Evidence map›Paper›PMID 40461001›Full record

ArticleAnnals of coloproctology2025

Improved outcomes with cyanoacrylate glue for ileocolic anastomosis in right colectomy: a multicenter study.

Daniela Rega, Ernesto De Giulio, Raffaele De Luca, Andrea Muratore, Marco Milone, Giuseppe Sica, Paolo Millo, Carmela Cervone, Nicola Cillara, Patrizia Marsanic and 7 more

Abstract read
In one paragraph

Article in Annals of coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

17 authors.

Daniela RegaDivision of Colorectal Surgical Oncology, Department of Abdominal Oncology, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy.
Ernesto De GiulioDivision of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy.
Raffaele De LucaDepartment of Surgical Oncology, Istituto Tumori "Giovanni Paolo II" IRCCS, Bari, Italy.
Andrea MuratoreDepartment of General Surgery, E. Agnelli Hospital, Pinerolo, Italy.
Marco MiloneDepartment of Clinical and Surgical Gastrointestinal Diseases, University of Naples Federico II, Naples, Italy.
Giuseppe SicaMinimally Invasive and Gastrointestinal Surgery Unit, Università e Policlinico Tor Vergata, Rome, Italy.
Paolo MilloDepartment of General Surgery, Parini Hospital, Aosta, Italy.
Carmela CervoneDivision of Colorectal Surgical Oncology, Department of Abdominal Oncology, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy.
Nicola CillaraDepartment of Surgery, Santissima Trinità Hospital, Cagliari, Italy.
Patrizia MarsanicDepartment of General Surgery, E. Agnelli Hospital, Pinerolo, Italy.
Brunella Maria PirozziMinimally Invasive and Gastrointestinal Surgery Unit, Università e Policlinico Tor Vergata, Rome, Italy.
Valeria Grazia MalagninoDepartment of Radiology, Istituto Tumori "Giovanni Paolo II" IRCCS, Bari, Italy.
Pietro AnoldoDepartment of Clinical and Surgical Gastrointestinal Diseases, University of Naples Federico II, Naples, Italy.
Marcello CalabròDepartment of General Surgery, E. Agnelli Hospital, Pinerolo, Italy.
Giovanni De PalmaDepartment of Clinical and Surgical Gastrointestinal Diseases, University of Naples Federico II, Naples, Italy.
Michele SimoneDepartment of Surgical Oncology, Istituto Tumori "Giovanni Paolo II" IRCCS, Bari, Italy.
Paolo DelrioDivision of Colorectal Surgical Oncology, Department of Abdominal Oncology, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnastomotic leaks (AL) remain a major complication following right colectomy for colon cancer. This multicenter, prospective, observational study evaluated the efficacy of Glubran 2, a cyanoacrylate-based sealant, in reducing the incidence of AL by reinforcing ileocolic anastomoses.

methodsThe study enrolled 380 patients undergoing right colectomy for colon cancer across 7 Italian hospitals. Glubran 2 was applied to reinforce ileocolic anastomoses. The primary endpoint was a 50% reduction in AL incidence from a baseline of 6.18% within 10 days after surgery. Secondary endpoints included examining the correlation between AL and preexisting risk factors and determining the rate of anastomotic bleeding. Statistical analyses employed binomial tests and logistic regression.

resultsThe AL rate was reduced to 1.85% compared to the reference rate of 6.18% (P<0.01). Glubran 2 exhibited a protective effect even in patients with preexisting risk factors such as smoking, diabetes, or prior surgeries; none of these factors was significantly associated with AL (P>0.05). Surgical technique (P=0.687), anastomosis technique (P=0.998), and anastomosis type (P=0.998) did not influence AL rates. Operation time was similar across groups (P=0.613), and anastomotic bleeding occurred in 1.3% of cases, with no association with AL (P=0.989).

conclusionsGlubran 2 was safely applied to ileocolic anastomoses, significantly reducing AL rates and potentially providing a protective effect even in patients with known risk factors. Its hemostatic and bacteriostatic properties support improved postoperative outcomes, highlighting its potential as an effective adjunct in colorectal surgery. Further studies are warranted to confirm these findings and explore broader applications.

Indexed as

Anastomotic leakColectomyColonic neoplasmsCyanoacrylatesSurgical anastomosis

Identifiers

PMID40461001
PMCPMC12399318

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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.