Evidence map›Paper›PMID 40813560›Full record

ArticleTechniques in coloproctology2025

Does robotic circumferential oversewing reduce anastomotic leakage in stapled anastomosis for rectal cancer surgery?

J-M Jung, S Yang, Y S Yoon, Y I Kim, M H Kim, J L Lee, C W Kim, I J Park, S-B Lim, C S Yu

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In one paragraph

Article in Techniques in coloproctology, 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

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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.

J-M Jung *Department of Surgery, Ajou University School of Medicine, Suwon, South Korea.ORCID 0000-0002-5318-3432
S Yang *Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.ORCID 0000-0003-4030-8723
Y S YoonDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. yoonys@amc.seoul.kr.ORCID 0000-0002-3196-8423
Y I KimDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-0212-9196
M H KimDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-9414-7817
J L LeeDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-5878-8000
C W KimDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-2382-0939
I J ParkDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0001-5355-3969
S-B LimDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0001-8824-4808
C S YuDivision of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0001-9401-9981

Funding

Asan Institute for Life sciences 2019IF0593
6 · The paper itself

Abstract

backgroundAnastomotic leakage (AL) remains a challenging complication of rectal cancer surgery. In patients diagnosed with low risk of AL, low anterior resection (LAR) is often performed without creating a stoma. However, AL can still occur even in patients considered to be at low risk. This study assessed the effects of circumferential oversewing (CO) on AL in patients undergoing robotic LAR without fecal diversion.

methodsWe retrospectively reviewed data from 225 patients with rectal cancer who underwent robotic LAR without fecal diversion. They were divided into CO and non-CO groups. The CO group received oversewing along the circular staple line. The AL rate was assessed after the inverse probability of treatment weighting (IPTW) adjustments.

resultsAfter IPTW adjustment, no significant differences in baseline characteristics were observed between the two groups. Overall complication and AL rates were 12.0% and 4.5%, respectively. Although no difference in overall complications was observed between the two groups, patients in the CO group had a significantly lower AL rate than the non-CO group (1.7% vs. 10.3%, p = 0.010). Logistic regression analysis revealed that the CO procedure was a protective factor against AL (IPTW-adjusted OR 0.153, 95% CI 0.036-0.643, p = 0.010).

conclusionsThe application of the CO procedure in patients with LAR who were not indicated for stoma creation may contribute to reducing the risk of AL.

Indexed as

Anastomotic LeakProctectomyRectal NeoplasmsRobotic Surgical ProceduresSurgical StaplingAgedAnastomosis, SurgicalFemaleHumansMaleMiddle AgedRectumRetrospective StudiesTreatment OutcomeAnastomotic leakRectal neoplasmsRobot surgical proceduresSuture techniques

Identifiers

PMID40813560
PMCPMC12354487

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