ArticleSurgical endoscopy2010
Laparoscopic subtotal colectomy for medically refractory ulcerative colitis: the time has come.
Article in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Overall readmissions and readmissions related to dehydration after creation of an ileostomy: a systematic review and meta-analysis.Techniques in coloproctology · 2022Pooled it
- Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review.Techniques in coloproctology · 2018Pooled it
- Review
- Minimally Invasive and Robotic Surgery for Ulcerative Colitis.Clinics in colon and rectal surgery · 2022Review
- Robotic Surgery for Ulcerative Colitis.Clinics in colon and rectal surgery · 2021Review
- Single access laparoscopic total colectomy for severe refractory ulcerative colitis.World journal of gastroenterology · 2020Article
- Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease.Techniques in coloproctology · 2020Review
- Early experience with urgent robotic subtotal colectomy for severe acute ulcerative colitis has comparable perioperative outcomes to laparoscopic surgery.Journal of robotic surgery · 2020Article
- Laparoscopy for Benign Diseases of the Colon.Clinics in colon and rectal surgery · 2017Review
- Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives.World journal of gastrointestinal pharmacology and therapeutics · 2016Review
- Laparoscopic surgery for ulcerative colitis: a review of the literature.Surgery today · 2015Review
- Minimally invasive surgery for inflammatory bowel disease.Inflammatory bowel diseases · 2015Review
- Effects of minimizing access trauma in laparoscopic colectomy in patients with IBD.Surgical endoscopy · 2015Article
- Total abdominal colectomy for severe ulcerative colitis: does the laparoscopic approach really have benefit?Surgical endoscopy · 2014Article
- Does a history of postoperative ileus predispose to recurrent ileus after multistage ileal pouch-anal anastomosis?Techniques in coloproctology · 2013Article
- Surgical management of IBD--from an open to a laparoscopic approach.Nature reviews. Gastroenterology & hepatology · 2013Review
- Laparoscopy impacts outcomes favorably following colectomy for ulcerative colitis: a critical analysis of the ACS-NSQIP database.Surgical endoscopy · 2013Article
- Minilaparoscopy-assisted natural orifice total colectomy: technical report of a minilaparoscopy-assisted transrectal resection.Surgical endoscopy · 2012Article
- Surgical management of ulcerative colitis.Langenbeck's archives of surgery · 2012Review
- Recent results of laparoscopic surgery in inflammatory bowel disease.World journal of gastroenterology · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate laparoscopic versus open subtotal colectomy (STC) in patients with ulcerative colitis (UC) requiring urgent or emergent operative intervention.
methodsA retrospective review was performed of 90 patients with medically refractory UC who underwent STC with end ileostomy at The Mount Sinai Medical Center from 2002 to 2007. Patients with toxic megacolon were excluded. Univariate analysis was conducted by unpaired Student t-test and chi-square test. Results are presented as mean +/- 95% confidence interval.
resultsNinety patients underwent STC, 29 by laparoscopic and 61 by open approach. In patients undergoing laparoscopic versus open STC, intraoperative blood loss was decreased (130.4 +/- 38.4 vs. 201.4 +/- 43.2 ml, p < 0.05) and operative time prolonged (216.4 +/- 20.2 vs. 169.9 +/- 14.4 min, p < 0.01). In the absence of postoperative complication, hospital length of stay (4.5 +/- 0.7 vs. 6 +/- 1.3 days, p < 0.001) was shorter in laparoscopic versus open group. No mortalities occurred. Overall morbidity, 30-day readmission, and reoperation were equivalent regardless of operative approach. Wound complications were absent in the laparoscopic group compared with 21.4% in the open group (p < 0.01). Follow-up at a mean of 36 months demonstrated no difference in restoration of gastrointestinal continuity.
conclusionLaparoscopic STC confers the benefits of improved cosmesis, reduced intraoperative blood loss, negligible wound complications, and shorter hospital stay. Laparoscopy is a feasible and safe alternative to open STC in patients with UC refractory to medical therapy requiring urgent or emergent operation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.