Evidence map›Paper›PMID 41507457›Full record

ArticleUpdates in surgery2026

Transanal drainage tube placement in patients with temporary ileostomy after laparoscopic rectal resection for rectal cancer.

Nobuaki Hoshino, Koya Hida, Yuichiro Tsukada, Kazutaka Obama, Jun Watanabe, Yosuke Fukunaga, Yasumitsu Hirano, Kazuhiro Sakamoto, Hiroki Hamamoto, Masanori Yoshimitsu and 21 more

Abstract read
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In one paragraph

Article in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

31 authors.

Nobuaki HoshinoDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. hoshinob@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-7171-8971
Koya HidaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Yuichiro TsukadaDepartment of Colorectal Surgery, National Cancer Center Hospital East, Chiba, Japan.
Kazutaka ObamaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Jun WatanabeDepartment of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Yosuke FukunagaDepartment of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation of Cancer Research, Tokyo, Japan.
Yasumitsu HiranoDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
Kazuhiro SakamotoDepartment of Coloproctological Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Hiroki HamamotoDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Masanori YoshimitsuDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Hisanaga HorieDepartment of Surgery, Jichi Medical University, Tochigi, Japan.
Nobuhisa MatsuhashiDepartment of Gastroenterological Surgery・Pediatric Surgery, Graduate School of Medicine, Gifu University, Gifu, Japan.
Yoshiaki KuriuDepartment of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Shuntaro NagaiDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Kyushu, Japan.
Madoka HamadaDepartment of Gastrointestinal Surgery, Kansai Medical University Hospital, Kansai, Japan.
Shinichi YoshiokaDepartment of Surgery, Yao Municipal Hospital, Osaka, Japan.
Shinobu OhnumaDepartment of Surgery, Tohoku University Hospital, Sendai, Japan.
Tamuro HayamaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Koki OtsukaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Yusuke InoueDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Kazuki UedaDivision of Endoscopic & Colorectal Surgery, Department of Surgery, Faculty of Medicine, Kindai University, Osaka, Japan.
Yuji ToiyamaDepartment of Gastrointestinal and Pediatric Surgery, Mie University, Tsu, Japan.
Satoshi MaruyamaDepartment of Gastroenterological Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Shigeki YamaguchiDivision of Gastrointestinal Surgery, Department of Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Keitaro TanakaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Motoko SuzukiDepartment of Data Science, National Cancer Center Hospital East, Chiba, Japan.
Toshihiro MisumiDepartment of Data Science, National Cancer Center Hospital East, Chiba, Japan.
Takeshi NaitohDepartment of Lower Gastrointestinal Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Masahiko WatanabeDepartment of Surgery, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Masaaki ItoDepartment of Colorectal Surgery, National Cancer Center Hospital East, Chiba, Japan.
Ultimate Trial Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anastomotic leakage is a serious complication after surgery for rectal cancer. The prevention of anastomotic leakage is important, and prevention methods include temporary ileostomy and transanal drainage tubes. In clinical practice, a TDT is often used in combination with a temporary ileostomy. Many studies have compared ileostomy and TDT; however, there are few reports on the additive effects of TDT in patients with temporary ileostomy. We included patients who underwent laparoscopic surgery for rectal cancer (cT1-2/N0/M0) located within 5 cm of the anal verge at 47 specialized centers in Japan between 2014 and 2017. Gastrointestinal anastomosis was performed in the patients, and a temporary ileostomy was created. Eligible patients were matched 1:1 based on propensity scores for the presence or absence of TDT. Postoperative outcomes and complications were compared between TDT and non-TDT groups. Of 299 cases collected, 252 were eligible for inclusion. After propensity score matching, 166 patients (83 per group) were included. In the TDT group, there was a significant delay in urinary catheter removal (4.3 ± 0.3 vs. 3.5 ± 0.3 days, P = 0.028) and prolonged hospital stay (20.2 ± 1.1 vs. 17.5 ± 1.1 days, P = 0.027). However, there were no significant differences in the number of anastomotic leakages (grade I, 1 vs. 1; grade II, 2 vs. 1; and grade III, 2 vs. 2; P = 1.000) or other postoperative complications between the groups. In patients in which a temporary ileostomy is created during lower rectal cancer surgery, the need for TDT is considered insignificant.

Indexed as

Anastomotic LeakDrainageIleostomyLaparoscopyRectal NeoplasmsRectumAgedAnal CanalAnastomosis, SurgicalColorectal Surgical ProceduresFemaleHumansMaleMiddle AgedPostoperative ComplicationsPropensity ScoreAnastomotic leakageComplicationsTransanal drainage

Identifiers

PMID41507457

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.