Evidence map›Paper›PMID 35034190›Full record

ArticleLangenbeck's archives of surgery2022

Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in laparoscopic-assisted surgery for left-sided colon cancer: a propensity score matching analysis.

Kentaro Sato, Ken Imaizumi, Hiroyuki Kasajima, Michihiro Kurushima, Minoru Umehara, Yosuke Tsuruga, Daisuke Yamana, Aya Sato, Kentaro Ichimura, Kazuaki Nakanishi

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In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

10 authors at 1 institution in 1 country.

Kentaro SatoDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.ORCID http://orcid.org/0000-0002-1765-7477
Ken ImaizumiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan. imaken1983@gmail.com.ORCID http://orcid.org/0000-0002-7751-6270
Hiroyuki KasajimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Michihiro KurushimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Minoru UmeharaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Yosuke TsurugaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Daisuke YamanaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Aya SatoDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Kentaro IchimuraDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Kazuaki NakanishiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, 041-8680, Japan.
Hakodate National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo the best of our knowledge, no studies have compared the short-term outcomes between colo-colonic extracorporeal triangular anastomosis (TA) and functional end-to-end anastomosis (FEEA), with a focus on laparoscopic-assisted surgery for left-sided colon cancer. Therefore, this study compared the short-term outcomes of these anastomoses using propensity score matching analysis.

methodsThis retrospective study included 129 patients with stage I-IV left-sided colon cancer who underwent laparoscopic-assisted surgery with colo-colonic extracorporeal TA (n = 75) or FEEA (n = 54) between May 2009 and March 2021. After propensity score matching, 84 patients (TA, n = 42; FEEA, n = 42) were included in the analysis. The primary endpoint was the complication rate for all grades, and the secondary endpoints were the rates of Clavien - Dindo grade ≥ 3 complications and anastomotic leakage.

resultsIn the matched cohort, there were no significant differences in the complication rates for all grades (35.7% vs. 26.2%, p = 0.479), Clavien - Dindo grade ≥ 3 complications (11.9% vs. 11.9%, p = 1), and anastomotic leakage (0% vs. 4.8%, p = 0.494) between the TA and FEEA groups. In the univariate logistic regression analysis, TA did not increase the frequency of complications for any grades compared with FEEA (odds ratio: 1.570, 95% confidence interval: 0.616-3.980, p = 0.347).

conclusionExtracorporeal TA demonstrated equivalent short-term outcomes compared with FEEA in cases of laparoscopic-assisted surgery for left-sided colon cancer. TA can be an alternative anastomosis technique in cases wherein FEEA is difficult to perform.

Indexed as

Colonic NeoplasmsLaparoscopyAnastomosis, SurgicalColectomyHumansPropensity ScoreRetrospective StudiesTreatment OutcomeAnastomosisColon cancerFunctional end-to-end anastomosisLaparoscopic surgeryTriangular anastomosis

Identifiers

PMID35034190
OpenAlexW4206420992

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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.