Evidence map›Paper›PMID 39779353›Full record

SynthesisSaudi medical journal2025

Effect of laparoscopic intracorporeal reinforcing sutures to prevent anastomotic leakage: A meta-analysis.

Feng-Bing Wang, Min-Min Song, Nian-Wen Zhang, Wei-Feng, Bin-Liu, Peng-Fei Zhang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Saudi medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  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

6 authors.

Feng-Bing WangFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.ORCID https://orcid.org/0009-0000-7179-9911
Min-Min SongFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.
Nian-Wen ZhangFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.
Wei-FengFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.
Bin-LiuFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.
Peng-Fei ZhangFrom the Department of Gastrointestinal Surgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effectiveness of reinforcing sutures after surgery for rectal cancer and its associated impact on postoperative recovery. Anastomotic leakage (AL) is a common and serious complication after anteriorrectal resection. It is currently unclear whether laparoscopic intracorporeal reinforcingsutures can effectively reduce the incidence of AL.

methodFrom inception to 2024, the literature search was conducted using a variety of databases, including PubMed, the Chinese biomedical literature database (CBM), Wanfang, EMBASE, the Cochrane Library, VIP, and China National Knowledge Infrastructure (CNKI), to identify relevant articles. Free-text forms were used to search the literature: "rectal cancer", "rectal neoplasms", "reinforcing sutures", and "anastomotic leakage" or AL. The search was undertaken by 2 different reviewers, who independently evaluated the studies.

resultTwelve retrospective studies and 4 RCTs were analyzed in all. A total of 3147 individuals were identified, with 1512 receiving reinforcing sutures and 1635 not. Patients who underwent laparoscopic surgery to get reinforcing sutures had a notably decreased occurrence of anastomotic leakage, according to our data. (OR 0.33; 95% CI 0.21-0.51,

conclusionThe occurrence of AL can be greatly decreased through the use of a laparoscopic approach for anastomotic reinforcement, which may be a better option after radical surgery for rectal patients. However, more RCT studies with large sample sizes are needed.

Indexed as

Anastomotic LeakLaparoscopySuture TechniquesHumansLength of StayRectal NeoplasmsSuturesanastomotic leakage (AL)laparoscopic surgeryrectal cancerreinforcing sutures

Identifiers

PMID39779353
PMCPMC11717097

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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.