Evidence map›Paper›PMID 30666418›Full record

ArticleSurgery today2019

Laparoscopic surgery in patients diagnosed with clinical N2 colon cancer.

Masakatsu Numata, Sho Sawazaki, Toru Aoyama, Hiroshi Tamagawa, Teni Godai, Tsutomu Sato, Hiroyuki Saeki, Yusuke Saigusa, Masataka Taguri, Hiroyuki Mushiake and 5 more

Abstract read
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Article in Surgery today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

15 authors.

Masakatsu NumataDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. numata@yokohama-cu.ac.jp.
Sho SawazakiDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Toru AoyamaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Hiroshi TamagawaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Teni GodaiDepartment of Surgery, Fujisawa Shounandai Hospital, Fujisawa, Japan.
Tsutomu SatoDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Hiroyuki SaekiDepartment of Surgery, Yokohama Minami Kyosai Hospital, Yokohama, Japan.
Yusuke SaigusaDepartment of Biostatistics, Yokohama City University, Yokohama, Japan.
Masataka TaguriDepartment of Biostatistics, Yokohama City University, Yokohama, Japan.
Hiroyuki MushiakeDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Takashi OshimaDepartment of Gastroenterological Surgery, Kanagawa Cancer Hospital, Yokohama, Japan.
Norio YukawaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Manabu ShiozawaDepartment of Gastroenterological Surgery, Kanagawa Cancer Hospital, Yokohama, Japan.
Munetaka MasudaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Yasushi RinoDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe benefits of laparoscopic surgery for colorectal cancer have been well established. Several randomized controlled trials have demonstrated similar oncological outcomes between laparoscopic and open surgery for colon cancer. However, whether or not laparoscopic surgery is acceptable in patients with clinical N2 colon cancer is unclear. Therefore, the present study aimed to evaluate the safety and oncological outcomes of laparoscopic surgery for clinical N2 colon cancer.

methodsThis retrospective study assessed a prospective database and identified 262 consecutive patients with clinical N2 colon cancer who underwent either laparoscopic or open primary resection between 2000 and 2016. After propensity-score matching, 162 patients were analyzed. The primary outcome of interest was the 3-year recurrence-free survival rate, and the secondary outcome of interest was the postoperative complication rate.

resultsThe 3-year recurrence-free survival rate did not differ markedly between the laparoscopic and open surgery groups (77.4% vs. 76.5%, p = 0.620). In addition, the incidence of postoperative complications did not differ markedly between the laparoscopic and open surgery groups (16.6% vs. 24.0%, p = 0.317).

conclusionsOur findings suggest that laparoscopic surgery is safe and effective for clinical N2 colon cancer. Laparoscopic resection can be considered in patients diagnosed with clinical N2 colon cancer.

Indexed as

LaparoscopyAdultAgedAged, 80 and overColonic NeoplasmsDisease-Free SurvivalEndoscopy, GastrointestinalFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedNeoplasm GradingPostoperative ComplicationsPropensity ScoreClinical N2Colon cancerLaparoscopic resectionLong-term outcomesN2

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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.