Evidence map›Paper›PMID 29410886›Full record

ArticleCentral European journal of urology2017

The role of hemostatic agents in preventing complications in laparoscopic partial nephrectomy.

Diego M Carrion, Sergio Alonso Y Gregorio, Juan Gómez Rivas, Alfredo Aguilera Bazán, Jesús Díez Sebastián, Luis Martínez-Piñeiro

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Central European journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07232927 (Evaluation of Hemostatic Agents in Partial Nephrectomy), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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.

NCT07232927 nacompletednot on this mapstarted 2023, after this paper: background citation

Evaluation of Hemostatic Agents in Partial Nephrectomy: A Prospective Randomized Trial

TypeinterventionalSponsorAnkara UniversityRan2023 to 2024Enrolled150ConditionsPartial Nephrectomy, Hemostatic Agents, Localized Renal Cell CarcinomaArmsStandard Parenchymal Suturing, Suturing with FloSeal®, Suturing with Surgicel®
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Canadian Update on Surgical Procedures (CUSP) Urology Group consensus for intraoperative hemostasis during minimally invasive partial nephrectomy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Article
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Diego M CarrionDepartment of Urology, Hospital Universitario La Paz, Madrid, Spain.
Sergio Alonso Y GregorioDepartment of Urology, Hospital Príncipe de Asturias, Alcalá de Henares, Spain.
Juan Gómez RivasDepartment of Urology, Hospital Universitario La Paz, Madrid, Spain.
Alfredo Aguilera BazánDepartment of Urology, Hospital Universitario La Paz, Madrid, Spain.
Jesús Díez SebastiánDepartment of Biostatistics, Hospital Universitario La Paz, Madrid, Spain.
Luis Martínez-PiñeiroDepartment of Urology, Hospital Universitario La Paz, Madrid, Spain.
Hospital Universitario La Paz · ESHospital Universitario Príncipe de Asturias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNephron-sparing surgery is currently the treatment of choice for renal cell carcinoma stage T1a. During the past years, several hemostatic agents (HA) have been developed in order to reduce surgical complications. We present the results of our series and the impact of the use of HA in the prevention of surgical complications in laparoscopic partial nephrectomies (LPNs). MATERIAL AND

methodsWe retrospectively analyzed all LPN performed in our center from 2005 to 2012. A total of 77 patients were included for analysis. Patients were divided into two groups: Group A (no use of HA) and Group B (use of HA). HA used included gelatin matrix thrombin (FloSeal) and oxidized regenerated cellulose (Surgicel). Demographics, perioperative variables, and complications were analyzed with a special interest in postoperative bleeding and urinary leakage.

resultsMedian age was 57.17 years old (±12.1), 72.7% were male, most common comorbidities were hypertension (33.8%) and diabetes mellitus (18.2%). All patients had one solitary tumor, and 87% had a tumor ≤4 cm. Renal cell carcinoma was found in 79.2% of cases, and 78.7% were stage pT1a. and were used in 36 cases (46.8%). No differences were found in demographics, perioperative variables, and complications between groups. No conversions to open surgery or perioperative mortality were reported.

conclusionsWe conclude that in our series the use of a hemostatic agent did not offer benefit in reducing the complication rate over sutures over a bolster.

Indexed as

hemostatic agentslaparoscopicpartial nephrectomyrenal cell carcinoma

Identifiers

PMID29410886
PMCPMC5791400
OpenAlexW2979909162

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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.