Evidence map›Paper›PMID 40804342›Full record

Trial reportInternational journal of colorectal disease2025

Textbook outcome in low rectal cancer patients undergoing laparoscopic or open surgery: 3-year results from the multicentric LASRE Trial.

Yanwu Sun, Zihan Tang, Weizhong Jiang, Xiaojie Wang, Ying Huang, Pan Chi

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01899547 (Laparoscopy-Assisted Surgery for Carcinoma of the Low Rectum), which is not on this 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.

NCT01899547 naunknown statusnot on this map

Laparoscopy-Assisted Surgery for Carcinoma of the Low Rectum : A Prospective, Multi-Center, Randomized, Open-Label, Parallel Group, Non-Inferiority Clinical Trial

TypeinterventionalSponsorFujian Medical UniversityRan2013 to 2023Enrolled1,070ConditionsRectal CarcinomaArmslaparoscopic-assisted rectal resection, conventional open rectal resection
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

6 authors.

Yanwu Sun *Department of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China.
Zihan Tang *Department of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China.
Weizhong Jiang *Department of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China.
Xiaojie WangDepartment of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China.
Ying HuangDepartment of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China.
Pan ChiDepartment of Colorectal Surgery, Fujian Medical University, Union Hospital, 29 Xinquan Road, 350001, Fuzhou, Fujian, People's Republic of China. chipan363@163.com.

Funding

Construction Project of Fujian Province Minimally Invasive Medical Center [2017]171
6 · The paper itself

Abstract

purposeThe textbook outcome has emerged as a valuable metric for quality assessment in oncological surgery. However, its application and impact within randomized controlled trials involving patients with low rectal cancer remain underexplored. This study aimed to investigate the incidence and predictors of textbook outcome in patients with low rectal cancer undergoing laparoscopic or open resection.

methodsThis post-hoc analysis included patients from the prospective, multicentric LASRE trial with clinically staged I-III rectal cancer located within 5 cm of the dentate line, tumor diameter < 6 cm, and undergoing radical laparoscopic or open resection. A total of 914 patients were analyzed.

resultsA textbook outcome was achieved in 74.9% of patients, with a higher rate in the laparoscopic group (76.7%) than in the open group (71.2%, P = 0.07). Multivariate analysis identified independent predictors of textbook outcome failure, including BMI > 24 kg/m

conclusionAchieving a textbook outcome is significantly associated with improved DFS in patients with low rectal cancer. These findings highlight the importance of optimizing perioperative and intraoperative care to enhance surgical outcomes, particularly within the context of randomized controlled trials.

trial registrationClinicalTrials.gov Identifier: https://clinicaltrials.gov/study/NCT01899547 .

Indexed as

LaparoscopyRectal NeoplasmsTextbooks as TopicAgedDisease-Free SurvivalFemaleHumansMaleMiddle AgedMultivariate AnalysisTreatment OutcomeLaparoscopyLow rectal cancerPrognosisTextbook outcome

Identifiers

PMID40804342
PMCPMC12350523

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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 Socratic graph.