Evidence map›Paper›PMID 37256466›Full record

ArticleLangenbeck's archives of surgery2023

Intracorporeal versus extracorporeal anastomosis in segmental resections for colon cancer: a retrospective cohort study of 328 patients.

Pedja Cuk, Musa Büyükuslu, Sören Möller, Victor Jilbert Verwaal, Issam Al-Najami, Mark Bremholm Ellebæk

Open access · hybridAbstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2023. 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
1.4field-weighted citation impact, top 16% 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, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

6 authors at 4 institutions in 2 countries.

Pedja CukDepartment of General and Colorectal Surgery, University Hospital of Southern Denmark, Kresten Philipsens Vej 15, 6200, Aabenraa, Denmark. pedja.cuk@rsyd.dk.
Musa BüyükusluSurgical Department, Hospital of South West Jutland, Finsensgade 35, 6700, Esbjerg, Denmark.
Sören MöllerDepartment of Clinical Research, University of Southern Denmark, J.B. Winsloewsvej 19, 5000, Odense, Denmark.
Victor Jilbert VerwaalClinical Research Center, Lund University, Jan Wäldenströms Gata 35, 20502, Malmö, Sweden.
Issam Al-NajamiResearch Unit for Surgery, Odense University Hospital and University of Southern Denmark, J.B. Winsloewsvej 4, 5000, Odense, Denmark.
Mark Bremholm EllebækResearch Unit for Surgery, Odense University Hospital and University of Southern Denmark, J.B. Winsloewsvej 4, 5000, Odense, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DKHospital South West Jutland · DKLund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe intracorporeal anastomosis (IA) technique possibly results in enhanced recovery and reduced morbidity rates compared to the extracorporeal anastomosis (EA) technique. This study compared the short-term morbidity rates of IA versus EA in segmental resections for colon cancer.

methodWe performed a retrospective cohort study of consecutive patients from 2015 to 2020 using the IA or EA technique at a single Danish colorectal center. Comparative outcomes of interest were surgical efficacy and short-term morbidity rates. An inverse probability of treatment weighting (IPTW) analysis of clinically relevant outcomes was conducted to explore potential baseline confounding.

resultsWe included 328 patients, 129 in the EA and 199 in the IA groups. There was no significant difference in preoperative baseline characteristics between the two groups. The rate of overall surgical (16% in both groups, p = 1.000) and medical complications (EA: 25 (19%) vs. IA: 27 (14%), p = 0.167) was comparable for both groups. The IA technique did not cause a reduction in operative time (EA: 127.0 min [103.0-171.0] vs. IA: 134.0 min [110.0-164.0], p = 0.547). The IPTW analysis indicated that having an IA caused a reduction in the rate of major surgical complications (RRR

conclusionAdopting IA for colon cancer resulted in similar overall morbidity rates without increasing the duration of the surgical procedure compared to EA. The IA technique had a probable protective effect against developing severe surgical complications. However, this must be interpreted cautiously, limited by the retrospective study design.

Indexed as

Colonic NeoplasmsLaparoscopyAnastomosis, SurgicalColectomyHumansRetrospective StudiesTreatment OutcomeAnastomosis techniqueColon cancerExtracorporeal anastomosisIntracorporeal anastomosisMinimally invasive surgery

Identifiers

PMID37256466
PMCPMC10232563
OpenAlexW4378782092

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.