Evidence map›Paper›PMID 19455285›Full record

ReviewDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2009

[Laparoscopic appendectomy. The new standard?].

F Köckerling, C Schug-Pass, S Grund

Abstract readComparative StudyEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. [Perioperative CRP quantification for appendectomy: Clinically useful or a waste of money?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Article
  4. [Stump closure in laparoscopic appendectomy. Influence of endoloop or linear stapler on patient outcome].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Article
  5. Article
  6. Increased complication rate in obese patients undergoing laparoscopic adrenalectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

3 authors.

F KöckerlingKlinik für Chirurgie - Visceral- und Gefässchirurgie, Vivantes Klinikum Spandau, Neue Bergstrasse 6, Berlin, Germany. ferdinand.koeckerling@vivantes.de
C Schug-Pass
S Grund

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the introduction of laparoscopic appendectomy by Semm in 1983, the role of this minimally invasive surgical technique has been the focus of controversial discussion. Meta-analyses have identified its advantages as having significantly lower wound infection rates, less postoperative pain and earlier resumption of normal everyday activities. The disadvantages are higher rates of intra-abdominal abscesses, longer operating times and higher inpatient treatment costs. However, some of the advantages identified by meta-analyses have been called into question by the results obtained from research into aspects of care. These discrepancies are attributable to the different surgeons involved in the various studies. The results are greatly influenced by the qualifications and experience of the surgeons. Therefore conventional appendectomy using a right lower lateral McBurney incision should continue to be the gold standard. Surgeons who have extensive experience in the field of laparoscopic surgery can achieve better results with minimally invasive appendectomy than with open surgery. This also holds true for specific situations such as complicated appendicitis and for morbidly obese patients. However, the operating costs incurred for laparoscopic appendectomy are higher because it has been shown that removal of the appendix with a linear stapler is the most reliable method.

Indexed as

AdultAppendectomyAppendicitisChildHumansLaparoscopyMeta-Analysis as TopicPostoperative ComplicationsResearchTime and Motion StudiesTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.