Evidence map›Paper›PMID 31506793›Full record

ArticleSurgical endoscopy2020

Predicting the level of difficulty of the double-stapling technique in laparoscopic total mesorectal excision.

Chi Chung Foo, Hing Tsun Hung, Yuen Chi Ho, Wendy Wai Man Lam, Wai Lun Law

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Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

5 authors.

Chi Chung FooDepartment of Surgery, The University of Hong Kong, Hong Kong, China. ccfoo@hku.hk.ORCID 0000-0001-8849-6597
Hing Tsun HungDepartment of Surgery, The University of Hong Kong, Hong Kong, China.
Yuen Chi HoDepartment of Radiology, Queen Mary Hospital, Hong Kong, China.
Wendy Wai Man LamDepartment of Radiology, Queen Mary Hospital, Hong Kong, China.
Wai Lun LawDepartment of Surgery, The University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transection of rectum and fashioning of anastomosis is a crucial step in laparoscopic total mesorectal excision (TME) and the double-stapling technique (DST) is often employed. This study aimed to evaluate the factors that were associated with difficult DST.

methodCases of laparoscopic TME were retrospectively reviewed. The clinico-anatomical parameters were retrieved from a prospectively maintained database. In addition, pelvic dimensions were taken by reviewing the magnetic resonance imaging scan. The number of stapler cartridges used for intracorporeal transection of rectum was used as a surrogate for the level of difficulty of DST and its relationship with various parameters were evaluated.

resultsThere were a total of 121 consecutive cases analyzed. The mean number of stapler cartridges used was 2.1 ± 0.7. Pelvic inlet (p = 0.002) and tumor height (p = 0.015) were predictors of the number of cartridges used, R

conclusionThe difficulty of DST was associated with patient's clinico-anatomical factors. Surgeons can consider other feasible alternatives, like transanal anastomosis, when a technically challenging DST is anticipated.

Indexed as

Anastomosis, SurgicalLaparoscopySurgical StaplingHumansOperative TimeRectal NeoplasmsRectumRetrospective StudiesDouble-stapling techniqueMRI pelvimetryTotal mesorectal excision

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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.