Evidence map›Paper›PMID 29327167›Full record

ArticleInternational journal of colorectal disease2018

Does laparoscopic intracorporeal ileocolic anastomosis decreases surgical site infection rate? A propensity score-matched cohort study.

L Martinek, K You, S Giuratrabocchetta, M Gachabayov, K Lee, R Bergamaschi

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
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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

28 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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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

6 authors.

L MartinekDepartment of Surgery, University Hospital Ostrava, Ostrava, Czech Republic.
K YouDivision of Colorectal surgery, State University of New York, Stony Brook, NY, USA.
S GiuratrabocchettaDivision of Colorectal surgery, State University of New York, Stony Brook, NY, USA.
M GachabayovDivision of Colorectal surgery, State University of New York, Stony Brook, NY, USA.
K LeeDivision of Colorectal surgery, State University of New York, Stony Brook, NY, USA.
R BergamaschiDivision of Colorectal surgery, State University of New York, Stony Brook, NY, USA. rcmbergamaschi@gmail.com.ORCID http://orcid.org/0000-0001-9993-0563

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimForeshortened mesentery or thick abdominal wall constitutes a rationale for laparoscopic intracorporeal ileocolic anastomoses (ICA). The aim of this study was to compare intracorporeal to extracorporeal ICA in terms of surgical site infections in patients with Crohn's ileitis and overweight patients with right colon tumors.

methodThis was a prospective propensity score-matched cohort study enrolling consecutive patients with Crohn's terminal ileitis and overweight patients with right colon tumors undergoing elective laparoscopic right colon resection with intracorporeal or extracorporeal ICA. Propensity score matching with a 1:1 ratio was employed to compare diagnosis-matched patients for age, BMI, ASA, and previous abdominal surgery.

resultsOverall, 453 patients were enrolled: 233 intracorporeal vs. 220 extracorporeal. Propensity score matching left 195 intracorporeal and 195 extracorporeal patients comparable for age (p = 0.294), gender (p = 0.683), ASA (p = 0.545), BMI (p = 0.079), previous abdominal surgery (p = 0.348), and diagnosis (p = 0.301). Conversion rates (5.1 vs. 3.6%; p = 0.457) and intraoperative complications (1 vs. 2.1%; p = 0.45) were similar. Overall morbidity (5.1 vs. 12.8%; p = 0.008) and re-intervention rates (3.1 vs. 8.7%; p = 0.029) were significantly higher in extracorporeal patients. Anastomotic leak rates (0.5 vs. 1.5%; p = 0.623) did not differ. Incisional SSI rate was significantly higher in extracorporeal patients (p = 0.01).

conclusionLaparoscopic intracorporeal ICA reduced incisional SSI rates as compared to its extracorporeal counterpart.

Indexed as

LaparoscopyPropensity ScoreAnastomosis, SurgicalCohort StudiesColonFemaleHumansIleumMaleMiddle AgedPerioperative CarePostoperative ComplicationsSurgical Wound InfectionExtracorporeal anastomosisIleocolic anastomosisIntracorporeal anastomosisLaparoscopic right colectomySurgical site infection

Identifiers

PMID29327167

What OpenQuestion holds

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Read underepoch 390

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.