Evidence map›Paper›PMID 33454821›Full record

ArticleLangenbeck's archives of surgery2021

Bowel function recovery after laparoscopic transverse colectomy within an ERAS program: a comparison to right and left colectomy.

Raffaello Roesel, Francesco Mongelli, Costanza Ajani, Fabiano Iaquinandi, Diana Celio, Dimitri Christoforidis

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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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

6 authors at 2 institutions in 1 country.

Raffaello RoeselDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland. raffaello.roesel@eoc.ch.ORCID http://orcid.org/0000-0002-1711-7622
Francesco MongelliDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland.
Costanza AjaniDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland.
Fabiano IaquinandiDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland.
Diana CelioDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland.
Dimitri ChristoforidisDepartment of Visceral Surgery, University Hospital of Lugano (EOC), Via Tesserete 46, 6900, Lugano, Switzerland.
Ospedale regionale di Lugano · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is known that functional recovery of the bowel is slower after right colectomy (RC) compared to left colectomy (LC), but very little has been reported on transverse colectomy (TC).

objectivesThe aim of this study was to compare the clinical and early functional outcomes of TC, a more infrequent operation, to RC, and LC for colorectal cancer.

methodsBetween December 2011 and December 2017, all patients undergoing elective colon resection in our institution were treated according to a standardized ERAS protocol and entered in a prospective database. We included in the study patients undergoing laparoscopic TC, RC, or LC for cancer with curative intent. The primary endpoint was prolonged postoperative ileus (PPOI), defined as need to insert a nasogastric tube, or refractory nausea VAS > 4 on or after the third postoperative day. Secondary endpoints were postoperative morbidity and length of hospital stay (LoS).

resultsOut of 286 patients, 126 met the inclusion criteria: 20 underwent TC, 65 RC, and 41 LC. Patients in LC group were younger than in TC and RC groups; other baseline demographics were similar. PPOI was observed in 5 (25%), 26 (40%), and 10 (24%) patients in TC, RC, and LC groups, respectively (p = 0.417). In single group comparisons, the incidence of PPOI in the TC group was significantly lower in comparison to the RC group (OR for RC: 4.255, 95% CI 1.092-16.667, p = 0.037) and similar to the LC group. No significant differences in terms of postoperative complications or LoS stay were observed.

conclusionThe incidence of PPOI after segmental laparoscopic colectomy for cancer within an ERAS program appears as infrequent in TC as in LC and lower than after RC. It may be reasonable to consider a slower oral intake after RC, as it represents an independent predictor of PPOI.

Indexed as

IleusLaparoscopyColectomyElective Surgical ProceduresHumansLength of StayPostoperative ComplicationsRecovery of FunctionColon cancerColorectal surgeryEnhanced recoveryERASLaparoscopyTransverse

Identifiers

PMID33454821
OpenAlexW3125479658

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.