Evidence map›Paper›PMID 28084549›Full record

ArticleInternational journal of colorectal disease2017

Sigmoid resection for diverticulitis is more difficult than for malignancies.

Maw Stam, W A Draaisma, Pcm Pasker, Ecj Consten, Iamj Broeders

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Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Maw StamDepartment of surgery, Meander Medical Centre, PO box 1502, 3800 BM, Amersfoort, the Netherlands. mawstam@hotmail.com.
W A DraaismaDepartment of surgery, Meander Medical Centre, PO box 1502, 3800 BM, Amersfoort, the Netherlands.
Pcm PaskerDepartment of surgery, Meander Medical Centre, PO box 1502, 3800 BM, Amersfoort, the Netherlands.
Ecj ConstenDepartment of surgery, Meander Medical Centre, PO box 1502, 3800 BM, Amersfoort, the Netherlands.
Iamj BroedersDepartment of surgery, Meander Medical Centre, PO box 1502, 3800 BM, Amersfoort, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSigmoid resection for diverticulitis is usually the first procedure performed when starting the learning process for laparoscopic colorectal surgery. The aim of this study is to evaluate the difficulty of laparoscopic sigmoid resection for diverticulitis in comparison to sigmoid malignancy in order to assess its role in the residents training program.

methodsA cohort of patients was selected who suffered either from malignancy or recurrent diverticulitis in the sigmoid colon. Laparoscopic sigmoid resection was performed. The degree of difficulty was assessed by intraoperative complications and intraoperative technical challenges. Furthermore, take-overs from assistant to surgeon, surgeon to surgeon, and conversion were reported.

resultsA total of 224 patients were included, 119 (53.1%) men and 105 (46.9%) women. Patients suffering from diverticulitis had significantly less co-morbidities than those with malignancies. In the diverticulitis group, there were significantly more technical challenges. There was a higher rate in take-overs from residents (p = 0.02) as well as surgeon to surgeon (p = 0.04). The rate of conversions was also significantly higher in the diverticulitis group (p = 0.03) when compared to the malignancy group.

conclusionsThe outcomes of our study show that diverticulitis may not be the ideal condition to start the learning process for laparoscopic colorectal surgery.

Indexed as

AgedColon, SigmoidComorbidityDiverticulitis, ColonicFemaleHumansIntraoperative ComplicationsMaleMiddle AgedPostoperative ComplicationsSigmoid NeoplasmsDiverticulitisDiverticulitis recurrencesLearning curveSigmoid resectionSurgery

Identifiers

PMID28084549

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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.