Evidence map›Paper›PMID 30766631›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2019

Risk factors for intraabdominal abscess formation after laparoscopic appendectomy - results from the Pol-LA (Polish Laparoscopic Appendectomy) multicenter large cohort study.

Anna Lasek, Michał Pędziwiatr, Michał Wysocki, Judene Mavrikis, Piotr Myśliwiec, Tomasz Stefura, Maciej Bobowicz, Piotr Major, Mateusz Rubinkiewicz, Pol-LA (Polish Laparoscopic Appendectomy) Collaborative Study Group

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part II.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. How we prepared our operating theatre for patients with SARS-CoV-2 virus.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  12. Serum bilirubin concentration as a marker of severity of acute appendicitis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  13. Article
  14. Risk factors for additional port insertion in single-port laparoscopic appendectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  15. Observational
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

10 authors at 3 institutions in 1 country.

Anna Lasek2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Pędziwiatr2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Wysocki2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Judene Mavrikis2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Piotr Myśliwiec1 Department of General and Endocrinological Surgery, Medical University of Bialystok, Bialystok, Poland.
Tomasz Stefura2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Maciej BobowiczDepartment of Surgical Oncology, Medical University of Gdansk, Gdansk, Poland.
Piotr Major2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Mateusz Rubinkiewicz2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Pol-LA (Polish Laparoscopic Appendectomy) Collaborative Study Group
Jagiellonian University · PLGdańsk Medical University · PLMedical University of Białystok · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccording to meta-analyses laparoscopic appendectomy is associated with many benefits. However, in comparison to open surgery an increased rate of intraabdominal abscesses (IAA) has been reported. Identification of predictive factors for this complication may help to identify patients with higher risk of IAA.

aimTo identify potential risk factors for intraabdominal abscess after laparoscopic appendectomy (LA). MATERIAL AND

methodsEighteen surgical units in Poland and Germany submitted data of patients undergoing LA to the online web-based database created by the Polish Videosurgery Society of the Association of Polish Surgeons. It comprised 31 elements related to the pre-, intra- and postoperative period. Surgical outcomes were compared among the groups according to occurrence of IAA. Univariate and multivariate logistic regression models were used to identify potential risk factors for IAA.

results4618 patients were included in the analysis. IAA were found in 51 (1.10%) cases. Although several risk factors were found in univariate analysis, in the multivariate model, only the presence of complicated appendicitis was statistically significant (OR = 2.98, 95% CI: 1.11-8.04). Moreover, IAA has a significant influence on postoperative reintervention rate (OR = 126.95, 95% CI: 67.98-237.06), prolonged length of stay > 8 days (OR = 41.32, 95% CI: 22.86-74.72) and readmission rate (OR = 33.89, 95% CI: 18.60-34.73).

conclusionsIntraabdominal abscesses occurs relatively rarely after LA. It is strongly associated with complicated appendicitis. Occurrence of this complication has a great influence on the postoperative period and due to the nature of its treatment is associated with the need for reintervention, prolonged length of stay and by extension possible readmission.

Indexed as

acute appendicitiscomplicated appendicitiscomplicationsintraabdominal abscesslaparoscopic appendectomy

Identifiers

PMID30766631
PMCPMC6372867
OpenAlexW2906210900

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.