Evidence map›Paper›PMID 33639983›Full record

ArticleWorld journal of emergency surgery : WJES2021

Colo-pancreaticoduodenectomy for locally advanced colon carcinoma-feasibility in patients presenting with acute abdomen.

Joe-Bin Chen, Shao-Ciao Luo, Chou-Chen Chen, Cheng-Chung Wu, Yun Yen, Chuan-Hsun Chang, Yun-An Chen, Fang-Ku P'eng

Open access · goldAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Pancreaticoduodenectomy with right hemicolectomy for advanced malignancy: a single UK hepatopancreaticobiliary centre experience.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023
    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

8 authors at 6 institutions in 1 country.

Joe-Bin ChenDepartment of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Shao-Ciao LuoDepartment of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Chou-Chen ChenDepartment of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Cheng-Chung WuDepartment of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan. hegsvghtc@gmail.com.
Yun YenCancer Translational Research Center, Taipei Medical University, Taipei, Taiwan.
Chuan-Hsun ChangDepartment of Surgery, Cheng Hsin General Hospital, Taipei, Taiwan.
Yun-An ChenDepartment of Pathology, Taichung Veterans General Hospital, Taiwan Boulevard Sec. 4, No. 1650, Taichung, 40705, Taiwan.
Fang-Ku P'engDepartment of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Taichung Veterans General Hospital · TWCheng Hsin General Hospital · TWChung Shan Medical University · TWDayeh University · TWNational Yang Ming Chiao Tung University · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEn bloc right hemicolectomy plus pancreaticoduodenectomy (PD) is administered for locally advanced colon carcinoma that invades the duodenum and/or pancreatic head. This procedure may also be called colo-pancreaticoduodenectomy (cPD). Patients with such carcinomas may present with acute abdomen. Emergency PD often leads to high postoperative morbidity and mortality. Here, we aimed to evaluate the feasibility and outcomes of emergency cPD for patients with advanced colon carcinoma manifesting as acute abdomen.

methodsWe retrospectively reviewed 4898 patients with colorectal cancer who underwent curative colectomy during the period from 1994 to 2018. Among them, 30 had locally advanced right colon cancer and had received cPD. Among them, surgery was performed in 11 patients in emergency conditions (bowel obstruction: 6, perforation: 3, tumor bleeding: 2). Selection criteria for emergency cPD were the following: (1) age ≤ 60 years, (2) body mass index < 35 kg/m

resultsThe non-e-group was older and had a higher incidence of associated comorbidities, while other clinicopathological characteristics were similar between the two groups. None of the patients in the two groups succumbed from cPD. The postoperative complication rate was 63.6% in the e-group and 42.1% in the non-e-group (p = 0.449). The 5-year overall survival rate were 15.9% in the e-group and 52.6% in the non-e-group (p = 0.192).

conclusionsEmergency cPD is feasible in highly selected patients if performed by experienced surgeons. The early and long-term positive outcomes of emergency cPD are similar to those after non-emergency cPD in patients with acute abdominal conditions.

Indexed as

ColectomyPancreaticoduodenectomyAbdomen, AcuteAdultAgedColonic NeoplasmsFeasibility StudiesFemaleHumansMaleMiddle AgedNeoplasm InvasivenessAcute abdomenColectomyLocally advanced colon carcinomaPancreaticoduodenectomy

Identifiers

PMID33639983
PMCPMC7913271
OpenAlexW3111754799

What OpenQuestion holds

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LicenceCC BY
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.