Evidence map›Paper›PMID 25759236›Full record

ArticleSurgical endoscopy2015

Do height and weight affect the feasibility of single-incision laparoscopic cholecystectomy?

Hélène Meillat, David Jérémie Birnbaum, Régis Fara, Julien Mancini, Stéphane Berdah, Thierry Bège

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Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

6 authors.

Hélène MeillatDepartments of Digestive Surgery, Hôpital Nord, Aix-Marseille Université, Chemin des Bourrely, 13915, Marseille Cedex 20, France. missh_meillat@yahoo.fr.
David Jérémie BirnbaumDepartments of Digestive Surgery, Hôpital Nord, Aix-Marseille Université, Chemin des Bourrely, 13915, Marseille Cedex 20, France.
Régis FaraDepartment of Digestive Surgery and Liver Transplantation, Hôpital La Conception, Aix-Marseille Université, Marseille, France.
Julien ManciniInserm, IRD, UM 62 SESSTIM, Aix Marseille Université, 13385, Marseille, France.
Stéphane BerdahDepartments of Digestive Surgery, Hôpital Nord, Aix-Marseille Université, Chemin des Bourrely, 13915, Marseille Cedex 20, France.
Thierry BègeDepartments of Digestive Surgery, Hôpital Nord, Aix-Marseille Université, Chemin des Bourrely, 13915, Marseille Cedex 20, France. thierry.bege@ap-hm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. Single-incision laparoscopic surgery has recently emerged as a less invasive potential alternative to conventional three- or four-port laparoscopy. However, the feasibility of single-incision laparoscopic cholecystectomy (SILC) remains unclear, and there are no rigorous criteria in the literature. Identifying patients at risk of failure of this new technique is essential. The aim of our study was to determine risk factors that may predict failure of the procedure.

methodsFrom May 2010 to March 2012, 110 consecutive patients underwent SILC and were reviewed retrospectively. The main feasibility criterion was the procedure failure rate, defined as addition of supplementary port(s) and prolonged (>60 min) operative time. The factors evaluated were age, gender, height, weight, body mass index, previous abdominal surgery, indication for surgery and gallbladder suspension.

resultsThere was conversion in 16 patients (14.5%), and the operative time exceeded 60 min for 20 patients (30.9%). Univariate analysis showed a significant independent association between additional port requirement and each of weight as a continuous value, weight ≥80 kg, BMI >26.5 kg/m(2) and height >172 cm. Univariate analysis also showed a significant independent association between prolonged operative duration (>60 min) and each of height and weight as continuous values, height >172 cm and previous abdominal surgery. In the multivariate analysis, only weight remained independently associated with additional port requirement, and height remained independently associated with prolonged operative duration.

conclusionPreoperative identification of the factors increasing the risk of conversion may assist surgeons in making decisions concerning the management of patients, including appropriate use of SILC.

Indexed as

Body HeightBody WeightAdolescentAdultAgedAged, 80 and overCholecystectomy, LaparoscopicFeasibility StudiesFemaleGallbladder DiseasesHumansMaleMiddle AgedOperative TimeRetrospective StudiesRisk FactorsCholecystectomyLaparoscopyMorbiditySingle incision

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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.