Evidence map›Paper›PMID 36097099›Full record

SynthesisSurgical endoscopy2023

Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review.

Giuseppe S Sica, Danilo Vinci, Leandro Siragusa, Bruno Sensi, Andrea M Guida, Vittoria Bellato, Álvaro García-Granero, Gianluca Pellino

Erratum issuedOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  11. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Giuseppe S SicaMinimally Invasive Unit, Department of Surgical Science, University Tor Vergata, Rome, Italy. sigisica@gmail.com.
Danilo VinciDepartment of Surgical Science, Policlinico Tor Vergata - University Tor Vergata, Rome, Italy.
Leandro SiragusaMinimally Invasive Unit, Department of Surgical Science, University Tor Vergata, Rome, Italy.
Bruno SensiMinimally Invasive Unit, Department of Surgical Science, University Tor Vergata, Rome, Italy.
Andrea M GuidaDepartment of Surgical Science, Policlinico Tor Vergata - University Tor Vergata, Rome, Italy.
Vittoria BellatoDepartment of Surgical Science, Policlinico Tor Vergata - University Tor Vergata, Rome, Italy.
Álvaro García-GraneroColorectal Unit, Hospital Universitario Son Espases, Palma, Spain.
Gianluca PellinoDepartment of Advanced Medical and Surgical Sciences, Università Degli Studi Della Campania "Luigi Vanvitelli", Naples, Italy.
Policlinico Tor Vergata · ITUniversity of Rome Tor Vergata · ITUniversitat de les Illes Balears · ESUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral procedures have been proposed to reduce the rates of recurrence in patients with right-sided colon cancer. Different procedures for a radical right colectomy (RRC), including extended D3 lymphadenectomy, complete mesocolic excision and central vascular ligation have been associated with survival benefits by some authors, but results are inconsistent. The aim of this study was to assess the variability in definition and reporting of RRC, which might be responsible for significant differences in outcome evaluation.

methodsPRISMA-compliant systematic literature review to identify the definitions of RRC. Primary aims were to identify surgical steps and different nomenclature for RRC. Secondary aims were description of heterogeneity and overlap among different RRC techniques.

resultsNinety-nine articles satisfied inclusion criteria. Eight surgical steps were identified and recorded as specific to RRC: Central arterial ligation was described in 100% of the included studies; preservation of mesocolic integrity in 73% and dissection along the SMV plane in 67%. Other surgical steps were inconstantly reported. Six differently named techniques for RRC have been identified. There were 35 definitions for the 6 techniques and 40% of these were used to identify more than one technique.

conclusionsThe only universally adopted surgical step for RRC is central arterial ligation. There is great heterogeneity and consistent overlap among definitions of all RRC techniques. This is likely to jeopardise the interpretation of the outcomes of studies on the topic. Consistent use of definitions and reporting of procedures are needed to obtain reliable conclusions in future trials. PROSPERO CRD42021241650.

Indexed as

Colonic NeoplasmsLaparoscopyMesocolonColectomyDissectionHumansLigationLymph Node ExcisionColorectal cancerColorectal surgeryComplete mesocolic excisionD3 lymphadenectomyRight colectomy

Identifiers

PMID36097099
PMCPMC9944740
OpenAlexW4295423190

What OpenQuestion holds

Textmetadata
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.