ArticleSurgical endoscopy2020
Use of minimally invasive surgery in emergency general surgery procedures.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Current evidence and reported experiences for robot-assisted emergency general surgery: systematic review.Journal of robotic surgery · 2025Pooled it
- Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022Pooled it
- Hospital capacity and operating room access for emergency general surgery patients : OR access and LOS for short-stay MIS EGS.Surgical endoscopy · 2026Article
- Minimally invasive versus open emergency right-sided colectomy for malignant obstruction: a nationwide propensity score-matched cohort study.World journal of emergency surgery : WJES · 2026Article
- Description of the MIS EGS surgeon phenotype: how disruptive innovation can push the envelope of EGS practice.Surgical endoscopy · 2026Article
- Interhospital transfer and outcomes after robotic emergency general surgery: a national analysis.Journal of robotic surgery · 2026Article
- Laparoscopic and Robotic Appendectomy: Efficiency and Cost Comparison.Journal of surgery and research · 2026Article
- Outcomes of laparoscopic reoperation for anastomotic leak-associated peritonitis following colorectal cancer surgery: a comparative study.Surgical endoscopy · 2026Article
- Robotics on the rise: an Eastern Association for the Surgery of Trauma multicenter trial of robotic versus laparoscopic cholecystectomy in acute care surgery.Surgical endoscopy · 2026Article
- "Results of the structured implementation of a robotic acute care surgery program".Journal of robotic surgery · 2026Observational
- Racial Disparities in Access to Minimally Invasive Emergency General Surgery.JAMA network open · 2026Article
- Advances in Minimally Invasive General Surgery: A Narrative Review of Techniques, Technologies, and Patient Outcomes.Cureus · 2026Review
- Evidence-based, cost-effective management of abdominal wall hernias: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Rise of the robots: implementing robotic surgery into the acute care surgery practice.Surgical endoscopy · 2025Article
- A Comparative Analysis between Enhanced Recovery after Surgery and Traditional Care in the Management of Obstructive Colorectal Cancer.Medicina (Kaunas, Lithuania) · 2024Observational
- European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Enhanced perioperative care in emergency general surgery: the WSES position paper.World journal of emergency surgery : WJES · 2023Review
- National Cohort Study of Resource Utilization in Older Adults With Emergency General Surgery Conditions.The Journal of surgical research · 2023Article
- Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study.Journal of minimally invasive surgery · 2023Article
- Assessing and managing frailty in emergency laparotomy: a WSES position paper.World journal of emergency surgery : WJES · 2023Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive surgery (MIS) has demonstrated superior outcomes in many elective procedures. However, its use in emergency general surgery (EGS) procedures is not well characterized. The purpose of this study was to examine the trends in utilization and outcomes of MIS techniques in EGS over the past decade.
methodsThe 2007-2016 ACS-NSQIP database was utilized to identify patients undergoing emergency surgery for four common EGS diagnoses: appendicitis, cholecystitis/cholangitis, peptic ulcer disease, and small bowel obstruction. Trends over time were described. Preoperative risk factors, operative characteristics, outcomes, morbidity, and trends were compared between MIS and open approaches using univariate and multivariate analysis.
resultsDuring the 10-year study period, 190,264 patients were identified. The appendicitis group was the largest (166,559 patients) followed by gallbladder disease (9994), bowel obstruction (6256), and peptic ulcer disease (366). Utilization of MIS increased over time in all groups (p < 0.001). There was a concurrent decrease in mean days of hospitalization in each group: appendectomy (2.4 to 2.0), cholecystectomy (5.7 to 3.2), peptic ulcer disease (20.3 to 11.7), and bowel obstruction (12.9 to 10.5); p < 0.001 for all. On multivariate analysis, use of MIS techniques was associated with decreased odds of 30-day mortality, surgical site infection, and length of hospital stay in all groups (p < 0.001).
conclusionsUse of MIS techniques in these four EGS diagnoses has increased in frequency over the past 10 years. When adjusted for preoperative risk factors, use of MIS was associated with decreased odds of wound infection, death, and length of stay. Further studies are needed to determine if increased access to MIS techniques among EGS patients may improve outcomes.
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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.