Evidence map›Paper›PMID 19924435›Full record

ArticleLangenbeck's archives of surgery2010

Unexpected findings on laparoscopy for suspected acute appendicitis: a pro for laparoscopic appendectomy as the standard procedure for acute appendicitis.

Lars Ivo Partecke, Wolfram von Bernstorff, Annette Karrasch, Katharina Cziupka, Anne Glitsch, Albrecht Stier, Claus Dieter Heidecke, Jürgen Tepel

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. [Right-sided acute appendicitis in situs inversus totalis. Case report].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Laparoscopy in elective and emergency management of ovarian pathology in children and adolescents.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014
    Article
  10. Article
  11. Appendicopathy--a clinical and diagnostic dilemma.International journal of colorectal disease · 2013
    Article
  12. Article
  13. Appendectomy in Germany-an analysis of a nationwide survey 2011/2012.International journal of colorectal disease · 2013
    Article
  14. 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 at 2 institutions in 1 country.

Lars Ivo ParteckeDepartment of Surgery, St. Adolf-Stift Hospital, Reinbek, Germany. Partecke@uni-greifswald.de
Wolfram von Bernstorff
Annette Karrasch
Katharina Cziupka
Anne Glitsch
Albrecht Stier
Claus Dieter Heidecke
Jürgen Tepel
Universität Greifswald · DEKrankenhaus Reinbek - Startseite · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvaluation of the feasibility, cost-effectiveness, time of surgery, morbidities, and other/additional findings during laparoscopy for suspected appendicitis.

methodsProspective evaluation of 148 laparoscopies for suspected acute appendicitis.

resultsLaparoscopic appendectomy was safe and cost-effective. No appendiceal stump leaks or wound infections occurred. Of the patients, 4.7% developed intra-abdominal abscesses. Mean time of all procedures was 47 min: 42 min for simple appendectomies (n = 126), 67 min for perforated appendicitis (n = 15), and 75 min for converted procedures (n = 7). Twenty-one of 148 (14.2%) patients had unexpected findings instead of appendicitis: inflamed epiploic appendices (three times), inflammatory disorders of intestine (five times), intestinal adhesions (two times), ovarian cysts (six times: one time with mesenteric lymphadenitis, one time ruptured), tubo-ovarian abscess (one time), tubal necrosis (one time), adnexitis with mesenteric lymphadenitis (one time), and acute cholecystitis (one time). These diagnoses might have been missed during conventional open appendectomy and were, if necessary, treated during laparoscopy.

conclusionsLaparoscopic appendectomy should be recommended as standard procedure for acute appendicitis.

Indexed as

AppendectomyLaparoscopyAdolescentAdultAgedAged, 80 and overAppendicitisChildComorbidityCost-Benefit AnalysisDiagnosis, DifferentialFallopian TubesFeasibility StudiesFemaleHumansInflammatory Bowel Diseases

Identifiers

PMID19924435
OpenAlexW2072035217

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.