Evidence map›Paper›PMID 26036221›Full record

Trial reportSurgery today2016

Single-incision laparoscopic cholecystectomy versus traditional laparoscopic cholecystectomy performed by a single surgeon: findings of a randomized trial.

Stefano Partelli, Giuliano Barugola, Alberto Sartori, Stefano Crippa, Massimo Falconi, Giacomo Ruffo

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03631160 (Effect of Transcutaneous Acupoint Electrical Stimulation on Postoperative Spontaneous Voiding for Laparoscopic Cholecystectomy Patients:A Randomized Clinical Trial), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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.

NCT03631160 nacompletednot on this mapstarted 2018, after this paper: background citation

Effect of Transcutaneous Acupoint Electrical Stimulation on Postoperative Spontaneous Voiding for Laparoscopic Cholecystectomy Patients:A Randomized Clinical Trial

TypeinterventionalSponsorTianjin Nankai HospitalRan2018 to 2020Enrolled1,948ConditionsVoiding DisordersArmsTAES treatmen, Sham TAES treatmen
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Laparoscopic entry techniques.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY: TECHNICAL ASPECTS AND RESULTS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2018
    Article
  7. Observational
  8. Article
  9. 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

6 authors.

Stefano PartelliDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy.
Giuliano BarugolaDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy.
Alberto SartoriDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy.
Stefano CrippaDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy.
Massimo FalconiDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy.
Giacomo RuffoDepartment of Surgery, Ospedale "Sacro Cuore-Don Calabria", Via Don Sempreboni, 5, 37024, Negrar (Vr), Italy. giacomo.ruffo@sacrocuore.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesTraditional laparoscopic cholecystectomy (TLC) is performed widely; however, single-incision cholecystectomy (SILC) has been proposed as a better and less traumatic procedure.

methodsIn this prospective, double-blinded, randomized study, patients were randomized to undergo either elective SILC or TLC. The primary endpoint was the level of pain after surgery and the secondary endpoints were complications, cosmetic outcomes, and patient satisfaction.

resultsA total of 59 patients were enrolled (SILC, n = 30; TLC, n = 29). The median operative time was longer for the SILC group (55 vs. 40 min; P < 0.0001). Patients in the SILC group had a lower median VAS pain score 4 h after surgery (20 mm for the TLC group vs. 15 mm for the SILC group). Complications were distributed equally. Twenty-eight of the 30 patients in the SILC group vs. 23 of the 29 patients in the TLC group were very satisfied with their operation (P = 0.032). The cosmetic results of SILC were better than those of TLC, with visible scars in 21 patients from the TLC group vs. 3 patients from the SILC group (P = 0.0001).

conclusionsWe found SILC to be a safe, feasible, and adaptable surgical technique. The pain scores at 4 h were significantly better for SILC than for TLC.

Indexed as

AdultAgedCholecystectomy, LaparoscopicDouble-Blind MethodFeasibility StudiesFemaleHumansMaleMiddle AgedPatient SatisfactionProspective StudiesSafetyTreatment OutcomeCholecystectomyLaparoscopicOutcomesPainRandomizedSingle incision

Identifiers

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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.