Evidence map›Paper›PMID 32691134›Full record

SynthesisInternational journal of colorectal disease2020

Intra-versus extracorporeal anastomosis in laparoscopic right colectomy: a meta-analysis of 3699 patients.

Marie Selvy, C Mattevi, K Slim, D Pezet, B Pereira, B Le Roy

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  8. Best Evidence for Each Surgical Step in Minimally Invasive Right Hemicolectomy: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Marie SelvyDepartment of Digestive and Hepatobiliary Surgery Estaing Hospital, University Hospital of Clermont-Ferrand, 1, place Lucie-et-Raymond-Aubrac, 63003, Clermont-Ferrand, Cedex, France. mselvy@chu-clermontferrand.fr.ORCID https://orcid.org/0000-0001-5897-6434
C MatteviDepartment of Digestive and Hepatobiliary Surgery Estaing Hospital, University Hospital of Clermont-Ferrand, 1, place Lucie-et-Raymond-Aubrac, 63003, Clermont-Ferrand, Cedex, France.
K SlimDepartment of Digestive and Hepatobiliary Surgery Estaing Hospital, University Hospital of Clermont-Ferrand, 1, place Lucie-et-Raymond-Aubrac, 63003, Clermont-Ferrand, Cedex, France.
D PezetDepartment of Digestive and Hepatobiliary Surgery Estaing Hospital, University Hospital of Clermont-Ferrand, 1, place Lucie-et-Raymond-Aubrac, 63003, Clermont-Ferrand, Cedex, France.
B PereiraClinical Research and Innovation Department, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
B Le RoyDepartment of Digestive Surgery, University Hospital of Saint-Etienne, Saint-Priest-en-Jarez, France.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRInstitute Cancer De La Loire Lucien Neuwirth · FRUniversité Clermont Auvergne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic right colectomy (LRC) has become a gold standard. However, a major current concern is still whether anastomosis should be performed extracorporeally or entirely laparoscopically. This meta-analysis assesses and compares peri- and postoperative outcomes of intracorporeal anastomosis (IA) versus extracorporeal anastomosis (EA) in LRC.

methodsThe research used the PubMed, Embase and Cochrane databases for studies comparing IA with EA during LRC. Our main endpoint was parietal abscess. Secondary endpoints were 30-day morbidity, mortality, time to onset of gas and stools, length of stay, number of lymph nodes removed and postoperative incisional hernia rates. The MINORS criteria were used to evaluate the quality of the studies examined.

resultsTwenty-four articles comprising 3699 patients, published between 2004 and 2020, were included in this meta-analysis. After sensitivity analysis, IA was associated with a decrease in parietal abscesses (OR 0.526, IC 0.333-0.832, p = 0.006).

conclusionThis meta-analysis finds that IA allows a decrease in parietal abscesses and time to first gas and stools, surgical repair and length of stay, with similar overall complications.

Indexed as

Incisional HerniaLaparoscopyAnastomosis, SurgicalColectomyHumansPostoperative ComplicationsPostoperative PeriodTreatment OutcomeAnastomosesExtracorporealIntracorporealLaparoscopyParietal abscessRight colectomy

Identifiers

PMID32691134
OpenAlexW3044276387

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.