Evidence map›Paper›PMID 29663303›Full record

ReviewJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2018

Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes.

Alexander T Hawkins, Katherine Albutt, Paul E Wise, Karim Alavi, Ranjan Sudan, Andreas M Kaiser, Liliana Bordeianou, Continuing Education Committee of the SSAT

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04134104 (Incidence of The Bowel, Bladder, and Sexual Dysfunction Following Surgery for Colorectal Malignancy), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 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.

NCT04134104 completednot on this map

Incidence of The Bowel, Bladder, and Sexual Dysfunction Following Surgery for Colorectal Malignancy

Typeobservational_patient_registrySponsorNational Academy of Medical Sciences, NepalRan2014 to 2017Enrolled38ConditionsBowel Dysfunction, Bladder Dysfunction, Sexual Dysfunction, Colorectal SurgeryArmsSurgery for Colorectal malignant diseases either LAR or APR
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Hammock Flaps: A Novel Approach to Abdominoperineal Reconstruction.Plastic and reconstructive surgery. Global open · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Streamlining robotic-assisted abdominoperineal resection.World journal of surgical oncology · 2023
    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

8 authors.

Alexander T HawkinsDepartment of Surgery, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA, USA. alexander.hawkins@vanderbilt.edu.
Katherine AlbuttDepartment of Surgery, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA, USA.
Paul E WiseSection of Colon and Rectal Surgery, Washington University in St. Louis, St. Louis, MO, USA.
Karim AlaviDepartment of Surgery, UMass Memorial Medical Center, Worcester, MA, USA.
Ranjan SudanDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Andreas M KaiserDepartment of Colorectal Surgery, University of Southern California, Los Angeles, CA, USA.
Liliana BordeianouDepartment of Surgery, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA, USA.
Continuing Education Committee of the SSAT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of low rectal cancer continues to be a challenge, and decision making regarding the need for an abdominoperineal resection (APR) in patients with low-lying tumors is complicated. Furthermore, choices need to be made regarding need for modification of the surgical approach based on tumor anatomy and patient goals. DISCUSSION: In this article, we address patient selection, preoperative planning, and intraoperative technique required to perform the three types of abdominoperineal resections for rectal cancer: extrasphincteric, extralevator, and intersphincteric. Attention is paid not only to traditional oncologic outcomes such as recurrence and survival but also to patient-reported outcomes and quality of life.

Indexed as

Neoplasm Recurrence, LocalPatient SelectionAbdomenEvidence-Based MedicineHumansMargins of ExcisionPerineumProctectomyQuality of LifeRectal NeoplasmsSurvival RateAbdominoperineal excisionAbdominoperineal resectionAPEAPRELAPEExtralevator abdominoperineal excisionRectal cancerTotal mesorectal excision

Identifiers

PMID29663303

What OpenQuestion holds

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Read underepoch 390

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.