Evidence map›Paper›PMID 32193667›Full record

ArticleTechniques in coloproctology2020

Initial clinical experience with a powered circular stapler for colorectal anastomosis.

S Atallah, S Kural, N Banda, A Banda, F Bawaney, F Cabral, V Neychev, C Patel, S Larach

Abstract read
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In one paragraph

Article in Techniques in coloproctology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  12. Real-life introduction of powered circular stapler for esophagogastric anastomosis: cohort and propensity matched score study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 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

9 authors at 3 institutions in 3 countries.

S AtallahUniversity of Central Florida, College of Medicine, Orlando, FL, USA. atallah@post.harvard.edu.ORCID http://orcid.org/0000-0003-3995-8171
S KuralUludag University, Bursa, Turkey.
N BandaUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
A BandaUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
F BawaneyUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
F CabralInstituto Português de Oncologia, Lisbon, Portugal.
V NeychevUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
C PatelUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
S LarachUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
University of Central Florida · USBursa Uludağ Üni̇versi̇tesi̇ · TRIPO Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Echelon circular™ powered stapler (ECP stapler) obviates the need for manual firing of conventional circular staplers during the construction of a colorectal anastomosis, but has not been evaluated clinically. The aim of this study was to perform a clinical evaluation of this stapler.

methodsA retrospective review of the initial clinical experience of a single surgeon using the ECP stapler for left-sided colorectal anastomosis construction during elective colorectal resections for benign and malignant disease was conducted by analyzing results from a prospectively maintained study database. Additionally, four attending colorectal and/or general surgeons who had performed ≥ 5 colorectal operations with the ECP stapler were invited to complete an anonymous online survey to subjectively assess the user experience with the device. Statistical analysis was conducted using Microsoft Excel Version 15.33.

resultsSeventeen patients underwent left-sided anastomotic reconstruction using the ECP stapler. All donuts (proximal and distal) were intact. Anastomotic integrity was evaluated using the air-leak test utilizing flexible video sigmoidoscopy. No leaks were observed, although one patient (5.9%) developed a postoperative pelvic abscess. The anonymous survey was completed by all four surgeons. Subjective evaluation of the ECP stapler suggests that the overall stapling quality, overall device ease-of-use, and the overall perception of anastomotic quality as above average when compared to manual 'end-to-end anastomosis' (EEA) stapling devices.

conclusionsIn an initial clinical evaluation of the ECP stapler, the safety and ease-of-use of the device appears to be satisfactory. Powered stapling and the design of '3D stapling' may provide advantages over manual systems, and may improve the construction quality of left-sided colorectal anastomosis.

Indexed as

Colorectal NeoplasmsSurgical StaplingAnastomosis, SurgicalHumansRectumRetrospective StudiesSurgical Staplers3D staplerColorectal anastomosisEchelon circular staplerIntelligent surgical staplingPowered EEAPowered surgical stapler

Identifiers

PMID32193667
OpenAlexW3011328003

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.