Evidence map›Paper›PMID 39991492›Full record

ArticleSurgical case reports2025

A Case of Transanal Total Mesorectal Excision Using the Senhance Digital Laparoscopy System for Rectal Cancer.

Yasuhiro Ishiyama, Yasumitsu Hirano, Yume Minagawa, Misuzu Yamato, Sohei Akuta, Akihito Nakanishi, Takatsugu Fujii, Naoto Okazaki, Chikashi Hiranuma, Isamu Koyama

Abstract readCase Reports
In one paragraph

Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Yasuhiro IshiyamaDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Yasumitsu HiranoDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Yume MinagawaDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Misuzu YamatoDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Sohei AkutaDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Akihito NakanishiDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Takatsugu FujiiDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Naoto OkazakiDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Chikashi HiranumaDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Isamu KoyamaDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis case report presents the world's first transanal total mesorectal excision (taTME) using the Senhance Digital Laparoscopy System for rectal cancer. Senhance has been gaining attention as an advanced surgical robot, providing better visualization, stable dissection, and reduced surgeon fatigue compared to conventional methods. CASE PRESENTATION: A 68-year-old woman underwent Senhance-assisted taTME for a rectal tumor located 4 cm from the anal verge. The procedure was completed safely with a total operation time of 209 minutes, a cockpit time of 85 minutes, and a blood loss of 40 mL. Pathological evaluation confirmed complete resection (R0) with no residual cancer or lymph node metastases. The patient was discharged on postoperative day 7 without complications.

conclusionsThis case demonstrates the potential advantages of Senhance-assisted taTME, including improved visualization, stable dissection, and reduced surgeon fatigue. Further studies are needed to evaluate long-term outcomes and establish the role of this technique in rectal cancer surgery.

Indexed as

rectal cancersenhace surgical systemtransanal total mesorectal excision

Identifiers

PMID39991492
PMCPMC11842874

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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.