Evidence map›Paper›PMID 31342167›Full record

SynthesisInternational journal of colorectal disease2019

Comparison of three-dimensional versus two-dimensional laparoscopic surgery for rectal cancer: a meta-analysis.

Laiyuan Li, Xianhua Gao, Yinyin Guo, Yanxin Luo, Yang Luo, Xiongfei Yang, Weisheng Zhang, Lili Feng

Abstract readComparative StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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 5 institutions in 1 country.

Laiyuan LiDepartment of Anorectal Surgery, Gansu Provincial Hospital, 204 Donggang West Rd., Lanzhou, 730000, Gansu, China.
Xianhua GaoDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Yinyin GuoDepartment of Pharmacy, Lanzhou University Second Hospital, Lanzhou, China.
Yanxin LuoDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yang LuoDepartment of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
Xiongfei YangDepartment of Anorectal Surgery, Gansu Provincial Hospital, 204 Donggang West Rd., Lanzhou, 730000, Gansu, China.
Weisheng ZhangDepartment of Anorectal Surgery, Gansu Provincial Hospital, 204 Donggang West Rd., Lanzhou, 730000, Gansu, China.
Lili FengDepartment of Anorectal Surgery, Gansu Provincial Hospital, 204 Donggang West Rd., Lanzhou, 730000, Gansu, China. fenglilicr@163.com.
Gansu Provincial Hospital · CNChanghai Hospital · CNLanzhou University · CNLanzhou University Second Hospital · CNSixth Affiliated Hospital of Sun Yat-sen University · CN

Funding

Science and technology project of gansu province 18JR3RA05
6 · The paper itself

Abstract

purposeThree-dimensional (3D) vision technology has recently been validated for the improvement of surgical skills in a simulated setting. This study assessed the current evidence regarding the efficiency and potential advantages of 3D compared with two-dimensional (2D) laparoscopic rectal surgery for rectal cancer.

methodsWe comprehensively searched PubMed, EMBASE and the Cochrane Library and performed a systematic review and cumulative meta-analysis of all randomized controlled trials (RCTs) and non-randomized controlled trials (nRCTs) assessing the two approaches.

resultsFour trials including a total 331 cases were identified. The positive circumferential resection margins (CRMs) were significantly lower for the 3D group (P = 0.02). The operative time was significantly shorter in the 3D group than in the 2D group (P < 0.00001). There was less estimated blood loss (EBL) in the 3D group than in the 2D group (P = 0.02). Perioperative complication rates, conversion rate, harvested lymph nodes, first flatus, length of stay, pneumonia, wound infection, ileus, anastomotic fistula and urinary retention did not differ significantly between the two groups (P > 0.05).

conclusionsIn summary, 3D laparoscopic rectal surgery appears to have advantages over 2D laparoscopic rectal surgery in terms of positive CRM and operation time; however, it is not better than 2D laparoscopic rectal surgery in terms of the conversion rate and postoperative complications.

Indexed as

LaparoscopyAgedFemaleHumansMaleMiddle AgedPublication BiasRectumTreatment OutcomeLaparoscopic surgeryMeta-analysisRectal cancerThree-dimensionalTwo-dimensional

Identifiers

PMID31342167
OpenAlexW2962741924

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.