Evidence map›Paper›PMID 30173076›Full record

ArticleInternational journal of surgery case reports2018

Reduced-port endo-laparoscopic surgery using umbilical zigzag incision for concomitant operations: A case series.

Shinichi Umeda, Takehiro Hachisuka, Tomohisa Otsu, Mitsuhiro Hishida, Satomi Nagai, Minoru Shimizu, Hiroyuki Kobayashi, Hideki Nozaki

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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.

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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Shinichi UmedaDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan. Electronic address: s.umeda@med.nagoya-u.ac.jp.
Takehiro HachisukaDepartment of Surgery, Yokkaichi Municipal Hospital, 2-37 Shibata, Yokkaichi, Mie, Japan.
Tomohisa OtsuDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Mitsuhiro HishidaDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Satomi NagaiDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Minoru ShimizuDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Hiroyuki KobayashiDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Hideki NozakiDepartment of Surgery, Meitetsu Hospital, 2-26-11 Sakou, Nishi-ku, Nagoya, Aichi, Japan.
Meitetsu Hospital · JPYokkaichi Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecently, use of reduced-port surgery has become widespread; however, it is a difficult operation. Hachisuka et al. developed a method called the umbilical zigzag incision, which enlarges the fascial incision using only an umbilical skin incision. We believe this method will be feasible for concomitant laparoscopic surgery. We report our surgical techniques for concomitant laparoscopic surgery using an umbilical zigzag incision.

methodsThe patient who should receive more than 2 places of abdominal operation were indicated this procedure. In all cases, we made the zigzag incision in the umbilical region. After the linea alba and peritoneum were incised, the wound retractor was inserted through the incision, which enlarges the fascial opening. GelPoint was attached to the wound retractor and the operation was started.

resultsWe could create a fascial opening of up to 6 cm with the umbilical zigzag incision, which improves the triangulation of forceps and reduces interference among the trocars. The trocars in the center of the abdomen could be utilized for almost all intraperitoneal operations. This procedure was especially useful in cases that included lymph node dissection because dissection of a malignant tumor is a delicate procedure. Furthermore, extraction of specimens and anastomosis went very smoothly because the fascial incision was large enough such that no extension of the incision was needed. No early or late postoperative complications occurred in any case. Postoperative wounds were clear and therefore patient satisfaction levels were high.

conclusionUmbilical zigzag incision may be feasible especially in concomitant laparoscopic surgery.

Indexed as

Concomitant surgeryReduced port surgeryUmbilical zigzag incision

Identifiers

PMID30173076
PMCPMC6122395
OpenAlexW2889498275

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.