Evidence map›Paper›PMID 37481493›Full record

ArticleAnnals of surgical oncology2023

Navigation-Assisted Surgery for Locally Advanced Primary and Recurrent Rectal Cancer.

Arne M Solbakken, Simen Sellevold, Milan Spasojevic, Lars Julsrud, Hanne-Line Emblemsvåg, Henrik M Reims, Olaf Sørensen, Ebbe B Thorgersen, Lena Fauske, Joanna Sara Maria Ågren and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04512937 (Computer Navigation-assisted Surgery for Locally Advanced and Recurrent Rectal Cancer), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT04512937 naactive not recruitingnot on this map

Computer Navigation-assisted Surgery for Locally Advanced and Recurrent Rectal Cancer

TypeinterventionalSponsorOslo University HospitalRan2020 to 2027Enrolled20ConditionsRectal CancerArmsComputer-assisted navigation surgery
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Arne M SolbakkenDepartment of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway. arne.solbakken@online.no.ORCID http://orcid.org/0000-0002-0836-3813
Simen Sellevold *Department of Orthopaedic Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Milan Spasojevic *Department of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Lars JulsrudDepartment of Radiology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Hanne-Line EmblemsvågDepartment of Radiology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Henrik M ReimsDepartment of Pathology, Rikshospitalet, Oslo University Hospital, Oslo, Norway.
Olaf SørensenDepartment of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Ebbe B ThorgersenDepartment of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Lena FauskeDepartment of Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Joanna Sara Maria ÅgrenDepartment of Pathology, Rikshospitalet, Oslo University Hospital, Oslo, Norway.
Bjørn BrennhovdDepartment of Urology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Truls RyderDepartment of Oncologic Plastic Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Stein G LarsenDepartment of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Kjersti FlatmarkDepartment of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NO

Funding

South-Eastern Norway Regional Health Authority PhD grant no. 2019028
6 · The paper itself

Abstract

backgroundIn some surgical disciplines, navigation-assisted surgery has become standard of care, but in rectal cancer, indications for navigation and the utility of different technologies remain undetermined.

methodsThe NAVI-LARRC prospective study (NCT04512937; IDEAL Stage 2a) evaluated feasibility of navigation in patients with locally advanced primary (LARC) and recurrent rectal cancer (LRRC). Included patients had advanced tumours with high risk of incomplete (R1/R2) resection, and navigation was considered likely to improve the probability of complete resection (R0). Tumours were classified according to pelvic compartmental involvement, as suggested by the Royal Marsden group. The Brainlab

resultsSeventeen patients with tumours involving the posterior/lateral compartments underwent navigation-assisted procedures. Fifteen patients required abdominosacral resection, and 3 had resection of the sciatic nerve. R0 resection was obtained in 6/8 (75%) LARC and 6/9 (69%) LRRC cases. Preoperative segmentation was time-consuming (median 3.5 h), but intraoperative navigation was accurate. Surgeons reported navigation to be feasible, and adherence to the resection plan was satisfactory.

conclusionsNavigation-assisted surgery using optical tracking was feasible. The preoperative planning was time-consuming, but intraoperative navigation was accurate and resulted in acceptable R0 resection rates. Selected patients are likely to benefit from navigation-assisted surgery.

Indexed as

Neoplasm Recurrence, LocalRectal NeoplasmsHumansPelvisProspective StudiesTreatment OutcomeFeasibility studyImage-guided surgeryLocally advanced rectal cancerLocally recurrent rectal cancerNavigation-assisted surgeryOptical tracking

Identifiers

PMID37481493
PMCPMC10562504
OpenAlexW4385147426

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Registered trials

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.