Evidence map›Paper›PMID 20552369›Full record

Trial reportSurgical endoscopy2010

Laparoscopic versus open appendectomy in men: a prospective randomized trial.

George Tzovaras, Ioannis Baloyiannis, Vassilios Kouritas, Dimitris Symeonidis, Michael Spyridakis, Antigoni Poultsidi, Konstantinos Tepetes, Dimitris Zacharoulis

Registry-linked trialAbstract 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. It is linked to trial NCT02714023 (Water And Saline Head-to-head In The Blinded Evaluation Study Trial), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT02714023 nacompletednot on this mapstarted 2012, after this paper: background citation

Water And Saline Head-to-head In The Blinded Evaluation Study Trial

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2012 to 2017Enrolled241ConditionsAcute Appendicitis, AbscessArmsNormal Saline, Sterile Water
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Laparoscopic versus open surgery for suspected appendicitis.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Pooled it
  3. Meta-analysis of the results of randomized controlled trials that compared laparoscopic and open surgery for acute appendicitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012
    Pooled it
  4. Trial
  5. Comparison of treatment methods in plastron appendicitis: a tertiary center experience.Malawi medical journal : the journal of Medical Association of Malawi · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Laparoscopic vs mini-incision open appendectomy.World journal of gastrointestinal surgery · 2015
    Article
  15. Article
  16. Article
  17. Review
  18. 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 1 institution in 1 country.

George TzovarasDepartment of Surgery, University Hospital of Larissa, 411 10, Larissa, Greece. gtzovaras@hotmail.com
Ioannis Baloyiannis
Vassilios Kouritas
Dimitris Symeonidis
Michael Spyridakis
Antigoni Poultsidi
Konstantinos Tepetes
Dimitris Zacharoulis
University Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of laparoscopic treatment in acute appendicitis still is unclear. Although some evidence in the literature suggests diagnostic benefits from laparoscopy for young women with suspected acute appendicitis, there is scepticism about the utility of this approach for men. This study aimed to compare open and laparoscopic appendectomy performed for men with suspected acute appendicitis.

methodsAll male patients older than 15 years with an American Society of Anesthesiology (ASA) classification of 3 or less, no previous abdominal surgery, and no contraindication for pneumoperitoneum were prospectively randomized to undergo either open appendectomy (OA) or laparoscopic appendectomy (LA). The primary end point was a detected difference in postoperative hospital length of stay, and the secondary end points were detected differences in postoperative analgesia, morbidity, and length of the recovery period.

resultsIn this study, 147 men with suspected acute appendicitis were randomized to either OA (n = 75) or LA (n = 72). It took longer to perform LA (60 min; range, 20-120 min vs. 45 min; range, 20-90 min; p = 0.0027), and LA did not result in any significant difference for the parameters evaluated.

conclusionThe postoperative length of hospital stay did not differ significantly between OA and LA for men. Laparoscopic appendectomy required more time and did not offer any advantages compared with OA.

Indexed as

LaparoscopyAdolescentAdultAgedAppendectomyAppendicitisHumansMaleMiddle AgedProspective StudiesYoung Adult

Identifiers

PMID20552369
OpenAlexW1967272985

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.