Evidence map›Paper›PMID 34813043›Full record

ArticleUpdates in surgery2022

Emergency surgery for obstructive splenic flexure colon cancer: results of a multicentric study of the French Surgical Association (AFC).

Camélia Labiad, Gilles Manceau, Diane Mege, Antoine Cazelles, Thibault Voron, Valérie Bridoux, Zaher Lakkis, Solafah Abdalla, Mehdi Karoui, AFC (French Surgical Association) Working Group

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Surgical management of splenic flexure colonic malignancy.World journal of gastrointestinal surgery · 2025
    Review
  3. Review
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

10 authors at 6 institutions in 3 countries.

Camélia LabiadDepartment of Digestive and Oncological Surgery, Paris University, Assistance Publique-Hôpitaux de Paris, Georges Pompidou University Hospital, Paris, France.
Gilles ManceauDepartment of Digestive and Oncological Surgery, Paris University, Assistance Publique-Hôpitaux de Paris, Georges Pompidou University Hospital, Paris, France. gilles.manceau@aphp.fr.ORCID http://orcid.org/0000-0002-0783-8688
Diane MegeDepartment of Digestive Surgery, Timone University Hospital, Marseille, France.
Antoine CazellesDepartment of Digestive and Oncological Surgery, Paris University, Assistance Publique-Hôpitaux de Paris, Georges Pompidou University Hospital, Paris, France.
Thibault VoronDepartment of Digestive Surgery, Sorbonne University, Assistance Publique-Hôpitaux de Paris, Saint Antoine University Hospital, Paris, France.
Valérie BridouxDepartment of Digestive Surgery, Charles Nicolle University Hospital, Rouen, France.
Zaher LakkisDepartment of Digestive Surgery, Besançon University Hospital, Besançon, France.
Solafah AbdallaDepartment of Digestive Surgery, Paris Saclay University, Assistance Publique-Hôpitaux de Paris, Bicêtre Hospital,, Le Kremlin-Bicêtre, France.
Mehdi KarouiDepartment of Digestive and Oncological Surgery, Paris University, Assistance Publique-Hôpitaux de Paris, Georges Pompidou University Hospital, Paris, France.
AFC (French Surgical Association) Working Group
Hôpital Européen Georges-Pompidou · FRCentre Hospitalier Universitaire de Besançon · FRHôpital Charles-Nicolle · FRHôpital de la Timone · FRSorbonne Université · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of malignant left-sided colonic obstruction remains challenging and requires a stoma in 40-65% of patients. In those with obstructive splenic flexure colon cancer (OSFCC), a debate still exists regarding the most appropriate surgery. The aim of this muticenter study was to report and compare the different surgical procedures in OSFCC patients with a special focus on operative and histological characteristics and survival outcomes including 12-month stoma-free survival. Between 2000 and 2015, 2325 patients were treated for obstructive colon cancer in centers members of the French National Surgical Association (AFC). Among them, 198 underwent surgery for OSFCC and were retrospectively analyzed. Patients with OSFCC and proximal colonic ischemia or perforation were excluded. Four procedures were performed: decompressing stoma (DS, 39%), splenic flexure colectomy (SFC, 39%), subtotal colectomy (STC, 17%,) and left hemicolectomy (LHC, 5%). All patients treated with LHC underwent a Hartmann's procedure. There was no significant difference between groups for postoperative mortality and morbidity. Hospital stay was significantly longer after DS. The length of the specimen, longitudinal resection margins and number of harvested lymph nodes were significantly higher in the STC group. There was no difference for overall and disease-free survival. Stoma-free survival was significantly lower after LHC (62%) in comparison with the other groups (p < 0.0001). At the end of follow-up, 50% of patients who underwent LHC had a permanent stoma. In OSFCC patients without proximal colonic ischemia or peritonitis, LHC should no longer be recommended due to a high risk of permanent stoma.

Indexed as

Colonic NeoplasmsColon, TransverseIntestinal ObstructionColectomyHumansRetrospective StudiesColonic obstructionEmergency surgerySplenic flexure colon cancerStoma

Identifiers

PMID34813043
OpenAlexW3215046148

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.