Evidence map›Paper›PMID 34136026›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2021

The feasibility and technical strategy of a fascia space priority approach in laparoscopic lateral lymph node dissection for advanced middle and low rectal cancer: a retrospective multicentre study.

Yi Sun, Lei Lian, Hong Zhang, Xuefeng Bai, Zhongshi Xie, Jun Ouyang, Kai Wang, Hang Yuan, Chang Xu, Henggui Luo and 6 more

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Machine learning prediction model for lateral lymph node metastasis in rectal cancer.Frontiers in gastroenterology (Lausanne, Switzerland) · 2025
    Article
  2. Article
  3. Article
  4. The consequences of laparoscopic fascial space priority approach to lateral lymph node dissection on urinary and sexual functionality.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  5. Fascia-World journal of gastrointestinal surgery · 2023
    Article
  6. Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  7. Single-incision versus conventional laparoscopic surgery for rectal cancer: a meta-analysis of clinical and pathological outcomes.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Review
  8. Urogenital dysfunction in patients after miniinvasive restorative low anterior resection with total mesorectal excision.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    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

16 authors at 12 institutions in 1 country.

Yi SunDepartment of Colorectal Surgery, Tianjin Union Medical Centre, Tianjin, China.
Lei LianDepartment of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China; Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Hong ZhangDepartment of Colorectal Surgery, Shengjing hospital of China Medical University, Shenyang, China.
Xuefeng BaiDepartment of Colorectal Surgery, Affiliated Tumour Hospital of Harbin Medical University, Harbin, China.
Zhongshi XieDepartment of Gastrointestinal Colorectal Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Jun OuyangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of University of South China, Hengyang, Hunan, China.
Kai WangDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Hang YuanThe Surgical Department of Coloproctology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Chang XuDepartment of Colorectal Surgery, The First Affiliated Hospital of Wenzhou Medical University, Xuzhou, China.
Henggui LuoThe First Department of General Surgery, Xiangtan Central Hospital, Xiangtan, China.
Haijun DengDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jun LiDepartment of Colorectal Surgery and Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hongjie YangDepartment of Colorectal Surgery, Tianjin Union Medical Centre, Tianjin, China.
Zhichun ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Centre, Tianjin, China.
Peng LiDepartment of Colorectal Surgery, Tianjin Union Medical Centre, Tianjin, China.
Xipeng ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Centre, Tianjin, China.
Union Hospital · CNChina Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CNHangzhou Medical College · CNHarbin Medical University · CNNanfang Hospital · CNSecond Affiliated Hospital of Zhejiang University · CNSixth Affiliated Hospital of Sun Yat-sen University · CNUnion Hospital · CNUniversity of South China · CNXiangyang Central Hospital · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic lateral lymph node dissection (LLND) is an important treatment for patients with lateral lymph node metastasis.

aimTo assess the technical feasibility and investigate the surgical outcomes after LLND using the fascia space priority approach for patients with advanced middle and low rectal cancer. MATERIAL AND

methodsConsecutive patients undergoing laparoscopic LLND using the fascia space priority approach from June 2017 to June 2020 were identified from 12 medical centres in mainland China. Three anatomic fascia spaces were dissected to establish the boundaries of the LLND, and the obturator and internal iliac lymph nodes were excised in an en bloc manner. Retrospective clinical data including patient characteristics, surgical details, and pathology were analysed.

resultsA total of 112 patients were identified. All surgeries were completed laparoscopically with no conversions. The mean operation time was 343.6 ±103.8 min for the entire procedure. The median blood loss was 100 ml (range: 100-700 ml). The median lymph node yield was 6 (range: 1-41), and lymph nodes were positive in 39.3% (44/112) of the patients. Sixteen (14.3%) patients had Clavien-Dindo I-II complications, no Clavien-Dindo III-IV complications were identified. The incidence of complications between the bilateral dissection group and the unilateral dissection group was not statistically different (p = 0.19). The complication rate between the "nCRT" group and the "no nCRT" group was not significantly different (p = 0.62) either. There were no perioperative deaths.

conclusionsLaparoscopic LLND using the fascia space priority approach is feasible and safe for patients with lateral lymph node metastasis.

Indexed as

fascia space priority approachlateral lymph node dissectionrectal cancersurgical technology

Identifiers

PMID34136026
PMCPMC8193747
OpenAlexW3154717989

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.