Evidence map›Paper›PMID 40878524›Full record

ArticleAnnals of coloproctology2025

Incisional hernia risk in intracorporeal anastomosis with Pfannenstiel incision versus extracorporeal anastomosis with midline incision for laparoscopic right hemicolectomy: a multicenter comparison.

Francesco Saverio Lucido, Giusiana Nesta, Luigi Brusciano, Claudio Gambardella, Francesco Pizza, Giuseppe Scognamiglio, Gianmattia Del Genio, Salvatore Tolone, Federico Maria Mongardini, Massimo Mongardini and 2 more

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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 1 paper.

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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

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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

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

12 authors.

Francesco Saverio LucidoDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Giusiana NestaDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Luigi BruscianoDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Claudio GambardellaDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Francesco PizzaDepartment of Surgery, A. Rizzoli Hospital, Naples, Italy.
Giuseppe ScognamiglioUnit of General and Bariatric Surgery, Camilliani Hospital, Naples, Italy.
Gianmattia Del GenioDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Salvatore ToloneDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Federico Maria MongardiniDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Massimo MongardiniDivision of General Surgery, AUO Azienda Universitaria Policlinico "Policlinico Umberto I", Sapienza University of Rome, Italy.
Ludovico DocimoDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Simona ParisiDivision of General, Mini-invasive, Oncological and Obesity Surgery, Department of Advanced Since and Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic right hemicolectomy can be performed via intracorporeal ileocolic anastomosis (ICA) or extracorporeal ileocolic anastomosis (ECA). Prior studies have emphasized ICA's advantages in hospital stay and postoperative pain. This multicenter study aimed to compare the 2-year incidence of incisional hernia between ICA (using a suprapubic Pfannenstiel incision) and ECA (using a pararectal incision) and assess perioperative outcomes.

methodsWe retrospectively analyzed patients undergoing laparoscopic right hemicolectomy between 2019 and 2020, divided into 2 groups: ICA with a Pfannenstiel incision and ECA with a pararectal incision.

resultsThe mean operative time was longer in the ICA group (190 minutes vs. 170 minutes, P=0.004). Despite requiring advanced surgical skills and prolonged operative time, ICA was associated with superior short-term outcomes and a significantly lower incisional hernia rate compared to ECA (1.2% vs. 14.7%, P=0.044) at 24-month follow-up.

conclusionsICA is linked to longer operative times, but shorter hospital stays, fewer wound complications, and reduced incisional hernia rates compared to ECA.

Indexed as

Incisional herniaIntracorporeal anastomosisPararectal incisionPfannestielRight hemicolectomy

Identifiers

PMID40878524
PMCPMC12406012

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