Evidence map›Paper›PMID 37190267›Full record

ArticleCancers2023

Specific Septic Complications after Rectal Cancer Surgery: A Critical Multicentre Study.

Călin Popa, Virgiliu-Mihail Prunoiu, Paul Puia, Diana Schlanger, Mircea-Nicolae Brătucu, Victor Strâmbu, Eugen Brătucu, Hortensia-Alina Moisă, Eduard-Georgian Chiru, Bogdan Vasile Ileanu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 17% 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, 6 citations in OpenAlex.

  1. Decision-making in emergency colorectal surgery for cancer.Annals of medicine and surgery (2012) · 2026
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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

11 authors at 2 institutions in 1 country.

Călin PopaSurgery Clinic 3, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", "Iuliu Hațieganul" University of Medicine and Pharmacy, Croitorilor Street 19, 400394 Cluj-Napoca, Romania.
Virgiliu-Mihail PrunoiuClinic I General and Oncological Surgery, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, "Carol Davila" University of Medicine and Pharmacy, Fundeni Street 252, 022328 Bucharest, Romania.ORCID 0000-0001-5361-053X
Paul PuiaSurgery Clinic 3, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", "Iuliu Hațieganul" University of Medicine and Pharmacy, Croitorilor Street 19, 400394 Cluj-Napoca, Romania.
Diana SchlangerSurgery Clinic 3, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", "Iuliu Hațieganul" University of Medicine and Pharmacy, Croitorilor Street 19, 400394 Cluj-Napoca, Romania.ORCID 0000-0001-8738-3822
Mircea-Nicolae BrătucuGeneral Surgery Clinic, Clinical Hospital "Dr. Carol Davila", "Carol Davila" University of Medicine and Pharmacy, Calea Griviței 4, 010731 Bucharest, Romania.
Victor StrâmbuGeneral Surgery Clinic, Clinical Hospital "Dr. Carol Davila", "Carol Davila" University of Medicine and Pharmacy, Calea Griviței 4, 010731 Bucharest, Romania.
Eugen BrătucuClinic I General and Oncological Surgery, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, "Carol Davila" University of Medicine and Pharmacy, Fundeni Street 252, 022328 Bucharest, Romania.
Hortensia-Alina MoisăClinic I General and Oncological Surgery, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, "Carol Davila" University of Medicine and Pharmacy, Fundeni Street 252, 022328 Bucharest, Romania.
Eduard-Georgian ChiruClinic I General and Oncological Surgery, "Prof. Dr. Alexandru Trestioreanu" Oncological Institute, "Carol Davila" University of Medicine and Pharmacy, Fundeni Street 252, 022328 Bucharest, Romania.ORCID 0000-0002-0031-8874
Bogdan Vasile IleanuCenter for Health Outcomes and Evaluation, Splaiul Unirii Street 45, 030126 Bucharest, Romania.ORCID 0000-0002-9229-3431
Petre RaduGeneral Surgery Clinic, Clinical Hospital "Dr. Carol Davila", "Carol Davila" University of Medicine and Pharmacy, Calea Griviței 4, 010731 Bucharest, Romania.ORCID 0000-0003-4006-5397
Carol Davila University of Medicine and Pharmacy · ROIuliu Hațieganu University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The postoperative septic complications in gastrointestinal surgery impact immediate as well as long-term outcomes, which lead to reinterventions and additional costs. The authors presented the experience of three surgery clinics in Romania regarding the specific septic complications occurring in patients operated on for rectal cancer. The study group comprised 2674 patients who underwent surgery over a 5-year period (2017-2021). Neoplasms of the middle and lower rectum (76%) were the majority. There were 85% rectal resections and 15% abdominoperineal excisions of the rectum. In total, 68.54% of patients were operated on laparoscopically, and 31.46% received open surgery. Without taking wound infections into account, 97 (3.67%) patients had abdominal-pelvic septic complications. The aim was to evaluate the causes of the complications. The percentage of suppurations after surgery of the rectum treated by radiochemotherapy was considerably higher than after surgery of the non-radiated upper rectum. The fatality rate was 5.15%. The risk of fistulas was significantly associated with the preoperative treatment, tumour position and type of intervention. Sex, age, TNM stage or grade were not significant at 0.05 the threshold. The risk of fistulas is reduced with low anterior resection, but the gravity of these complications is higher in the lower rectum compared with the superior rectum. Preoperative radiochemotherapy is a contributing factor to septic complications.

Indexed as

binary logistic modelcolorectal anastomotic abscess and fistulaperitonitisrectal neoplasmsepsis

Identifiers

PMID37190267
PMCPMC10137261
OpenAlexW4366286927

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.