Evidence map›Paper›PMID 28928328›Full record

ArticleJournal of minimal access surgery

Evolution of minimally invasive distal pancreatectomies at a single institution.

Brian K P Goh, Ser-Yee Lee, Juinn-Huar Kam, Hui Ling Soh, Peng-Chung Cheow, Pierce K H Chow, London L P J Ooi, Alexander Y F Chung, Chung-Yip Chan

Abstract read
In one paragraph

Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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.

Brian K P GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Ser-Yee LeeDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Juinn-Huar KamDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Hui Ling SohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Peng-Chung CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Pierce K H ChowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
London L P J OoiDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Alexander Y F ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.
Chung-Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 169856, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to study the changing trends and outcomes associated with the adoption of minimally invasive distal pancreatectomy (MIDP) at a single centre. MATERIALS AND

methodsRetrospective review of sixty consecutive patients who underwent MIDP from September 2006 to November 2016 at a single institution. To study the evolution of MIDP, the study population was divided into three groups consisting of twenty patients (Group I, Group II and Group III).

resultsSixty patients underwent MIDP with 11 (18.3%) requiring open conversions. The median operation time was 305 (range: 85-775) min and the median post-operative stay was 6 (range: 3-73) days. Fifteen procedures were spleen-saving pancreatectomies. Major post-operative morbidity (>Grade 2) occurred in 12 (20.0%) patients and there was no mortality or reoperations. There were 33 (55.0%) pancreatic fistulas, of which 15 (25.0%) were Grade B fistulas of which 12 (20.0%) required percutaneous drainage. Comparison between the three groups demonstrated a statistically significant increase in the frequency of procedures performed, increase in robotic-assisted procedures and proportion of asymptomatic tumours resected. There also tended to be non-significant decrease in open conversion rates from 25% to 5% between the three groups and increase in tumour size resected from 24 to 40 mm.

conclusionComparison between the three groups demonstrated that MIDP was performed with increased frequency. There was a statistically significant increase in the frequency of resections performed for asymptomatic tumours and resections performed through robotic assistance. There was also a non-significant trend towards a decrease in open conversions and increase in the size of tumours resected.

Indexed as

Laparoscopic distal pancreatectomyminimally invasive distal pancreatectomyrobotic pancreatectomy

Identifiers

PMID28928328
PMCPMC5869974

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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.