Evidence map›Paper›PMID 38837095›Full record

Observational studyInternational journal of colorectal disease2024

Low anterior resection with transanal transection and single-stapled anastomosis: technical aspects and initial results.

Alfredo Vivas López, Oscar Garcia Villar, Javier Garcia Borda, Rafael Restrepo Nuñez, Eduardo Rubio, Cristina Nevado, Pablo Pelaez, Maria Labalde Martinez, David Alias, Kleber Falcon and 3 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of colorectal disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

13 authors.

Alfredo Vivas LópezSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-3068-9147
Oscar Garcia VillarSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-3427-3544
Javier Garcia BordaSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0001-8752-500X
Rafael Restrepo NuñezSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-1421-677X
Eduardo RubioSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
Cristina NevadoSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
Pablo PelaezSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
Maria Labalde MartinezSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0001-9238-5945
David AliasSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
Kleber FalconSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
Sofia LorenzoSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.
José Perea GarcíaSurgery Department, Vithas Arturo Soria Hospital, Madrid, Spain. josepereag@hotmail.com.ORCID https://orcid.org/0000-0001-5522-8844
Eduardo FerreroSurgery Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0002-1735-5727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRectal cancer (RC) is a surgical challenge due to its technical complexity. The double-stapled (DS) technique, a standard for colorectal anastomosis, has been associated with notable drawbacks, including a high incidence of anastomotic leak (AL). Low anterior resection with transanal transection and single-stapled (TTSS) anastomosis has emerged to mitigate those drawbacks.

methodsObservational study in which it described the technical aspects and results of the initial group of patients with medium-low RC undergoing elective laparoscopic total mesorectal excision (TME) and TTSS.

resultsTwenty-two patients were included in the series. Favourable postoperative outcomes with a median length of stay of 5 days and an AL incidence of 9.1%. Importantly, all patients achieved complete mesorectal excision with tumour-free margins, and no mortalities were reported.

conclusionTTSS emerges as a promising alternative for patients with middle and lower rectal tumours, offering potential benefits in terms of morbidity reduction and oncological integrity compared with other techniques.

Indexed as

Anal CanalAnastomosis, SurgicalRectal NeoplasmsSurgical StaplingAdultAgedAged, 80 and overAnastomotic LeakFemaleHumansLaparoscopyMaleMiddle AgedRectumTreatment OutcomeAnastomotic leakRectal cancer surgerySingle-stapledTTSS

Identifiers

PMID38837095
PMCPMC11153272

What OpenQuestion holds

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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.