Evidence map›Paper›PMID 23435700›Full record

Trial reportWorld journal of surgery2013

Single-port cholecystectomy versus multi-port cholecystectomy: a prospective cohort study with 222 patients.

Markus J Wagner, Hans Kern, Alexander Hapfelmeier, Jan Mehler, Michael H Schoenberg

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Health-related quality of life among patients with gallstone disease: a systematic review and meta-analysis of EQ-5D utility scores.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  3. Trial
  4. Trial
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  6. Article
  7. Article
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  9. Review
  10. A promising technique for easier single incision laparoscopic cholecystectomy: needle grasper traction of gallbladder.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. [Quality of life and visceral surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Review
  17. Single-port cholecystectomy and quality of life.World journal of surgery · 2014
    Article
  18. SMA Syndrome Treated by Single Incision Laparoscopic Duodenojejunostomy.Clinical medicine insights. Case reports · 2014
    Article
  19. COMPARATIVE ANALYSIS OF IMMUNOLOGICAL PROFILES IN WOMEN UNDERGOING CONVENTIONAL AND SINGLE-PORT LAPAROSCOPIC CHOLECYSTECTOMY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Markus J WagnerDepartment of Surgery, Rotkreuzklinikum München, Munich, Germany.
Hans Kern
Alexander Hapfelmeier
Jan Mehler
Michael H Schoenberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare single-port access cholecystectomy (SPA) with the standard laparoscopic technique (LC) regarding the duration of the operation, complications, learning curve, late postoperative quality of life (QoL) and the incidence of incisional hernias.

methodsBetween June 2009 and December 2011, a total of 122 SPA cholecystectomies were performed in our hospital. Simultaneously, 310 patients were operated on with the LC technique. In the LC group, 100 patients met the same criteria defined for SPA surgery. The two groups (SPA and LC) were compared by multivariable regression analysis. Endpoints of this study were quality of life (QoL) after 6 months by the EQ-5D questionnaire 5L and the incidence of incisional hernia 1 year after surgery. Operating time, hospital stay, and perioperative complications were also measured and compared. The median follow-up was 9.2 months (3-25 months).

resultsThe patients in the SPA group were younger and more often female. The mean operating time for group SPA was 73 min (35-136 min)-significantly longer than that for group LC with 60 min (33-190 min) (p < 0.001). Additional trocars were used in 8 of 122 (6.5 %) SPA patients. A conversion to open cholecystectomy was not necessary in SPA patients. The conversion rate in the LC group to open cholecystectomy was 2 % (2/100). The perioperative and postoperative complications and incisional hernia (5.5 %) were the same in both groups. QoL was significantly better in the SPA group in terms of mobility (p = 0,002), usual activity (p = 0.036), and overall anxiety (p = 0.026).

conclusionsSPA cholecystectomy is safe, although the operation is significantly longer. No differences in terms of major complications or the incidence of incisional hernia were seen after 1 year. QoL was significantly better in patients operated on with the SPA technique.

Indexed as

AdolescentAdultAgedCholecystectomy, LaparoscopicFemaleFollow-Up StudiesGallbladder DiseasesHernia, VentralHumansLearning CurveLinear ModelsMaleMiddle AgedMultivariate AnalysisOperative TimePoisson Distribution

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Registered trials

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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.