Evidence map›Paper›PMID 41488851›Full record

ArticleAnnals of gastroenterological surgery2026

Comparing Prophylactic Administration of Sulbactam/Ampicillin Versus Cefmetazole for Prevention of Perineal Wound Infection Following Abdominoperineal Resection for Rectal Cancer: A Multicenter Randomized Controlled Trial.

Akitoshi Nankaku, Shunsuke Kasai, Akio Shiomi, Taiki Masuda, Hiroyuki Hazama, Noriko Iwata, Shunichiro Kato, Shinichi Yamauchi, Hiroyuki Sato, Akihiro Hirakawa and 3 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. 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

13 authors.

Akitoshi NankakuDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-9947-9458
Shunsuke KasaiDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-2497-5633
Akio ShiomiDivision of Colon and Rectal Surgery Shizuoka Cancer Center Hospital Sunto-gun Shizuoka Japan.ORCID https://orcid.org/0000-0001-5657-8686
Taiki MasudaDivision of Surgery Musashino Red Cross Hospital Musashino Tokyo Japan.
Hiroyuki HazamaDepartment of Gastroenterological Surgery Shizuoka General Hospital Aoiku Shizuoka Japan.
Noriko IwataDivision of Surgery Edogawa Hospital Edogawaku Tokyo Japan.
Shunichiro KatoDivision of Digestive Surgery Tsuchiura Kyodo General Hospital Tsuchiura Ibaraki Japan.
Shinichi YamauchiDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-2360-5323
Hiroyuki SatoDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Bunkyo-ku Tokyo Japan.
Akihiro HirakawaDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Bunkyo-ku Tokyo Japan.
Hiroyasu KagawaDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.
Masanori TokunagaDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-3183-349X
Yusuke KinugasaDepartment of Gastrointestinal Surgery, Graduate School of Medicine Institute of Science Tokyo Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-7885-2276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Perineal wound infection (PWI) is a critical complication unique to abdominoperineal resection (APR) that requires preventive interventions. This study compared the efficacy of a 4-day regimen of sulbactam/ampicillin (SBT/ABPC) with that of a 1-day regimen of cefmetazole (CMZ) for preventing PWI after APR. Methods: Eighty patients who underwent APR for rectal cancer were enrolled in this multicenter, open-label, randomized controlled trial. The primary outcome was the incidence of PWI, and secondary outcomes included the incidence of surgical site infections (SSI), other complications, and length of postoperative hospital stay. Based on an assumed PWI incidence of 46% for CMZ and 14% for SBT/ABPC, a sample size of 40 participants per group was required to achieve a 90% power at a two-sided 10% significance level. Results: Of the 80 randomized patients, 76 were analyzed in the SBT/ABPC ( Conclusion: The 4-day SBT/ABPC regimen significantly reduced the incidence of PWI after APR compared to the 1-day CMZ regimen. This simple approach to antibiotic selection may be beneficial for preventing PWI.

Indexed as

abdominoperineal resectionperineal wound infectionrandomized controlled trialrectal cancersulbactam/ampicillin

Identifiers

PMID41488851
PMCPMC12757173

What OpenQuestion holds

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Registered trials

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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.