Evidence map›Paper›PMID 31654242›Full record

ArticleSurgical case reports2019

Robot-assisted laparoscopic surgery after placing a self-expanding metallic stent for malignant rectal obstruction: a case report.

Hiroshi Takeyama, Katsuki Danno, Takahiko Nishigaki, Masafumi Yamashita, Masami Yamazaki, Tsuyoshi Yamakita, Akihiro Nishihara, Hirokazu Taniguchi, Masayo Mizutani, Itsuko Nakamichi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 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 47% 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, 3 citations in OpenAlex.

  1. 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

13 authors at 1 institution in 1 country.

Hiroshi TakeyamaDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan. htakeyama.gesurg@gmail.com.ORCID http://orcid.org/0000-0003-1672-8349
Katsuki DannoDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Takahiko NishigakiDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Masafumi YamashitaDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Masami YamazakiDepartment of Gastroenterology, Minoh City Hospital, Osaka, 562-0014, Japan.
Tsuyoshi YamakitaDepartment of Gastroenterology, Minoh City Hospital, Osaka, 562-0014, Japan.
Akihiro NishiharaDepartment of Gastroenterology, Minoh City Hospital, Osaka, 562-0014, Japan.
Hirokazu TaniguchiDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Masayo MizutaniDepartment of Gastroenterology, Minoh City Hospital, Osaka, 562-0014, Japan.
Itsuko NakamichiDepartment of Pathology, Minoh City Hospital, Osaka, 562-0014, Japan.
Mamoru YuraDepartment of Gastroenterology, Minoh City Hospital, Osaka, 562-0014, Japan.
Kimimasa IkedaDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Yoshio OkaDepartment of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
Minoh City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 20% of colorectal cancer patients show complete or incomplete bowel obstruction as an early symptom. Preoperative nonsurgical decompression such as placing a self-expanding metallic stent for malignant colorectal obstruction has been shown to be effective for reducing perioperative morbidity and mortality. However, there is a lack of published studies reporting robot-assisted laparoscopic surgery (RALS) after self-expanding metallic stent (SEMS) placement for malignant rectal obstruction (MRO). To our knowledge, this is the first report to do so. CASE PRESENTATION: An 80-year-old man with incomplete paralysis of the lower limbs as well as bladder-rectal disorder due to a spine fracture sustained in a fall accident 26 years ago presented with lower abdominal pain and vomiting. Abdominal multi-detector computed tomography revealed an obstructive rectal tumor with distended bowel on the oral side. Emergency colonoscopy was performed, and an SEMS placed. The patency of SEMS and decompression of the distended bowel was confirmed, and elective RALS was performed 29 days after SEMS placement. To our knowledge, this is the first report of RALS after decompression with SEMS placement for MRO.

conclusionsRALS after SEMS placement is a safe and feasible therapeutic strategy for MRO.

Indexed as

Malignant colorectal obstructionMalignant rectal obstructionObstructionRectal cancerRobot-assisted laparoscopic surgerySelf-expandable metallic stentSelf-expanding metallic stent

Identifiers

PMID31654242
PMCPMC6814676
OpenAlexW2981580654

What OpenQuestion holds

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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.