Evidence map›Paper›PMID 31602514›Full record

ArticleSurgical endoscopy2020

Short-term and long-term outcomes of robotic rectal surgery-from the real word data of 1145 consecutive cases in China.

Wenju Chang, Ye Wei, Li Ren, Mi Jian, Yijiao Chen, Jingwen Chen, Tianyu Liu, Wenbai Huang, Shangjin Peng, Jianmin Xu

Abstract read
In one paragraph

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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
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  16. Role of minimally invasive surgery for rectal cancer.World journal of gastroenterology · 2020
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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.

Wenju ChangColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Ye WeiColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Li RenColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Mi JianColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Yijiao ChenColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Jingwen ChenColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Tianyu LiuColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Wenbai HuangColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Shangjin PengDepartment of General Surgery, Jinshan Hospital, Fudan University, Shanghai, China.
Jianmin XuColorectal Cancer Center; Department of General Surgery; Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China. xujmin@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to a limited patient sample size, substantial data on robotic rectal resection (RRR) is lacking. Here, we reported a large consecutive cases from the real word data to assess the safety and efficacy of RRR.

methodsFrom September 2010 to June 2017, a total of 1145 consecutive RRR procedures were performed in patients with stage I-IV disease. We conducted an analysis based on information from a prospectively designed database to evaluate surgical outcomes, urogenital function, and long-term oncological outcomes.

resultsOf three types of RRR performed, 227 (24.2%) were abdominoperineal resections, 865 (75.5%) were anterior resections, and 3 (0.3%) were Hartmann. Conversion to an open procedure occurred in 5.9% of patients. The overall positive circumferential margin rate was 1.3%. Surgical complication rate and mortality were 16.2% and 0.8% within 30 days of surgery, respectively. Mean hospital stay after surgery and hospital cost were 6.3 ± 2.9 days and 10442.5 ± 3321.5 US dollars, respectively. Risk factors for surgical complications included male gender, tumor location (mid-low rectum), combined organ resection, and clinical T category (cT3-4). Urinary function and general sexual satisfaction decreased significantly 1 month after surgery for both sexes. Subsequently, both parameters increased progressively, and the values 1 year after surgery were comparable to those measured before surgery. At a median follow-up of 34.6 months, local recurrence and distant metastases occurred in 2.3% and 21.1% of patients, respectively.

conclusionsRobotic rectal resection was safe with preserved urogenital function and arrived equivalent oncological outcomes in a nonselected group of patients with rectal cancer.

Indexed as

Robotic Surgical ProceduresAdultAgedAged, 80 and overChinaFemaleHumansLength of StayMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsQuality of LifeRectal NeoplasmsRectumRisk FactorsOncological outcomeRectal cancerRobotic rectal surgerySexual functionUrinary function

Identifiers

PMID31602514
PMCPMC7395014

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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.