Evidence map›Paper›PMID 27620912›Full record

ArticleSurgical endoscopy2017

Role of laparoscopic enucleation in the treatment of pancreatic lesions: case series and case-matched analysis.

Mushegh A Sahakyan, Bård Ingvald Røsok, Airazat M Kazaryan, Leonid Barkhatov, Sven-Petter Haugvik, Åsmund Avdem Fretland, Dejan Ignjatovic, Knut Jørgen Labori, Bjørn Edwin

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Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Mushegh A SahakyanThe Intervention Centre, Oslo University Hospital - Rikshospitalet, 0027, Oslo, Norway. sahakyan.mushegh@gmail.com.
Bård Ingvald RøsokDepartment of HPB Sugery, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
Airazat M KazaryanThe Intervention Centre, Oslo University Hospital - Rikshospitalet, 0027, Oslo, Norway.
Leonid BarkhatovThe Intervention Centre, Oslo University Hospital - Rikshospitalet, 0027, Oslo, Norway.
Sven-Petter HaugvikInstitute of Clinical Medicine, Medical Faculty, University of Oslo, Oslo, Norway.
Åsmund Avdem FretlandThe Intervention Centre, Oslo University Hospital - Rikshospitalet, 0027, Oslo, Norway.
Dejan IgnjatovicDepartment of Digestive Surgery, Akershus University Hospital, University of Oslo, Lørenskog, Norway.
Knut Jørgen LaboriDepartment of HPB Sugery, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
Bjørn EdwinThe Intervention Centre, Oslo University Hospital - Rikshospitalet, 0027, Oslo, Norway.
Oslo University Hospital · NOAkershus University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies report successful application of laparoscopic pancreatic enucleation (LPE). However, the evidence is limited to small series. This study aimed to evaluate the indications, technique and outcome of LPE at a tertiary care institution.

methodsBetween February 1998 and April 2016, 45 consecutive LPEs were performed at Oslo University Hospital-Rikshospitalet. Twenty-four (53.3 %) patients subjected to right-sided LPE (RLPE) were compared with 21 (46.7 %) patients who had undergone left-sided LPE (LLPE). A case-matched analysis (1:2) was performed to compare the outcomes following LLPE and laparoscopic distal pancreatectomy (LDP).

resultsPatient demographics, BMI, ASA score and pathological characteristics were similar between the RLPE and LLPE groups. Operative time was slightly longer for RLPE [123 (53-320) vs 102 (50-373) min, P = 0.09]. The rates of severe morbidity (≥Accordion grade III) and clinically relevant pancreatic fistula (grades B/C) were comparable, although with a trend for higher rate of complications following LLPE (16.7 vs 33.3 %; P = 0.19 and 20.8 vs 33.3 %, P = 0.34, respectively). The hospital stay was similar between RLPE and LLPE [5 (2-80) vs 7 (2-52), P = 0.49]. A case-matched analysis demonstrated shorter operating time [145 (90-350) vs 103 (50-233) min, P = 0.02], but higher readmission rate following LLPE (25 vs 3.1 %, P = 0.037).

conclusionLLPE seems to be associated with a higher risk of postoperative morbidity and readmission rates than LDP. RLPE is a feasible, safe approach and a reasonable alternative to pancreatoduodenectomy in selected patients with pancreatic lesions.

Indexed as

AdultAgedFemaleHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimeOrgan Sparing TreatmentsPancreatectomyPancreatic FistulaPancreatic NeoplasmsEnucleationLaparoscopyMorbidityPancreatectomyPancreatic fistula

Identifiers

PMID27620912
OpenAlexW2520928205

What OpenQuestion holds

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Registered trials

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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.