Evidence map›Paper›PMID 28923055›Full record

ArticleWorld journal of surgical oncology2017

Clinical outcome of laparoscopic complete mesocolic excision in the treatment of right colon cancer.

Yong Wang, Chuan Zhang, Dongsheng Zhang, Zan Fu, Yueming Sun

Registry-linked trialAbstract read
In one paragraph

Article in World journal of surgical oncology, 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 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Observational
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  10. Chylous ascites in colorectal surgery: A systematic review.World journal of gastrointestinal surgery · 2021
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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

5 authors.

Yong WangDepartment of Colorectal, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Chuan ZhangDepartment of Colorectal, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Dongsheng ZhangDepartment of Colorectal, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Zan FuDepartment of Colorectal, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Yueming SunDepartment of Colorectal, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China. jssym@vip.sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the clinical outcome of complete mesocolic excision (CME) with a caudal-to-cranial medial approach in the treatment of right colon cancer.

methodsThe clinical data of 172 patients who underwent laparoscopic CME for right colon cancer and were admitted to the First Affiliated Hospital of Nanjing Medical University from January 2010 to April 2015 were retrospectively analyzed. The 3-year disease-free survival (DFS) and overall survival (OS) in relation to gender, age, history of abdominal surgery, tumor size, complications, and tumor-node-metastasis (TNM) classification were analyzed using the Kaplan-Meier survival curves.

resultsA total of 172 patients with 94 males and 78 females were included. The average surgical time was 113.5 ± 34.4 min, blood loss was 74.2 ± 28.1 mL, and the number of lymph nodes retrieved was 23.3 ± 9.2. No readmission or death occurred within 30 days after surgery. Postoperative complications occurred in 16.3% of the patients, which included wound infection (3 patients), chylous fistula (22 patients), anastomotic leakage (1 patient), anastomotic bleeding (1 patient), and lung infection (1 patient). The 3-year DFS and OS were 81.7 and 89.1%, respectively. The rate of DFS and OS was significantly higher in stages I and II compared with that in stage III (P < 0.05), and in stages IIIA and IIIB compared with that in stage IIIC (P < 0.05).

conclusionsLaparoscopic CME with a caudal-to-cranial medial approach in the treatment of right colon cancer had good short-term efficacy and satisfactory oncological outcome.

Indexed as

AdultAgedBlood Loss, SurgicalColectomyColonic NeoplasmsDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLaparoscopyLymph Node ExcisionLymph NodesMaleMesocolonMiddle AgedNeoplasm StagingComplete mesocolic excisionLaparoscopyRight colon cancer

Identifiers

PMID28923055
PMCPMC5604491

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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.