Evidence map›Paper›PMID 31482393›Full record

ArticleTechniques in coloproctology2019

Natural orifice specimen extraction (NOSE) surgery with rectal eversion and total extra-abdominal resection.

S K Efetov, I A Tulina, V D Kim, Y Kitsenko, A Picciariello, P V Tsarkov

Abstract readVideo-Audio Media
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Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Robotic natural orifice specimen extraction surgery I-type F methodWorld journal of gastrointestinal surgery · 2023
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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

6 authors.

S K EfetovClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia. efetov@mail.ru.
I A TulinaClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia.
V D KimClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia.
Y KitsenkoClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia.
A PicciarielloClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia.
P V TsarkovClinic of Colorectal and Minimally Invasive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 2-4 Bolshaya Pirogovskaya st., Moscow, 119991, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNatural orifice specimen extraction (NOSE)surgery is gaining popularity among colorectal surgeons. The technical aspects of this new procedure are still debated and many variations have been presented in the last decade.

methodsWe propose a new variation of transanal NOSE after robotic and laparoscopic LAR consisting of rectal eversion by using a special rod after laparoscopic TME. Eversion makes it possible to perform resection and placement of the anvil extracorporeally. We included a video demonstration of the technique. Clinical Patient Grading Assessment Scale was calculated 1 month after stoma closure and the Low Anterior Resection Syndrome (LARS )score was calculated preoperatively and 1 month after stoma closure.

resultsSeven female patients with rectal cancer, all with normal BMI, underwent laparoscopic (n = 5) or robotic (n = 2) TME with rectal eversion. No intraoperative and postoperative complications were reported. One month after stoma closure, the median Clinical Patient Grading Assessment Scale was 5 (range 3-7), which means "a good deal better". The median LARS score was 14 (IQR 14-19,5) preoperatively and 19 (IQR 19-21,5) 1 month after stoma closure.

conclusionsThis variation of NOSE surgery was safe and effective in our patient population.

Indexed as

AbdomenAdultFemaleHumansLaparoscopyLymph Node ExcisionMiddle AgedNatural Orifice Endoscopic SurgeryPostoperative ComplicationsRectal DiseasesRectal NeoplasmsRectumRobotic Surgical ProceduresSurgical StomasSyndromeTreatment OutcomeLaparoscopic surgical proceduresNatural orifice surgeryRectal neoplasmsRobotic surgical procedures

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Registered trials

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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.