Evidence map›Paper›PMID 24081531›Full record

ArticleWorld journal of surgery2014

Single-incision and NOTES cholecystectomy, are there clinical or cosmetic advantages when compared to conventional laparoscopic cholecystectomy? A case-control study comparing single-incision, transvaginal, and conventional laparoscopic technique for cholecystectomy.

Peter B van den Boezem, Simone Velthuis, Harm J Lourens, Miguel A Cuesta, Colin Sietses

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. [Operation time for suprapubic transumbilical cholecystectomy: Results of a prospective randomized trial].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY: TECHNICAL ASPECTS AND RESULTS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2018
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. [Minimally invasive surgery and robotic surgery: surgery 4.0?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  16. Article
  17. Article
  18. [Minimal access surgery: A survey among surgeons in Central Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015
    Article
  19. Article
  20. Hybrid Transvaginal NOTES and Mini-Laparoscopic Colectomy: Benefit Through Synergy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

5 authors at 2 institutions in 1 country.

Peter B van den BoezemDepartment of Surgery, Gelderse Vallei Hospital, Willy Brandtlaan 10, Postbus 9025, 6710 HN, Ede, The Netherlands, boezem@hotmail.com.
Simone Velthuis
Harm J Lourens
Miguel A Cuesta
Colin Sietses
Ziekenhuis Gelderse Vallei · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the present study was to compare the clinical and cosmetic results of transvaginal hybrid cholecystectomy (TVC), single-port cholecystectomy (SPC), and conventional laparoscopic cholecystectomy (CLC). Recently, single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery have been developed as minimally invasive alternatives for CLC. Few comparative studies have been reported.

methodsFemale patients with symptomatic gallstone disease who were treated in 2011 with SPC, TVC, or CLC were entered into a database. Patients were matched for age, body mass index, and previous abdominal surgery. After the operation all patients received a survey with questions about recovery, cosmesis, and body image.

resultsA total of 90 patients, 30 in each group, were evaluated. Median operative time for CLC was significantly shorter (p < 0.001). There were no major complications. Length of hospital stay, postoperative pain, and postoperative complications were not significantly different. The results for cosmesis and body image after the transvaginal approach were significantly higher. None of the sexually active women observed postoperative dyspareunia.

conclusionsBoth SPC and TVC are feasible procedures when performed in selected patients. CLC is a faster procedure, but other clinical outcomes and complication rates were similar. SPC, and especially TVC, offer a better cosmetic result. Randomized trials are needed to specify the role of SPC and TVC in the treatment of patients with symptomatic gallstone disease.

Indexed as

Cholecystectomy, LaparoscopicNatural Orifice Endoscopic SurgeryAdolescentAdultAgedBody ImageCase-Control StudiesCholecystectomyCholelithiasisFemaleHumansMiddle AgedSurveys and QuestionnairesVaginaYoung Adult

Identifiers

PMID24081531
OpenAlexW2161794687

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.