Evidence map›Paper›PMID 26722614›Full record

ArticleWorld journal of gastrointestinal endoscopy2015

Feasibility of single-incision laparoscopic cholecystectomy for acute cholecystitis.

Taro Ikumoto, Hidetsugu Yamagishi, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Yasuo Imai

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The First Additional Port During Single-Incision Laparoscopic Cholecystectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  13. Single-Port Cholecystectomy for Cholecystitis Versus Non-Cholecystitis.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

6 authors.

Taro IkumotoTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.
Hidetsugu YamagishiTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.
Mineo IwatateTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.
Yasushi SanoTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.
Masahito KotakaTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.
Yasuo ImaiTaro Ikumoto, Mineo Iwatate, Yasushi Sano, Masahito Kotaka, Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care, Sano Hospital, Kobe, Hyogo 655-0031, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the safety of single-incision laparoscopic cholecystectomy (SILC) for acute cholecystitis.

methodsAll patients who underwent SILC at Sano Hospital (Kobe, Japan) between January 2010 and December 2014 were included in this retrospective study. Clinical data related to patient characteristics and surgical outcomes were collected from medical records. The parameters for assessing the safety of the procedure included operative time, volume of blood loss, achievement of the critical view of safety, use of additional trocars, conversion to laparotomy, intraoperative and postoperative complications, and duration of postoperative hospital stay. Patient backgrounds were statistically compared between those with and without conversion to laparotomy.

resultsA total of 100 patients underwent SILC for acute cholecystitis during the period. Preoperative endoscopic treatment was performed for suspected choledocholithiasis in 41 patients (41%). The mean time from onset of acute cholecystitis was 7.7 d. According to the Updated Tokyo Guidelines (TG13) for the severity of cholecystitis, 86 and 14 patients had grade I and grade II acute cholecystitis, respectively. The mean operative time was 87.4 min. The mean estimated blood loss was 80.6 mL. The critical view of safety was obtained in 89 patients (89%). Conversion laparotomy was performed in 12 patients (12%). Postoperative complications of Clavien-Dindo grade III or greater were observed in 4 patients (4%). The mean duration of postoperative hospital stay was 5.7 d. Patients converted from SILC to laparotomy tended to have higher days after onset.

conclusionSILC is feasible for acute cholecystitis; in addition, early surgical intervention may reduce the risk of laparotomy conversion.

Indexed as

Acute cholecystitisLaparo-endoscopic single-site surgerySingle incision laparoscopic cholecystectomySingle incision laparoscopic surgerySingle-port access surgery

Identifiers

PMID26722614
PMCPMC4689795

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.