Evidence map›Paper›PMID 29679245›Full record

SynthesisTechniques in coloproctology2018

A systematic review of minimally invasive surgery for retrorectal tumors.

T G Mullaney, A L Lightner, M Johnston, S R Kelley, D W Larson, E J Dozois

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Robotic resection of presacral tumors.Techniques in coloproctology · 2024
    Article
  6. Article
  7. Laparoscopic resection of a retrorectal cystic tumor.Techniques in coloproctology · 2023
    Article
  8. Article
  9. Article
  10. Robotic abdominal resection of tailgut cysts - A technical note with step-by-step description.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  11. Article
  12. Article
  13. Retrorectal tumors: A challenge for the surgeons.World journal of gastrointestinal surgery · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

T G MullaneyDepartment of Colorectal Surgery, St Vincent's Hospital, Melbourne, Australia. Tamara.glyn@gmail.com.ORCID http://orcid.org/0000-0001-7156-5779
A L LightnerDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.
M JohnstonDepartment of Colorectal Surgery, St Vincent's Hospital, Melbourne, Australia.
S R KelleyDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.
D W LarsonDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.
E J DozoisDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retrorectal tumors are rare tumors that require resection for symptoms, malignancy and potential malignant transformation. Traditional approaches have included laparotomy, perineal excision or a combination. Multiple minimally invasive techniques are available which have the potential to minimize morbidity and enhance recovery. We performed a systematic review of the literature to determine the feasibility and surgical outcomes of retrorectal tumors approached using minimally invasive surgical techniques. Publications in which adult patients (≥ 18 years) had a minimally invasive approach (laparoscopic or robotic) for resection of a primary retrorectal tumor were included. Data were collected on approach, preoperative investigation, size and sacral level of the tumor, operating time, length of stay, perioperative complications, margins and recurrence. Thirty-five articles which included a total of 82 patients met the inclusion criteria. The majority of patients were female (n = 65; 79.2%), with a mean age of 41.7 years (range 18-89 years). Seventy-three patients (89.0%) underwent laparoscopic or combined laparoscopic-perineal resection, and 9 (10.8%) had a robotic approach. The conversion rate was 5.5%. The overall 30-day morbidity rate was 15.7%, including 1 intraoperative rectal injury (1.2%). Ninety-five percent (n = 78) of the retrorectal tumors were benign. Median length of stay was 4 days for both laparoscopic and robotic groups, with ranges of 1-8 and 2-10 days, respectively. No tumor recurrence was noted during follow-up [median 28 months (range 5-71 months)]. A minimally invasive approach for the resection of retrorectal tumors is feasible in selected patients. Careful patient selection is necessary to avoid incomplete resection and higher morbidity than traditional approaches.

Indexed as

AdolescentAdultAgedAged, 80 and overConversion to Open SurgeryFemaleHumansLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresRectal NeoplasmsRectumTreatment OutcomeYoung AdultColorectal/anal neoplasiaLaparoscopicMinimally invasive surgeryRetrorectal tumorsRobotic

Identifiers

PMID29679245
OpenAlexW2801257105

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.