Evidence map›Paper›PMID 39037685›Full record

ArticleUpdates in surgery2024

Comparing total mesorectal excision with partial mesorectal excision for proximal rectal cancer: evaluating postoperative and long-term oncological outcomes.

Vusal Aliyev, Niyaz Shadmanov, Guglielmo Niccolò Piozzi, Barıs Bakır, Suha Goksel, Oktar Asoglu

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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. Article
  2. Article
  3. Review
  4. 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.

Vusal AliyevDepartment of General Surgery, Bagcılar Medilife Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0730-7737
Niyaz ShadmanovBogazici Academy for Clinical Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-9752-5318
Guglielmo Niccolò PiozziDepartment of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.ORCID http://orcid.org/0000-0001-6667-9202
Barıs BakırDepartment of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-6587-9787
Suha GokselDepartment of Pathology, Maslak Acibadem Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-6329-0354
Oktar AsogluBogazici Academy for Clinical Sciences, Istanbul, Turkey. oktarasoglu@yahoo.com.ORCID http://orcid.org/0000-0002-9147-1654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment role of Total Mesorectal Excision (TME) in proximal rectal cancers (PRC) is still debated. Partial Mesorectal Excision (PME) can reduce morbidity in PRC patients. The purpose of this study was to compare short-term clinical and long-term oncological outcomes between the two groups. A total of 157 PRC patients were enrolled in this study (114 performed with PME and 43 with TME). The two groups were compared in terms of perioperative and long-term oncological outcomes. The overall postoperative complications rate was higher in TME group (18.4% vs. 32.5%, p < 0.05). The incidence of diverting ileostomy was also significantly higher in TME group (86.0% vs. 2.6%, p < 0.001). Overall survival rates for 3, 5, and 7 years in PME and TME group accordingly were: 94.6%, 89.3%, 81.5% and 93.2%, 87.6%, 78.4% (p = 0.324). Disease-free survival rates for 3, 5, and 7 years in PME and TME group were: 90.2%, 84.5%, 78.6% and 88.7%, 81.2%, 75.3% (p = 0.297), respectively. Local recurrence rates for 3, 5, and 7 years in PME and TME group were: 2.6%, 6.1%, 8.8% and 4.6%, 9.3%, 11.2% (p = 0.061), respectively. PME is feasible and can be safely performed in PRC patients with favorable oncological outcomes. TME is associated with increasing risk of surgical complications and requires a two-step surgery for stoma takedown.

Indexed as

Postoperative ComplicationsRectal NeoplasmsAdultAgedDigestive System Surgical ProceduresDisease-Free SurvivalFemaleHumansMaleMiddle AgedRectumRetrospective StudiesSurvival RateTime FactorsTreatment OutcomeLaparoscopic surgeryPartial mesorectal excisionRectal cancerRobotic surgeryTotal mesorectal excision

Identifiers

What OpenQuestion holds

Textmetadata
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.