Evidence map›Paper›PMID 28883706›Full record

ArticleWorld journal of gastroenterology2017

Simple instruments facilitating achievement of transanal total mesorectal excision in male patients.

Chang Xu, Hua-Yu Song, Shao-Liang Han, Shi-Chang Ni, Hu-Xiang Zhang, Chun-Gen Xing

Open access · hybridAbstract readComparative StudyEvaluation Study
In one paragraph

Article in World journal of gastroenterology, 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, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The Efficacy of Transanal Total Mesorectal Excision: a Preliminary Vietnamese Report.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2020
    Article
  4. Transperineal abdominoperineal resection for anorectal melanoma: A case report.International journal of surgery case reports · 2019
    Article
  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 5 institutions in 1 country.

Chang XuDepartment of General Surgery, the Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.
Hua-Yu SongDepartment of Colorectal Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.
Shao-Liang HanDepartment of Colorectal Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.
Shi-Chang NiDepartment of Colorectal Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.
Hu-Xiang ZhangDepartment of Pathology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.
Chun-Gen XingDepartment of General Surgery, the Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. xingcg@suda.edu.cn.
Wenzhou Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CNSecond Affiliated Hospital of Soochow University · CNSoochow University · CNWenzhou Municipal Sci-Tech Bureau · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the efficacy of a modified approach with transanal total mesorectal excision (taTME) using simple customized instruments in male patients with low rectal cancer.

methodsA total of 115 male patients with low rectal cancer from December 2006 to August 2015 were retrospectively studied. All patients had a bulky tumor (tumor diameter ≥ 40 mm). Forty-one patients (group A) underwent a classical approach of transabdominal total mesorectal excision (TME) and transanal intersphincteric resection (ISR), and the other 74 patients (group B) underwent a modified approach with transabdominal TME, transanal ISR, and taTME. Some simple instruments including modified retractors and an anal dilator with a papilionaceous fixture were used to perform taTME. The operative time, quality of mesorectal excision, circumferential resection margin, local recurrence, and postoperative survival were evaluated.

resultsAll 115 patients had successful sphincter preservation. The operative time in group B (240 min, range: 160-330 min) was significantly shorter than that in group A (280 min, range: 200-360 min;

conclusionRetrograde taTME with simple customized instruments can achieve high-quality TME, and it might be an effective and economical alternative for male patients with bulky tumors.

Indexed as

Anal CanalDisease-Free SurvivalFollow-Up StudiesHumansIncidenceLaparoscopyMaleMesocolonNeoplasm Recurrence, LocalNeoplasm StagingOperative TimeOrgan Sparing TreatmentsPostoperative ComplicationsRectal NeoplasmsRectumRetrospective StudiesIntersphincteric resectionLocal recurrenceLong-term outcomeRectal neoplasmTotal mesorectal excisionTransanal approach

Identifiers

PMID28883706
PMCPMC5569295
OpenAlexW2746725109

What OpenQuestion holds

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LicenceCC BY-NC
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.