operated with robot-assisted surgery at a single Danish university hospital from October 2011 to October 2014.

resultsIn total, 27 procedures (13%) were converted to open surgery, and 23 of the 27(85%) conversions were in the obese and overweight patients. The anastomotic leak rate was 12 (9%), and further 5 (2%) developed a complication requiring re-operation (ileus, bleeding, wound abscess). In total, 14 (7%) patients had a circumferential resection margin (CRM) ≤ 1 mm (R1-resection). In regard to bowel function, 15/22 (68%) of TME patients had major LARS at 6 months follow-up but at 12 months follow-up this proportion was reduced to 18/34 (53%).

conclusionsThe outcomes after RARCS at a single high-volume university center are overall comparable to outcomes reported from laparoscopic surgery. The results are satisfying because they are achieved during implementation of RARCS. Randomized trials are, however, needed and focus should especially be on long-term follow-up in regard to functional outcome.

Indexed as

Robotic Surgical ProceduresAdultAgedAged, 80 and overChemoradiotherapyConversion to Open SurgeryDenmarkDigestive System Surgical ProceduresFemaleHospitals, High-VolumeHospitals, UniversityHumansMaleMargins of ExcisionMiddle AgedNeoadjuvant TherapyRectal cancerRectal surgeryRobot-assistedShort-term outcome

Identifiers

PMID28803344
OpenAlexW2743671571

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.