Evidence map›Paper›PMID 22736283›Full record

ArticleSurgical endoscopy2012

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d'Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell'Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES).

Ferdinando Agresta, Luca Ansaloni, Gian Luca Baiocchi, Carlo Bergamini, Fabio Cesare Campanile, Michele Carlucci, Giafranco Cocorullo, Alessio Corradi, Boris Franzato, Massimo Lupo and 18 more

Open access · bronzeAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 6 pooled it
17.1field-weighted citation impact, top 1% 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

81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Pooled it
  2. Aspiration versus peritoneal lavage in appendicitis: a meta-analysis.World journal of emergency surgery : WJES · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
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  6. Guideline
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Diverticulitis, surgery, evidence-based medicine, and the Steve Jobs' dots: a narrative review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

21 more citing papers are in PubMed but not listed here.

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

28 authors at 20 institutions in 5 countries.

Ferdinando AgrestaDepartment of General Surgery, Presidio Ospedaliero di Adria, Piazza degli Etruschi, 9, 45011 Adria, RO, Italy. fagresta@libero.it
Luca Ansaloni
Gian Luca Baiocchi
Carlo Bergamini
Fabio Cesare Campanile
Michele Carlucci
Giafranco Cocorullo
Alessio Corradi
Boris Franzato
Massimo Lupo
Vincenzo Mandalà
Antonino Mirabella
Graziano Pernazza
Micaela Piccoli
Carlo Staudacher
Nereo Vettoretto
Mauro Zago
Emanuele Lettieri
Anna Levati
Domenico Pietrini
Mariano Scaglione
Salvatore De Masi
Giuseppe De Placido
Marsilio Francucci
Monica Rasi
Abe Fingerhut
Selman Uranüs
Silvio Garattini
Ospedale Vincenzo Cervello · ITHippocration General Hospital · GRIRCCS Ospedale San Raffaele · ITAzienda Ospedaliera San Giovanni Addolorata · ITAzienda Ospedaliera S.Maria · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITAzienda Unita' Sanitaria Locale Di Modena · ITBrescia University · USCatholic University of America · USFederico II University Hospital · ITInstitute of Industrial Economics · CNMario Negri Institute for Pharmacological Research · ITMeyer Children's Hospital · ITOspedale di Bolzano · ITOspedale di Civita Castellana · ITOspedale San Giacomo Apostolo · ITPresidio Ospedaliero · ITUniversitätsklinik für Chirurgie Wien · ATVilla Pineta Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases.

methodsOther Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association. In November 2010, the panel met in Rome to discuss each chapter according to the Delphi method, producing key statements with a grade of recommendations followed by commentary to explain the rationale and the level of evidence behind the statements. Thereafter, the statements were presented to the Annual Congress of the EAES in June 2011.

resultsA thorough literature review was necessary to assess whether the recommendations issued in 2006 are still current. In many cases new studies allowed us to better clarify some issues (such as for diverticulitis, small bowel obstruction, pancreatitis, hernias, trauma), to confirm the key role of laparoscopy (such as for cholecystitis, gynecological disorders, nonspecific abdominal pain, appendicitis), but occasionally previous strong recommendations have to be challenged after review of recent research (such as for perforated peptic ulcer).

conclusionsEvery surgeon has to develop his or her own approach, taking into account the clinical situation, her/his proficiency (and the experience of the team) with the various techniques, and the specific organizational setting in which she/he is working. This guideline has been developed bearing in mind that every surgeon could use the data reported to support her/his judgment.

Indexed as

Abdomen, AcuteAnesthesiaDigestive System DiseasesEmergency TreatmentFemaleGenital Diseases, FemaleHemodynamicsHumansIschemiaLaparoscopyMesenteric IschemiaMonitoring, PhysiologicObesityPatient SelectionPositive-Pressure RespirationPosture

Identifiers

PMID22736283
OpenAlexW2006991975

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.