Evidence map›Paper›PMID 23741110›Full record

ArticleJournal of minimal access surgery2013

Analysis of laparoscopic port site complications: A descriptive study.

Somu Karthik, Alfred Joseph Augustine, Mundunadackal Madhavan Shibumon, Manohar Varadaraya Pai

Registry-linked trialAbstract read
In one paragraph

Article in Journal of minimal access surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02704663 (Transumbilical Versus Lateral Transabdominal Removal of Benign Adnexal Masses Via Laparoscopy, a Randomized Trial), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT02704663 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Transumbilical Versus Lateral Transabdominal Removal of Benign Adnexal Masses Via Laparoscopy, a Randomized Trial

TypeinterventionalSponsorHelsinki University Central HospitalRan2014 to 2016Enrolled42ConditionsPostoperative PainArmsTransumbilical removal of specimen via laparoscopy, Lateral transabdominal removal of specimen via laparoscopy
3 · Its place in the literature

Who cites it

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

  1. Comparison of laparoscopic versus open gastrectomy for advanced gastric cancer: an updated meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2016
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Article
  10. Understanding the ant's unique biting system can improve surgical needle holders.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Article
  12. Review
  13. Vesicourachal diverticulum.Annals of the Royal College of Surgeons of England · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. A Single Institution Review of Initial Application of a 5-mm Stapler.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2016
    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

4 authors.

Somu KarthikDepartment of General Surgery, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
Alfred Joseph Augustine
Mundunadackal Madhavan Shibumon
Manohar Varadaraya Pai

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia.

aimsTo determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. SETTINGS AND

designProspective descriptive study. MATERIALS AND

methodsIn the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. STATISTICAL ANALYSIS USED: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data.

resultsOf the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%).

conclusionsLaparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

Indexed as

Complicationlaparoscopyportsport site bleedport site herniaport site infection

Identifiers

PMID23741110
PMCPMC3673575

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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.