Evidence map›Paper›PMID 40016739›Full record

ArticleWorld journal of surgical oncology2025

Clinical comparative study of the modified superior mesenteric artery approach in total laparoscopic radical resection for right colon cancer - a single-center retrospective study.

Lishuai Xu, Jiawei Wang, Yue Peng, Chengwei Wu, Song Wang, Xu Zhang, Changming Liang, Senlin Wan, Cheng Yang, Qingsheng Fu and 3 more

Abstract readComparative Study
In one paragraph

Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Lishuai Xu *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Jiawei Wang *Department of General Surgery, Maanshan Maternal and Child Health Care Hospital, No.446 Jiashan Road, Ma'anshan, Anhui, 243000, China.
Yue Peng *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Chengwei Wu *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Song WangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Xu ZhangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Changming LiangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Senlin WanDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Cheng YangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Qingsheng FuDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Yabin XiaDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China.
Xiaoxu HuangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China. xiaoxuhuang1984@163.com.
Li XuDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, No.2, Zheshan West Road, Wuhu, Anhui, Anhui, 241001, China. xulixuli1973@163.com.

Funding

Anhui Provincial Health Commission Provincial Financial Key Projects AHWJ2023A10126Natural Science Research Project of Higher Education in Anhui 2023AH040254Natural Science Research Project of Higher Education in Anhui KJ2021A0857Natural Science Research Project of Higher Education in Anhui Province 2023AH051771the National Natural Science Foundation of China 82372707
6 · The paper itself

Abstract

backgroundTo explore the safety and feasibility of the modified approach for accessing the superior mesenteric artery (SMA) in total laparoscopic radical resection for right colon cancer.

methodsThis single-center retrospective study included 107 patients who underwent total laparoscopic radical resection of right colon cancer at The First Affiliated Hospital of Wannan Medical College between August 2022 and December 2023. 53 patients were in the modified SMA approach (modified group) and 54 patients were in the traditional SMA approach (control group). The control group and modified group underwent total laparoscopic radical resection of right colon cancer, and the following baseline and pathological characteristics of the two groups were compared: intraoperative condition, postoperative recovery, and postoperative complications. Our modified surgical method was to isolate the mesocolon using a cranial(the ligament of Treitz) -to- caudal(the pedicle of ileocolic) pathway and the orderly ligation of blood vessels in the SMA.

resultsThere was no statistically significant difference in the baseline characteristics or pathological data between the two groups. Compared with the traditional SMA approach, the modified SMA approach had a shorter surgical time(P < 0.001) and vascular dissection time (P < 0.001) and less intraoperative blood loss (P = 0.000). There was no statistically significant difference in the number of total harvested lymph nodes or positive harvested lymph nodes between the two groups of patients (P > 0.05); There was no statistically significant difference in postoperative hospital stay, time to first flatus, time to pull out drainage tube and drainage between the two groups of patients (P > 0.05), and there was no statistically significant difference in the incidence of complications between the two groups of patients (P > 0.05).

conclusionThe modified SMA approach in totally laparoscopic radical resection for right colon cancer can shorten the surgical and vascular dissection time, reduce intraoperative bleeding and reduce the surgical difficulty and intraoperative risk of the SMA approach for right colon cancer. In clinical practice, its safety and feasibility are relatively high, and it is worth promoting.

trial registrationThe study was approved by the Ethics Committee of The First Affiliated Hospital of Wannan Medical College and registered with the China Clinical Trials Registry (ChiCTR2300075919, Date of Registration:2023-09-19- retrospective registration) http://www.chictr.org.cn/index.aspx .

Indexed as

ColectomyColonic NeoplasmsLaparoscopyMesenteric Artery, SuperiorAdultAgedBlood Loss, SurgicalFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPrognosisD3 lymphadenectomyRight colon cancerSuperior mesenteric artery

Identifiers

PMID40016739
PMCPMC11869699

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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.