Evidence map›Paper›PMID 28456885›Full record

ArticleObesity surgery2017

Impact of Three-Dimensional Laparoscopy in a Bariatric Surgery Program: Influence in the Learning Curve.

Esther Mariño Padin, Raquel Sánchez Santos, Sonia González Fernández, Antonia Brox Jimenez, Sergio Estevez Fernández, Ester Carrera Dacosta, Agata Rial Duran, Maria Artime Rial, Ivan Dominguez Sanchez

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. 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

9 authors.

Esther Mariño PadinServicio de Cirugía General y Digestiva, Complejo Hospitalario Universitario de Pontevedra Instituto de Investigación, Sanitaria Galicia Sur, Pontevedra, Spain.
Raquel Sánchez SantosServicio de Cirugía General y Digestiva, Complejo Hospitalario Universitario de Pontevedra Instituto de Investigación, Sanitaria Galicia Sur, Pontevedra, Spain. raquelsanchezsantos@gmail.com.
Sonia González FernándezServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Antonia Brox JimenezServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Sergio Estevez FernándezServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Ester Carrera DacostaServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Agata Rial DuranServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Maria Artime RialServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Ivan Dominguez SanchezServicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction3D laparoscopy allows the surgeon to regain the sense of depth and improve accuracy. The aim of the study was to assess the impact of 3D in bariatric surgery. PATIENTS AND

methodsA retrospective cohort study was conducted. All our patients who underwent bariatric surgery (sleeve gastrectomy (SG) or gastric bypass (GB)) between 2013 and 2016 were included. We compared 3D laparoscopy cohort and 2D laparoscopy cohort. Variables are as follows: age, sex, DM, hypertension, surgeon experience, and type of intervention. Comparisons of operative time, hospital stay, conversion, complications, reoperation, and exitus are completed.

resultsThree hundred twelve consecutive patients were included. 56.9% of patients underwent GB and 43.1% SG. Global complications were 3.2% (fistula 2.5%, hemoperitoneum 0.3%, others 0.4%). One hundred four procedures were performed in the 3D cohort and 208 in the 2D cohort. The 2D cohort and 3D cohort were similar regarding the following: percentage of GB vs SG, age, gender, learning curve, diabetes mellitus 2, hypertension, and sleep apnea. The operating time and hospital stay were significantly reduced in the 3D cohort (144.07 ± 58.07 vs 172.11 ± 76.11 min and 5.12 ± 9.6 vs 7.7 ± 13.2 days. It was the same when we stratified the sample by type of surgery or experience of the surgeon. Complications were reduced in the 3D cohort in the surgeries performed by novice surgeons (10.2 vs 1.8%, p = 0.034).

conclusionsThe use of 3D laparoscopy in bariatric surgery in our center has helped reducing the operating time and hospital stay, and improving the safety of the surgery, either in GB or SG, being equally favorable in novice or more experienced surgeons.

Indexed as

Learning CurveAdultBariatric SurgeryClinical CompetenceFemaleGastrectomyGastric BypassHumansLaparoscopyLength of StayMaleMiddle AgedObesity, MorbidOperative TimeReoperationRetrospective Studies3D-laparoscopyBariatric surgery

Identifiers

PMID28456885

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.