Evidence map›Paper›PMID 32104584›Full record

ArticleGastroenterology report2020

Transanal total mesorectal excision for rectal cancer: a multicentric cohort study.

Liang Kang, Yuan-Guang Chen, Hao Zhang, Hong-Yu Zhang, Guo-Le Lin, Ying-Chi Yang, Wen-Hao Chen, Shuang-Ling Luo, Ning Chen, Wei-Dong Tong and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  13. The learning curve of transanal total mesorectal excision for rectal cancer is associated with local recurrence: results from a multicentre external audit.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
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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

15 authors at 9 institutions in 1 country.

Liang KangDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou, Guangdong, P. R. China.
Yuan-Guang ChenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, P. R. China.
Hao ZhangDepartment of General Surgery, Dongguan Kanghua Hospital, Dongguan, Guangdong, P. R. China.
Hong-Yu ZhangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, P. R. China.
Guo-Le LinDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China.
Ying-Chi YangDepartment of General Surgery, Beijing Friendship Hospital, Beijing, P. R. China.
Wen-Hao ChenDepartment of Colorectal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, P. R. China.
Shuang-Ling LuoDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou, Guangdong, P. R. China.
Ning ChenDepartment of General Surgery, Peking University Third Hospital, Beijing, P. R. China.
Wei-Dong TongDepartment of Gastrointestinal Surgery, Daping Hospital, Third Military Medical University, Chongqing, P. R. China.
Zhan-Long ShenDepartment of Gastrointestinal Surgery, Peking University People's Hospital, Beijing, P. R. China.
De-Hai XiongDepartment of General Surgery, Chongqing Three Gorges Center Hospital, Chongqing, P. R. China.
Yi XiaoDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China.ORCID 0000-0002-4309-1227
Zhong-Tao ZhangDepartment of General Surgery, Beijing Friendship Hospital, Beijing, P. R. China.
Jian-Ping WangDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou, Guangdong, P. R. China.
Sun Yat-sen University · CNBeijing Friendship Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNDongguan People’s Hospital · CNPeking University · CNArmy Medical University · CNChongqing Three Gorges Central Hospital · CNFirst Affiliated Hospital of Guangzhou Medical University · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal total mesorectal excision (taTME) has recently emerged as a promising novel surgical procedure for rectal cancer. It is believed to hold the potential advantage of providing better access to mobilize the distal rectum and achieving better pathologic results. This study aimed to evaluate the feasibility of taTME for rectal cancer and summarize the preliminary experience in 10 Chinese hospitals.

methodsA total of 211 patients were enrolled in this study. Variables for evaluation of safety, feasibility, and oncologic outcomes were retrospectively collected and analysed.

resultsThe median distance between the tumor and the anal verge was 5.9 cm (range, 1.5-12 cm). The median operating time was 280 min (range, 70-600 min) and the median estimated intra-operative blood loss was 50 mL (range, 10-1,500 mL). The overall rate of complication was 27.9%. Among the 211 patients, 175 (82.9%) had complete TME and 33 (15.6%) had near complete TME. The circumferential resection margin was negative in 97.7% of patients. The patients were followed for a median of 35 months (range, 2-86 months). There was 7.6% (16) mortality, 6.2% (13) had local recurrence, and 12.8% (27) had systemic recurrence. Kaplan-Meier survival analysis showed that 1-, 2-, and 3-year disease-free survival rates were 94.8%, 89.3%, and 80.2%, respectively, and 1-, 2-, and 3-year OS rates were 97.4%, 95.7%, and 92.9%, respectively.

conclusionsAlthough limited by its retrospective nature, taTME was safe and feasible in selected patients. Future work with rigorous data recording is warranted.

Indexed as

laparoscopicmulticentricrectal cancertotal mesorectal excisiontransanal

Identifiers

PMID32104584
PMCPMC7034231
OpenAlexW2986987959

What OpenQuestion holds

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LicenceCC BY-NC
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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.