Evidence map›Paper›PMID 28993914›Full record

ArticleTechniques in coloproctology2017

Operative vectors, anatomic distortion, fluid dynamics and the inherent effects of pneumatic insufflation encountered during transanal total mesorectal excision.

S Atallah, P Gonzalez, S Chadi, R Hompes, J Knol

Abstract read
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In one paragraph

Article in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

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

12 citing papers in PubMed.

  1. Observational
  2. Article
  3. Tips and Tricks.Clinics in colon and rectal surgery · 2020
    Review
  4. Summary of Oncologic and Functional Outcomes.Clinics in colon and rectal surgery · 2020
    Review
  5. Review
  6. Total Mesorectal Excision Technique-Past, Present, and Future.Clinics in colon and rectal surgery · 2020
    Review
  7. Future Directions.Clinics in colon and rectal surgery · 2020
    Review
  8. Transanal TME: new standard or fad?Journal of the anus, rectum and colon · 2019
    Review
  9. COTechniques in coloproctology · 2018
    Article
  10. Article
  11. Review
  12. 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

5 authors.

S AtallahCenter for Colon and Rectal Surgery, Florida Hospital, Winter Park, FL, 32792, USA. atallah@post.harvard.edu.
P GonzalezNOVA Southeastern University, College of Osteopathic Medicine, Davie, FL, USA.
S ChadiUniversity of Toronto, UHN - Toronto Western Hospital, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada.
R HompesOxford University Hospitals NHS Trust Oxford, Oxford, UK.
J KnolJessa Hospital-Hasselt, Hasselt, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal total mesorectal excision (taTME) is an altogether different approach to rectal cancer surgery, and the effects of carbon dioxide (CO

methodsThis article critically examines the effect of carbon dioxide insufflation and the workspace it creates during the process of taTME. The unique aspects of insulation with this approach are governed by the laws of physics, especially the principles of fluid dynamics, an area that remains poorly described for laparoscopy and not at all described for taTME.

resultsA summary of established factors which affect the operative field of the taTME surgeon is delineated and further explored. In addition, new concepts regarding gas delivery, such as insufflation vectors, anatomic distortion, hyper-dissection, and workspace volume rate of change as a function of taTME dissection time, are addressed. Collectively, these factors pose important challenges which increase case complexity and are thus essential for taTME trainers and trainees alike to understand.

conclusionsAlthough an invisible gas, CO

Indexed as

InsufflationTransanal Endoscopic SurgeryCarbon DioxideDissectionHumansHydrodynamicsPelvisRectal NeoplasmsCarbon DioxideAnatomic distortion: insufflation vectorsFluid dynamicsHyper-mesorectal excisionHyper-TMEOperative vectorsPneumopelvisReverse polarityTAMIStaTME

Identifiers

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.