Evidence map›Paper›PMID 24245906›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2014

Laparoscopic versus open pancreas resection for pancreatic neuroendocrine tumours: a systematic review and meta-analysis.

Panagiotis Drymousis, Dimitri A Raptis, Duncan Spalding, Laureano Fernandez-Cruz, Deepak Menon, Stefan Breitenstein, Brian Davidson, Andrea Frilling

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  17. Receptor-Targeted Photodynamic Therapy of Glucagon-Like Peptide 1 Receptor-Positive Lesions.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Article
  18. Article
  19. Article
  20. Surgical management of primary pancreatic neuroendocrine tumors.Journal of gastrointestinal oncology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Panagiotis DrymousisDepartment of Surgery and Cancer, Hammersmith Hospital Campus, Imperial College London, London, UK.
Dimitri A Raptis
Duncan Spalding
Laureano Fernandez-Cruz
Deepak Menon
Stefan Breitenstein
Brian Davidson
Andrea Frilling
Hammersmith Hospital · GBImperial College London · GBHospital Clínic de Barcelona · ESKantonsspital Winterthur · CHUniversity College London · GBUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last decade laparoscopic pancreatic surgery (LPS) has emerged as an alternative to open pancreatic surgery (OPS) in selected patients with neuroendocrine tumours (NET) of the pancreas (PNET). Evidence on the safety and efficacy of LPS is available from non-comparative studies.

objectivesThis study was designed as a meta-analysis of studies which allow a comparison of LPS and OPS for resection of PNET.

methodsStudies conducted from 1994 to 2012 and reporting on LPS and OPS were reviewed. Studies considered were required to report on outcomes in more than 10 patients on at least one of the following: operative time; hospital length of stay (LoS); intraoperative blood loss; postoperative morbidity; pancreatic fistula rates, and mortality. Outcomes were compared using weighted mean differences and odds ratios.

resultsEleven studies were included. These referred to 906 patients with PNET, of whom 22% underwent LPS and 78% underwent OPS. Laparoscopic pancreatic surgery was associated with a lower overall complication rate (38% in LPS versus 46% in OPS; P < 0.001). Blood loss and LoS were lower in LPS by 67 ml (P < 0.001) and 5 days (P < 0.001), respectively. There were no differences in rates of pancreatic fistula, operative time or mortality.

conclusionsThe nature of this meta-analysis is limited; nevertheless LPS for PNET appears to be safe and is associated with a reduced complication rate and shorter LoS than OPS.

Indexed as

LaparoscopyChi-Square DistributionHumansLength of StayNeuroendocrine TumorsOdds RatioPancreatectomyPancreatic NeoplasmsPostoperative ComplicationsRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID24245906
PMCPMC4008158
OpenAlexW2088578227

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.