Evidence map›Paper›PMID 37309548›Full record

ArticleJournal of surgical case reports2023

Hybrid robot-assisted abdominoperineal resection supported by simultaneous trans-perineal approach for anal gland adenocarcinoma with vaginal invasion: a case report.

Ken Imaizumi, Hiroyuki Kasajima, Keiichiro Ito, Takumu Fukasawa, Makoto Odagiri, Daisuke Yamana, Yosuke Tsuruga, Minoru Umehara, Michihiro Kurushima, Satoru Munakata and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2023. 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
0.3field-weighted citation impact, top 41% 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, 1 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 1 institution in 1 country.

Ken ImaizumiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.ORCID https://orcid.org/0000-0002-7751-6270
Hiroyuki KasajimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Keiichiro ItoDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Takumu FukasawaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Makoto OdagiriDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Daisuke YamanaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Yosuke TsurugaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Minoru UmeharaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Michihiro KurushimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Satoru MunakataDepartment of Pathology, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Norihiko ShimoyamaDepartment of Pathology, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Kazuaki NakanishiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Hakodate National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hybrid surgery (abdominal robotic approach with a trans-anal approach) has been reported to improve oncological outcomes in cases involving advanced cancer or technical difficulties. A 74-year-old woman presented with anal pain and stenosis. Examination revealed palpable sclerosis on the anterior wall at the anal verge with possible vaginal invasion. A biopsy revealed an adenocarcinoma. We performed a two-team robot-assisted abdominoperineal resection combined with resection of the vagina supported by a simultaneous trans-perineal approach. After rendezvous at the posterior side, the abdominal team cut the posterior wall of the vaginal vault while the perineal team confirmed the surgical margin. Histopathological findings identified the tumour as an anal gland adenocarcinoma (pT4b [vagina] N0M0 pathological stage IIC) with a negative circumferential resection margin. Hybrid surgery combined with resection of the posterior wall of the vagina may be performed safely and is a valuable surgical option for multimodal treatment of anal adenocarcinomas.

Identifiers

PMID37309548
PMCPMC10257794
OpenAlexW4380351050

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Registered trials

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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.