Evidence map›Paper›PMID 41256300›Full record

ArticleWorld journal of gastrointestinal endoscopy2025

Comparison of different anastomosis methods in laparoscopically assisted left hemicolectomy for colon cancer.

Fan Li, Yi-Lin Xie, Dong Xu, Chuan-Hui Lu, Jun-Wei Wu, Jin-Xue Ma, Guo-Xian Guan, Hai-Xing Wang

Abstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2025. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

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4 · The record

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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.

Fan LiDepartment of Colorectal Surgery, The First Affiliated Hospital of Xiamen University, 361001 Xiamen, Fujian Province, China.
Yi-Lin XieDepartment of Endoscopy Center, The First Affiliated Hospital of Xiamen University, Xiamen 361000, Fujian Province, China.
Dong XuDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University, Xiamen 360001, Fujian Province, China.
Chuan-Hui LuDepartment of Colorectal Surgery, The First Affiliated Hospital of Xiamen University, 361001 Xiamen, Fujian Province, China.
Jun-Wei WuDepartment of Colorectal Surgery, The Graduate School of Fujian Medical University, Xiamen 360001, Fujian Province, China.
Jin-Xue MaDepartment of General Surgery, Wuzhong People's Hospital of Ningxia Medical University, Ningxia 751199, Gansu Province, China.
Guo-Xian GuanDepartment of Colorectal Surgery, The First Affiliated Hospital of Xiamen University, 361001 Xiamen, Fujian Province, China.
Hai-Xing WangDepartment of Endoscopy Center, The First Affiliated Hospital of Xiamen University, Xiamen 361000, Fujian Province, China. wanghaixing0908@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft colon cancer surgery relies on laparoscopic hemicolectomy, with digestive tract reconstruction critical. End-to-side anastomosis (ESA) and side-to-side anastomosis (SSA) anastomoses are common, but their comparative outcomes, especially in splenic flexure handling and efficacy, need clarification. This study compares ESA and SSA to guide surgical practice.

aimTo compare the clinical outcomes of laparoscopically assisted left hemicolectomy with ESA and SSA.

methodsA total of 334 patients were included, with 105 patients from the First Affiliated Hospital of Xiamen University and 229 patients from the First Affiliated Hospital of Fujian Medical University, between January 1, 2012, and May 31, 2020. The patients were divided into two groups: 146 cases in the ESA group and 188 cases in the SSA group. Clinical data from both groups were compared, and the survival prognosis was followed up.

resultsThe operation time for the ESA group was significantly shorter than that of the SSA group (197.1 ± 57.7 minutes

conclusionBoth laparoscopically assisted left hemicolectomy with ESA and SSA are feasible and offer comparable long-term outcomes. ESA may reduce the need for splenic flexure dissociation, particularly when the tumor is located at the descending colon or its junction with the sigmoid colon, and especially in obese patients, elderly individuals with multiple complications, or those with severe adhesions in the splenic flexure of the surgical field.

Indexed as

AnostomosisEnd-to-sideLaparoscopeLeft colon cancerSide-to-sideSplenic flexure dissociation

Identifiers

PMID41256300
PMCPMC12620884

What Socratic holds

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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 Socratic graph.