Evidence map›Paper›PMID 22538671›Full record

Trial reportSurgical endoscopy2012

Drain after elective laparoscopic cholecystectomy. A randomized multicentre controlled trial.

Marcello Picchio, Francesco De Angelis, Settimio Zazza, Annalisa Di Filippo, Raffaello Mancini, Giada Pattaro, Francesco Stipa, Adewale Oluseye Adisa, Giuseppe Marino, Erasmo Spaziani

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Meta-analysis of drainage versus no drainage after laparoscopic cholecystectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Laparoscopic trans-abdominal pre-peritoneal (TAPP) surgery for incarcerated inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Article
  11. Article
  12. Article
  13. Review
  14. Is routine drainage necessary after pancreaticoduodenectomy?World journal of gastroenterology · 2014
    Review
  15. Is a drain necessary routinely after laparoscopic cholecystectomy for an acutely inflamed gallbladder? A retrospective analysis of 457 cases.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014
    Article
  16. Article
  17. Article
  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

10 authors at 4 institutions in 2 countries.

Marcello PicchioDepartment of Surgery, Hospital P. Colombo, Via Orti Ginnetti 7, 00049, Velletri, Rome, Italy. marcellopicchio@libero.it
Francesco De Angelis
Settimio Zazza
Annalisa Di Filippo
Raffaello Mancini
Giada Pattaro
Francesco Stipa
Adewale Oluseye Adisa
Giuseppe Marino
Erasmo Spaziani
Sapienza University of Rome · ITAzienda Ospedaliera San Giovanni Addolorata · ITCa' Foncello Hospital · ITObafemi Awolowo University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine drainage after laparoscopic cholecystectomy is still debatable. The present study was designed to assess the role of drains in laparoscopic cholecystectomy performed for nonacutely inflamed gallbladder.

methodsAfter laparoscopic gallbladder removal, 53 patients were randomized to have a suction drain positioned in the subhepatic space and 53 patients to have a sham drain. The primary outcome measure was the presence of subhepatic fluid collection at abdominal ultrasonography, performed 24 h after surgery. Secondary outcome measures were postoperative abdominal and shoulder tip pain, use of analgesics, nausea, vomiting, and morbidity.

resultsSubhepatic fluid collection was not found in 45 patients (84.9 %) in group A and in 46 patients (86.8 %) in group B (difference 1.9 (95 % confidence interval -11.37 to 15.17; P = 0.998). No significant difference in visual analogue scale scores with respect to abdominal and shoulder pain, use of parenteral ketorolac, nausea, and vomiting were found in either group. Two (1.9 %) significant hemorrhagic events occurred postoperatively. Wound infection was observed in three patients (5.7 %) in group A and two patients (3.8 %) in group B (difference 1.9 (95 % CI -6.19 to 9.99; P = 0.997).

conclusionsThe present study was unable to prove that the drain was useful in elective, uncomplicated LC.

Indexed as

Abdominal PainAdultCholecystectomy, LaparoscopicCholecystitisDrainageElective Surgical ProceduresFemaleHumansLength of StayMaleMiddle AgedPostoperative Nausea and VomitingPostoperative PainShoulder PainSuction

Identifiers

PMID22538671
OpenAlexW2072079871

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.