Evidence map›Paper›PMID 41484466›Full record

ArticleSurgery today2026

Minimally invasive colectomy May contribute to a better long-term prognosis for patients when a textbook outcome is not achieved.

Taishi Yamane, Koichi Doi, Yuto Maeda, Shotaro Kinoshita, Chihiro Matsumoto, Mayuko Ohuchi, Yukiharu Hiyoshi, Hiroyuki Ishiodori, Yuji Miyamoto, Shinobu Honda and 1 more

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Article in Surgery today, 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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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

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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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5 · Who and what money

Authors and funding

11 authors.

Taishi YamaneDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka, 882-0835, Miyazaki, Japan.
Koichi DoiDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka, 882-0835, Miyazaki, Japan.
Yuto MaedaDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Shotaro KinoshitaDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Chihiro MatsumotoDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka, 882-0835, Miyazaki, Japan.
Mayuko OhuchiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Yukiharu HiyoshiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Hiroyuki IshiodoriDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka, 882-0835, Miyazaki, Japan.
Yuji MiyamotoDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan. miyamotoyuji@gmail.com.
Shinobu HondaDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, 2-1-10 Shinkouji, Nobeoka, 882-0835, Miyazaki, Japan.
Masaaki IwatsukiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTextbook outcome (TO) reflects ideal surgical and postoperative quality measures from the patient's perspective. Non-achievement of a TO has been linked to a poor prognosis after colorectal cancer surgery. Minimally invasive colectomy (MIC), being considerably less invasive than open colectomy (OC) may improve prognosis; however, its effect on the long-term prognosis of patients with non-achievement of a TO remains unclear. This study investigated the impact of TO achievement on prognosis after OC and MIC.

methodsThe subjects of this retrospective analysis were 256 patients who underwent OC and 472 patients who underwent MIC for colorectal cancer at Miyazaki Prefectural Nobeoka Hospital or Kumamoto University. TO was defined by five criteria: surgery within 6 weeks of diagnosis, radical resection, lymph node (LN) yield ≥ 12, no stoma, and no adverse outcomes. TO was achieved when all criteria were met; otherwise, the result was defined as non-TO (nTO). Both OC and MIC groups were stratified by TO status.

resultsTO achievement was significantly higher after MIC than after OC (39.0%, and 31.6%, respectively; p = 0.049). After OC, nTO patients had significantly worse 5-year overall survival than TO patients (log-rank p = 0.011). Multivariate analysis identified nTO as an independent risk factor for poor prognosis after OC [hazard ratio: 2.81; 95% confidence intervals (CI): 1.330-6.428; p = 0.0060]. In contrast, nTO had no significant impact on prognosis after MIC (log-rank p = 0.14).

conclusionsNon-achievement of a TO predicted poorer prognosis after OC but not MIC. The lower invasiveness of MIC may promote better long-term outcomes, even if a TO is not achieved.

Indexed as

ColectomyColorectal NeoplasmsMinimally Invasive Surgical ProceduresAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateTime FactorsTreatment OutcomeColorectal cancerMinimally invasive colectomyTextbook outcome

Identifiers

PMID41484466

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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.