Evidence map›Paper›PMID 42125726›Full record

ArticleSurgical case reports2026

Laparoscopic Rectopexy for Neorectal Prolapse after Robot-Assisted Intersphincteric Resection for Low Rectal Cancer: A Case Report.

Yuzo Harada, Shigenobu Emoto, Hiroaki Nozawa, Kazuhito Sasaki, Koji Murono, Yuichiro Yokoyama, Yuzo Nagai, Takahide Shinagawa, Yuichi Tachikawa, Satoshi Okada and 3 more

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In one paragraph

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

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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

13 authors.

Yuzo HaradaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Shigenobu EmotoDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Hiroaki NozawaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Kazuhito SasakiDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Koji MuronoDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Yuichiro YokoyamaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Yuzo NagaiDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Takahide ShinagawaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Yuichi TachikawaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Satoshi OkadaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Hiroshi ShiratoriDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.
Naoyuki UmetaniDepartment of Gastroenterological Surgery, Kawakita General Hospital, Tokyo, Japan.
Soichiro IshiharaDepartment of Surgical Oncology, The University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntersphincteric resection (ISR) is a sphincter-preserving procedure for lower rectal cancer; however, it can cause neorectal prolapse. Transanal repairs are commonly described but may fail, while transabdominal approaches are less frequently reported because of adhesions, bowel injury, and stoma risks. We present a patient with neorectal prolapse after robot-assisted ISR in whom transanal repair failed and subsequent laparoscopic rectopexy achieved a successful outcome, with a review of the literature. CASE PRESENTATION: A 72-year-old male patient underwent robot-assisted partial ISR with an ileostomy for lower rectal cancer. Neorectal prolapse and a posterior subcutaneous bulge appeared 1 month after surgery. Despite transanal repair using the Delorme procedure, 18 months after the initial surgery, the prolapse recurred within 1 month. Therefore, a laparoscopic rectopexy was performed. Adhesions around the neorectum were lysed, and the mobilization of the bowel was achieved until the anal canal. After confirming that cranial traction resolved both the neorectal prolapse and the bulge, a mesh was placed behind the bowel, and the seromuscular layer was fixed to the mesh and pelvis. The postoperative course was uneventful and no recurrence was observed during the 6-month follow-up.

conclusionsAlthough transanal repair is commonly performed after ISR due to concerns regarding adhesions and bowel injury, this case suggests that laparoscopic fixation can be effective in selected patients.

Indexed as

intersphincteric resectionlaparoscopic rectopexyneorectal prolapse

Identifiers

PMID42125726
PMCPMC13160660

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