Evidence map›Paper›PMID 38201499›Full record

ReviewCancers2023

Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review.

Antonio Brillantino, Jaroslaw Skokowski, Francesco A Ciarleglio, Yogesh Vashist, Maurizio Grillo, Carmine Antropoli, Johnn Henry Herrera Kok, Vinicio Mosca, Raffaele De Luca, Karol Polom and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. 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 7 institutions in 4 countries.

Antonio BrillantinoDepartment of Surgery, "A. Cardarelli" Hospital, Via A. Cardarelli 9, 80131 Naples, Italy.
Jaroslaw SkokowskiDepartment of Medicine, Academy of Applied Medical and Social Sciences-AMiSNS: Akademia Medycznych I Spolecznych Nauk Stosowanych-2 Lotnicza Street, 82-300 Elbląg, Poland.
Francesco A CiarleglioDepartment of General Surgery and Hepato-Pancreato-Biliary (HPB) Unit-APSS, 38121 Trento, Italy.ORCID 0000-0002-1489-1954
Yogesh VashistDepartment Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh 11564, Saudi Arabia.ORCID 0000-0003-2030-6712
Maurizio GrilloDepartment of Surgery, "A. Cardarelli" Hospital, Via A. Cardarelli 9, 80131 Naples, Italy.
Carmine AntropoliDepartment of Surgery, "A. Cardarelli" Hospital, Via A. Cardarelli 9, 80131 Naples, Italy.
Johnn Henry Herrera KokDepartment of General and Digestive Surgery-Upper GI Unit, University Hospital of León, 24008 León, Spain.
Vinicio MoscaDepartment of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", 80138 Napoli, Italy.
Raffaele De LucaDepartment of Surgical Oncology, IRCCS Istituto Tumori "Giovanni Paolo II", 70124 Bari, Italy.ORCID 0000-0002-9337-0769
Karol PolomDepartment of Medicine, Academy of Applied Medical and Social Sciences-AMiSNS: Akademia Medycznych I Spolecznych Nauk Stosowanych-2 Lotnicza Street, 82-300 Elbląg, Poland.
Pasquale TalentoDepartment of Surgery, Pelvic Floor Center, AUSL-IRCCS Reggio Emilia, 42122 Reggio Emilia, Italy.
Luigi MaranoDepartment of Medicine, Academy of Applied Medical and Social Sciences-AMiSNS: Akademia Medycznych I Spolecznych Nauk Stosowanych-2 Lotnicza Street, 82-300 Elbląg, Poland.ORCID 0000-0002-9777-9588
Ospedale Antonio Cardarelli · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITGreater Poland Cancer Center · PLHospital de León · ESIstituto Tumori Bari · ITKing Faisal Specialist Hospital & Research Centre · SAUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Within the intricate field of rectal cancer surgery, the contentious debate over the optimal level of ligation of the inferior mesenteric artery (IMA) persists as an ongoing discussion, influencing surgical approaches and patient outcomes. This narrative review incorporates historical perspectives, technical considerations, and functional as well as oncological outcomes, addressing key questions related to anastomotic leakage risks, genitourinary function, and oncological concerns, providing a more critical understanding of the well-known inconclusive evidence. Beyond the dichotomy of high versus low tie, it navigates the complexities of colorectal cancer surgery with a fresh perspective, posing a transformative question: "Is low tie ligation truly reproducible?" Considering a multidimensional approach that enhances patient outcomes by integrating the surgeon, patient, technique, and technology, instead of a rigid and categorical statement, we argued that a balanced response to this challenging question may require compromise.

Indexed as

anastomoticleakageinferior mesenteric artery ligationquality of liferectal cancer surgery

Identifiers

PMID38201499
PMCPMC10777981
OpenAlexW4390106238

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.