Evidence map›Paper›PMID 33128593›Full record

ArticleSurgery today2021

Standard versus eversion-modified double-staple technique for low colorectal anastomoses after resection of rectal cancer.

Giulio Illuminati, Rocco Pasqua, Bruno Perotti, Paolo Urciuoli, Priscilla Nardi, Chiara Fratini, Fabio Carboni, Mario Valle

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 6 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 1 institution in 1 country.

Giulio IlluminatiThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy. giulio.illuminati@uniroma1.it.
Rocco PasquaThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy.
Bruno PerottiThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy.
Paolo UrciuoliThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy.
Priscilla NardiThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy.
Chiara FratiniThe Department of Surgical Sciences, University of Rome "La Sapienza", Policlinico Umberto Primo, Viale del Policlinico, 00166, Rome, Italy.
Fabio CarboniThe Department of Surgical Oncology, Regina Elena Cancer Institute, Rome, Italy.
Mario ValleThe Department of Surgical Oncology, Regina Elena Cancer Institute, Rome, Italy.
Policlinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe double-staple technique, performed as either the standard procedure or after eversion of the rectal stump, is a well-established method of performing low colorectal anastomoses following the resection of rectal cancer. Eversion of the tumor-bearing ano-rectal stump was proposed to allow the linear stapler to be fired at a safe distance of clearance from the tumor. We conducted this study to compare the results of the standard versus the eversion-modified double-staple technique.

methodsThe subjects of this retrospective study were 753 consecutive patients who underwent low stapled colorectal anastomosis after resection of rectal cancer. The patients were divided into two groups according to the method of anastomosis used: Group A comprised 165 patients (22%) treated with the modified eversion technique and group B comprised 588 patients (78%) treated with the standard technique. The primary endpoints of the study were postoperative mortality, surgery-related morbidity, the number of sampled lymph nodes in the mesorectum, and late disease-related survival.

resultsPostoperative mortality was 1.2% in group A and 1.7% in group B (p = 0.66). Postoperative morbidity was 12% in group A and 11% in group B (p = 0.75). The mean number of sampled lymph nodes in the mesorectum was 23 (range 17-27) in group A and 24 (range 19-29) in group B (p = 0.06). The 5-year disease-related survival was 73% in group A and 74% in group B (p = 0.75).

conclusionThe standard and eversion-modified double-staple techniques yield comparable results.

Indexed as

AdultAgedAged, 80 and overAnastomosis, SurgicalColonDigestive System Surgical ProceduresFemaleHumansMaleMiddle AgedRectal NeoplasmsRectumRetrospective StudiesSurgical StaplingTreatment OutcomeColorectal cancerDouble-stapled colorectal anastomosisStapling technique

Identifiers

PMID33128593
PMCPMC8055572
OpenAlexW3094951368

What OpenQuestion holds

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LicenceCC BY
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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.