Evidence map›Paper›PMID 31375146›Full record

ArticleWorld journal of surgical oncology2019

An anatomic anal sphincter-saving procedure for rectal cancers located at anorectal junction.

Theodoros Mariolis-Sapsakos, Giannos Psathas, Taxiarchis Konstantinos Nikolouzakis, Konstantinos Laschos, Charikleia Triantopoulou, Gerasimos Bonatsos, John Tsiaoussis

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PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. [Postoperative Imaging Findings of Colorectal Surgery: A Pictorial Essay].Journal of the Korean Society of Radiology · 2024
    Review
  2. 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

7 authors at 4 institutions in 1 country.

Theodoros Mariolis-SapsakosConsultant General Surgeon Surgical Department, Agioi Anargyroi General and Oncologic Hospital of Kifisia, National & Kapodistrian University of Athens, University of Athens, Athens, Greece.
Giannos PsathasSurgical Department, Agioi Anargyroi General and Oncologic Hospital of Kifisia, University of Athens, Athens, Greece.
Taxiarchis Konstantinos NikolouzakisLaboratory of Anatomy-Histology-Embryology, Medical School of Heraklion, University of Crete, Heraklion, Greece.
Konstantinos LaschosOncology Pathology Department, Agioi Anargyroi General and Oncologic Hospital of Kifisia, Athens, Greece.
Charikleia TriantopoulouRadiology Department, Konstantopouleio General Hospital, Athens, Greece.
Gerasimos BonatsosSurgical Department, Agioi Anargyroi General and Oncologic Hospital of Kifisia, National & Kapodistrian University of Athens, University of Athens, Athens, Greece.
John TsiaoussisLaboratory of Anatomy-Histology-Embryology, Medical School of Heraklion, University of Crete, Heraklion, Greece. tsiaoussis@uoc.gr.ORCID http://orcid.org/0000-0002-9892-1048
National and Kapodistrian University of Athens · GRUniversity of Crete · GRAgia Olga Hospital · GRHospital Agioi Anargyroi · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to present the feasibility of the open approach of hemilevator excision (HLE) as a promising alternative of the laparoscopic and/or robotic ones for the treatment of low rectal cancer extending to the ipsilateral puborectalis muscle.

methodsA 60-year-old male patient with a high-grade differentiated rectal adenocarcinoma at the right side of the lower rectum invading puborectalis muscle. The proposed operation consists of a combination of extralevator abdomino-perineal excision (ELAPE), intersphicteric resection (ISR), and low anterior resection (LAR) since it resects the ipsilateral to tumor levator ani muscle (LAM) from its attachment at the internal obturator fascia and the deep part of ipsilateral external anal sphincter (EAS), while the distal part of dissection is completed in the intersphincteric space taking out the internal anal sphincter (IAS). At the contralateral side of the tumor, the dissection plane follows the classic route of LAR.

resultsPathology proved the oncologic adequacy of resection. MRI at the fourth postoperative week showed clearly the right aspect of anorectal junction free of tumor. Anorectal manometry revealed a fair anorectal function which is in accordance with the findings of clinical assessment of patient after restoring large bowel continuity (post-op Wexner score, 7).

conclusionThis is the first case of the open HLE that seems to be a good alternative compared to ELAPE or conventional APR, as it offers oncologic adequacy and a fair anorectal function.

Indexed as

Anal CanalHumansLaparoscopyMagnetic Resonance ImagingMaleMiddle AgedPerineumRectal NeoplasmsRectumRobotic Surgical ProceduresAnorectal functionHemilevator excisionRectal cancerSphincter saving

Identifiers

PMID31375146
PMCPMC6676583
OpenAlexW2966427340

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.