Evidence map›Paper›PMID 33399993›Full record

ArticleSurgical endoscopy2021

Robotic Complete Mesocolic Excision (CME) is a safe and feasible option for right colonic cancers: short and midterm results from a single-centre experience.

Najaf Siddiqi, Samuel Stefan, Ravish Jootun, Ioannis Mykoniatis, Karen Flashman, Richard Beable, Gerald David, Jim Khan

Abstract read
In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Training and assessment for colorectal surgery and appendicectomy- a systematic review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
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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

8 authors.

Najaf SiddiqiDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Samuel StefanDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Ravish JootunDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Ioannis MykoniatisDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Karen FlashmanDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Richard BeableDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Gerald DavidDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK.
Jim KhanDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital Portsmouth, Portsmouth, UK. Jim.khan@porthosp.nhs.uk.ORCID 0000-0002-3031-4495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplete mesocolic excision (CME) for right colon cancers has traditionally been an open procedure. Surgical adoption of minimal access CME remains limited due to the technical challenges, training gaps and lack of level-1 data for proven benefits. Currently there is limited published data regarding the clinical results with the use of robotic CME surgery. Aim To report our experience, results and techniques, highlighting a clinical and oncological results and midterm oncological outcomes for robotic CME.

aimTo report our experience, results and techniques, highlighting a clinical and oncological results and midterm oncological outcomes for robotic CME.

methodsAll patients undergoing standardised robotic CME technique with SMV first approach between January 2015 and September 2019 were included in this retrospective review of a prospectively collected database. Patient demographics, operative data and clinical and oncological outcomes were recorded.

resultsSeventy-seven robotic CME resections for right colonic cancers were performed over a 4-year period. Median operative time was 180 (128-454) min and perioperative blood loss was 10 (10-50) ml. There were 25 patients who had previous abdominal surgery. Median postoperative hospital stay was 5 (3-18) days. There was no conversion to open surgery in this series. Median lymph node count was 30 (10-60). Three (4%) patients had R1 resection. There was one (1%) local recurrence in stage III disease and 4(5%) distal recurrence in stage II and stage III. There was no 30- or 90-day mortality. Three-year disease-free survival was 100%, 91.7% and 92% for stages I, II and III, respectively. Overall survival was 94%.

conclusionsRobotic CME is feasible, effective and safe. Good oncological results and improved survival are seen in this cohort of patients with a standardised approach to robotic CME.

Indexed as

Colonic NeoplasmsLaparoscopyMesocolonRobotic Surgical ProceduresColectomyHumansLymph Node ExcisionRetrospective StudiesTreatment OutcomeComplete Mesocolic ExcisionRight colon cancerRobotic surgeryTechniques

Identifiers

PMID33399993
PMCPMC8599208

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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.