Evidence map›Paper›PMID 41214628›Full record

ArticleBMC surgery2025

The feasibility, safety and short-term clinical efficacy of laparoscopic resection rectopexy with natural orifice specimen extraction surgery for the treatment of complete rectal prolapse.

Shihan Chen, Jixin Zhang, Yanyang Liang, Ruixue Tang, Shouxin Yuan, Shuang Xie, Quanhui Wang, Chunxu Zhang

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 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

8 authors.

Shihan ChenDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.ORCID http://orcid.org/0000-0001-6123-4415
Jixin ZhangDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.ORCID http://orcid.org/0000-0003-4081-014X
Yanyang LiangDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.
Ruixue TangCollege of Graduate Studies, Xinxiang Medical University, No. 601 Jinsui Avenue, Xinxiang, Henan Province, China.ORCID http://orcid.org/0009-0009-7380-3780
Shouxin YuanDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.
Shuang XieDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.
Quanhui WangDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China.ORCID http://orcid.org/0009-0003-7940-7347
Chunxu ZhangDepartment of General Surgery, the No. 988th Hospital of Joint Logistic Support Force of PLA, No. 602 Zhengshang Road, Zhengzhou, Henan Province, China. chiseng988@163.com.ORCID http://orcid.org/0009-0003-5687-8664

Funding

the Henan Medical Science and Technology Research Project No. SB201903034the Natural Science Foundation of Henan Province No. 252300421639
6 · The paper itself

Abstract

purposeThere have been few reports that have focused on the combination of the laparoscopic approach and natural orifice specimen extraction (NOSE) surgery for complete rectal prolapse (CRP). The aim of this study was to compare the feasibility, safety and short-term clinical efficacy of NOSE surgery with those of conventional laparoscopic resection rectopexy in the treatment of CRP.

methodsIn a group of 45 patients selected between January 2019 and October 2023, 28 patients underwent conventional laparoscopic resection rectopexy (LRR), and 17 patients underwent transanal NOSE laparoscopic resection rectopexy (NOSE–LRR). Preoperative and postoperative clinical variables of the two groups of patients were compared and analyzed.

resultsThe mean operation time was longer in the NOSE–LRR group than in the LRR group (150.29 min versus 134.18 min, respectively, p < 0.001). The median length of hospital stay after surgery was significantly shorter in the NOSE–LRR group (5 versus 7 days, respectively, p < 0.001). A significant reduction in the incontinence score and constipation score was observed in both groups after surgery (p < 0.001). However, there was no significant difference in the postoperative constipation score or incontinence score between the two groups.

conclusionIn this study, LRR combined with NOSE appears to be a safe, technically feasible, cosmetically favorable, and effective surgical option for patients with CRP. NOSE–LRR was associated with a significantly shorter postoperative hospital stay but a longer operation time. However, further large-scale cohort studies are needed to validate these findings.

Indexed as

LaparoscopyNatural Orifice Endoscopic SurgeryRectal ProlapseRectumAgedColorectal Surgical ProceduresFeasibility StudiesFemaleHumansLength of StayMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeClinical efficacyComplete rectal prolapse (CRP)Laparoscopic resection rectopexy (LRR)Natural orifice specimen extraction (NOSE)

Identifiers

PMID41214628
PMCPMC12604411

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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.