Evidence map›Paper›PMID 42577991›Full record

ArticleAnnals of gastroenterological surgery2026

Impact of Postoperative Infectious Complications on Long-Term Survival After Curative Resection for Colorectal Cancer: A Multicenter Study in the Minimally Invasive Era.

Takehito Yamamoto, Ryosuke Mizuno, Yoshiro Itatani, Tetsuya Shiota, Masahiro Yamada, Tadayoshi Yamaura, Mami Yoshitomi, Kazutaka Obama

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

8 authors.

Takehito YamamotoKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.ORCID https://orcid.org/0000-0002-2236-7124
Ryosuke MizunoKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.ORCID https://orcid.org/0009-0007-4033-6130
Yoshiro ItataniKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.
Tetsuya ShiotaKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.
Masahiro YamadaKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.
Tadayoshi YamauraKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.
Mami YoshitomiKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.ORCID https://orcid.org/0000-0002-6444-4693
Kazutaka ObamaKyoto Colorectal Surgery Study (KCRG) Group Kyoto Japan.ORCID https://orcid.org/0000-0003-2924-6701

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Previous studies have reported that postoperative infectious complications (PICs) worsen long-term outcomes after colorectal cancer surgery; however, most were conducted before widespread adoption of minimally invasive surgery. We evaluated the association between PICs and long-term oncological outcomes after curative colorectal cancer resection. Methods: This multicenter, retrospective cohort study enrolled patients who underwent curative resection for colorectal adenocarcinoma between 2017 and 2021 at 19 hospitals in Japan. PICs were defined as Clavien-Dindo grade≥II infectious complications within 30 days after surgery. Multivariable Cox regression and propensity score matching (1:4) were used to evaluate associations with overall survival (OS) and relapse-free survival (RFS). Results: Among 5377 patients, 90.6% underwent laparoscopic or robot-assisted surgery, and PICs occurred in 500 (9.3%). In multivariable Cox proportional hazards analysis, PICs were independently associated with worse OS (HR 1.32, 95% CI 1.01-1.72; Conclusion: PICs are associated with impaired long-term survival after curative colorectal cancer surgery, even in the modern minimally invasive era. Preventing postoperative infections is important to improve perioperative recovery and long-term oncological outcomes.

Indexed as

colorectal cancerminimally invasive surgerypostoperative complicationspostoperative infection

Identifiers

PMID42577991
PMCPMC13456115

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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.