Evidence map›Paper›PMID 31280215›Full record

ArticleIn vivo (Athens, Greece)

Additional Surgical Resection After Endoscopic Resection for Patients With High-risk T1 Colorectal Cancer.

Kenta Iguchi, Hiroyuki Mushiake, Toru Aoyama, Hirokazu Suwa, Norio Yukawa, Mitsuyoshi Ota, Yasushi Rino, Chikara Kunisaki, Itaru Endo, Munetaka Masuda

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  8. Competing Mortality Redefines the Net Benefit of Additional Surgery After Endoscopic Resection for T1 Colorectal Cancer in Older Adults.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
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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

10 authors at 2 institutions in 1 country.

Kenta IguchiDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Hiroyuki MushiakeDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan mushiake@yokohama-cu.ac.jp.
Toru AoyamaDepartment of Surgery, School of Medicine, Yokohama City University, Yokohama, Japan.
Hirokazu SuwaDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Norio YukawaDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Mitsuyoshi OtaDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Yasushi RinoDepartment of Surgery, School of Medicine, Yokohama City University, Yokohama, Japan.
Chikara KunisakiDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Itaru EndoDepartment of Gastroenterological Surgery, School of Medicine, Yokohama City University, Yokohama, Japan.
Munetaka MasudaDepartment of Surgery, School of Medicine, Yokohama City University, Yokohama, Japan.
Yokohama City University · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe purpose of this study was to reveal the safety and efficacy of additional surgical resection (ASR) for high-risk T1 colorectal cancer (CRC) after endoscopic resection (ER). PATIENTS AND

methodsWe retrospectively analyzed 191 patients with high-risk T1 CRC after ER.

resultsThe ASR was performed in 176 (92.1%) patients and 15 (7.9%) rejected ASR. All patients that underwent ASR experienced R0 resection; laparoscopic surgery was performed in 159 (90.3%) patients. Clavien-Dindo complications ≥grade II occurred in 33 patients (18.8%). Anastomotic leakage (8.5%) and ileus (5.7%) were the most frequent complications. The anus function was preserved in all patients. Metastatic lymph node was detected in 21 (11.9%) patients. There were no deaths or relapses in patients with ASR. One patient without ASR (6.7%) had a lymph node recurrence.

conclusionASR was safe and effective and is recommended for high-risk T1 CRC patients after ER. A satisfactory long-term outcome can be achieved.

Indexed as

AdultAgedAged, 80 and overColorectal NeoplasmsColorectal SurgeryFemaleFollow-Up StudiesHumansLaparoscopyMaleMiddle AgedNeoplasm GradingNeoplasm StagingRetreatmentTreatment OutcomeTumor Burdencolorectal neoplasmsColorectal surgeryendoscopy

Identifiers

PMID31280215
PMCPMC6689358
OpenAlexW2955432075

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.