Evidence map›Paper›PMID 30463197›Full record

ArticleJournal of clinical medicine2018

Comparison of Short-Term Clinical and Pathological Outcomes after Transanal versus Laparoscopic Total Mesorectal Excision for Low Anterior Rectal Resection Due to Rectal Cancer: A Systematic Review with Meta-Analysis.

Mateusz Rubinkiewicz, Agata Czerwińska, Piotr Zarzycki, Piotr Małczak, Michał Nowakowski, Piotr Major, Andrzej Budzyński, Michał Pędziwiatr

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Evaluation of the learning curve of transanal total mesorectal excision: single-centre experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  12. Article
  13. Transanal versus laparoscopic total mesorectal excision for mid and low rectal cancer: a meta-analysis of short-term outcomes.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  14. 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 at 1 institution in 1 country.

Mateusz Rubinkiewicz2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. mateusz.rubinkieiwcz@uj.edu.pl.ORCID 0000-0001-7087-6639
Agata Czerwińska2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. agata.czervinska@gmail.com.
Piotr Zarzycki2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. piotr.zarzycki23@gmail.com.
Piotr Małczak2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. pmmalczak@gmail.com.
Michał Nowakowski2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. michal.nowakowski@uj.edu.pl.ORCID 0000-0002-6128-4700
Piotr Major2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. piotr.major@uj.edu.pl.ORCID 0000-0001-6552-7979
Andrzej Budzyński2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. andrzej.budzynski@uj.edu.pl.ORCID 0000-0003-3021-6470
Michał Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland. michal.pedziwiatr@uj.edu.pl.ORCID 0000-0001-9073-2667
Jagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal total mesorectal excision (TaTME) is a new technique that is designed to overcome the limits of the open and laparoscopic approach for rectal resections.

objectiveThis study is designed to compare TaTME with standard laparoscopic TME (LaTME).

methodsWe searched Medline, Embase, and Scopus databases covering a up to October 2018. Inclusion criteria for study enrolment: (1) study comparing laparoscopic resection of rectal cancer vs. TaTME for rectal malignancy, (2) reporting of overall morbidity, operative time, or major complications.

resultsEleven non-randomized studies were eligible with a total of 778 patients. We found statistical significant differences in regard to major complications in favour of TaTME (RR = 0.55; 95% CI 0.31⁻0.97;

conclusionsThis meta-analysis shows benefits of TaTME technique regarding major postoperative complications. Regarding clinicopathological features transanal approach is not superior to LaTME. Currently, the quality of the evidence on benefits of TaTME is low due to lack of randomized controlled trials, which needs to be taken into consideration in further evaluation of the technique. Further evaluation of TaTME require conducting large randomized control trials.

Indexed as

laparoscopicrectal cancertotal mesorectal excisiontransanal

Identifiers

PMID30463197
PMCPMC6262322
OpenAlexW2901308967

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.