Evidence map›Paper›PMID 19551441›Full record

Trial reportSurgical endoscopy2010

Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies.

Umut Barbaros, Ahmet Dinççağ, Aziz Sümer, Rosario Vecchio, Domenico Rusello, Valentina Randazzo, Halim Issever, Cavit Avci

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Minimally invasive surgery for gastric gastrointestinal stromal tumors.Translational gastroenterology and hepatology · 2017
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Minimally invasive splenectomy: an update and review.Canadian journal of surgery. Journal canadien de chirurgie · 2013
    Review
  14. Article
  15. Laparoscopic splenectomy: standardized approach.World journal of surgery · 2011
    Review
  16. Laparoscopic splenectomy coupled with laparoscopic cholecystectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  17. Review
  18. Article
  19. Article
  20. 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.

Umut BarbarosDepartment of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Capa, Istanbul, Turkey. umutbarbaros@yahoo.com
Ahmet Dinççağ
Aziz Sümer
Rosario Vecchio
Domenico Rusello
Valentina Randazzo
Halim Issever
Cavit Avci

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough some studies have compared laparoscopic and hand-assisted laparoscopic splenectomy (HALS) in splenomegaly cases, no study has analyzed the differences between HALS and open splenectomy (OS). This study aimed to compare the HALS and OS techniques in splenomegaly cases.

methodsThis prospective study included 27 patients undergoing splenectomy for splenic disorders at the Department of General Surgery, Istanbul Medical Faculty between February and October 2007. Open splenectomy was performed for 14 patients and HALS for the remaining 13 patients.

resultsThe end points compared included incision length, operative time, intraoperative blood loss, postoperative drain output and duration, postoperative pain scores, length of postoperative hospitalization, and perioperative complications. The authors found benefits of HALS over OS for incision length, postoperative pain score, postoperative drain output and duration, and hospital stay. The main advantages of the HALS technique over OS were less postoperative pain (p = 0.0002), shorter hospital stay (p = 0.004), and shorter abdominal incision (p = 0.012).

conclusionsFor splenomegaly, HALS significantly facilitates the surgical procedure and reduces the hospital stay while maintaining the advantages of OS such as tactile sense as well as easy and atraumatic manipulation of enlarged spleens.

Indexed as

AdolescentAdultAgedFemaleHumansLaparoscopyMaleMiddle AgedProspective StudiesSplenectomySplenic DiseasesSplenomegalyYoung Adult

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.