Evidence map›Paper›PMID 30604275›Full record

ArticleJournal of robotic surgery2019

Reduction in postoperative ileus rates utilizing lower pressure pneumoperitoneum in robotic-assisted radical prostatectomy.

Matthew Rohloff, Arman Cicic, Cody Christensen, Thomas K Maatman, Jeffrey Lindberg, Thomas J Maatman

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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  15. High-pressure COUpdates in surgery · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Matthew RohloffDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA. matthew.rohloff@metrogr.org.ORCID http://orcid.org/0000-0003-4182-0374
Arman CicicDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.
Cody ChristensenDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.
Thomas K MaatmanDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.
Jeffrey LindbergDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.
Thomas J MaatmanDepartment of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted radical prostatectomy (RARP) is the most commonly performed surgery for prostate cancer. This is a study comparing differences in postoperative outcomes between pneumoperitoneum pressures of 15 mmHg and 12 mmHg. Retrospective chart review was performed on 400 patients undergoing RARP over a 5 year period. A combination of Fisher's exact test and ANOVA were utilized for statistical analysis. Age, BMI, Gleason score, positive margin rate, complication rates, blood loss, and operative times were similar in both groups. Length of stay and postoperative ileus rates were significantly less in the 12 mmHg group (p < 0.05). RARP can be safely performed utilizing a lower pressure pneumoperitoneum. Decreasing insufflation pressures from 15 to 12 mmHg can further lead to decreased rates of postoperative ileus.

Indexed as

PressureHumansIleusInsufflationMaleMiddle AgedPneumoperitoneum, ArtificialPostoperative ComplicationsProstatectomyProstatic NeoplasmsRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeLow-pressure pneumoperitoneumPostoperative ileusProstate cancerRobotic-assisted radical prostatectomyRobotic surgeryStandard pressure pneumoperitoneum

Identifiers

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.