Evidence map›Paper›PMID 33585353›Full record

ArticleAnnals of surgical treatment and research2021

Short- and mid-term outcomes of transanal versus laparoscopic total mesorectal excision for low rectal cancer: a meta-analysis.

Jingqing Ren, Huixing Luo, Shaojie Liu, Bailin Wang, Fan Wu

Abstract read
In one paragraph

Article in Annals of surgical treatment and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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

5 authors.

Jingqing RenDepartment of General Surgery, Guangzhou Red Cross Hospital, Medical College of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0001-8426-5337
Huixing LuoDepartment of General Surgery, Guangzhou Red Cross Hospital, Medical College of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0003-1435-6529
Shaojie LiuDepartment of General Surgery, Guangzhou Red Cross Hospital, Medical College of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0001-8390-714X
Bailin WangDepartment of General Surgery, Guangzhou Red Cross Hospital, Medical College of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0001-5873-171X
Fan WuDepartment of General Surgery, Guangzhou Red Cross Hospital, Medical College of Jinan University, Guangzhou, China.ORCID https://orcid.org/0000-0002-1328-7915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe current meta-analysis combining mid and low rectal cancer with no meta-analysis only for low rectal cancer was seen. This meta-analysis was to compare the short- and mid-term outcomes of the transanal total mesorectal excision (TaTME)

methodsA systematic literature search was conducted using the web-based databases; China National Knowledge Infrastructure, Chinese BioMedical Database, PubMed, Embase, Cochrane Central Register of Controlled Trials, and Wanfang Database. Randomized controlled trials (RCTs) were evaluated using the Jadad scale and non-RCTs (NRCs) were evaluated using the Newcastle-Ottawa Scale.

resultsTen studies (2 RCTs and 8 NRCs) involving 772 patients were included. Among them, 378 patients underwent TaTME and 394 patients underwent LaTME. Compared with the LaTME group, the conversion rate was low (risk ratio [RR], 0.25; 95% confidence interval [CI], 0.11-0.54; P < 0.001), the circumferential resection margin (CRM) involvement was low (RR, 0.48; 95% CI, 0.27-0.86; P = 0.010), and the hospital stay was short (mean difference, -1.72; 95% CI, -2.89 to -0.55; P = 0.004) in the TaTME group. No significant differences were seen in the mesorectal resection quality, CRM distance, distal resection margin (DRM) involvement, DRM distance, local R1 resection, intraoperative complications, morbidity, anastomotic leakage, severe morbidity, mortality, operative time, intraoperative blood loss, harvested lymph nodes, and local recurrence rate (P > 0.05).

conclusionThe TaTME is a promising surgical technique and is fully a safe and efficacious option in managing low rectal cancer.

Indexed as

Laparoscopic surgeryRectal cancerTransanal endoscopic surgical procedures

Identifiers

PMID33585353
PMCPMC7870425

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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.