Evidence map›Paper›PMID 31488940›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Laparoscopic Single-Port Versus Traditional Multi-Port Laparoscopic Cholecystectomy.

Marco Casaccia, Denise Palombo, Andrea Razzore, Emma Firpo, Fabio Gallo, Rosario Fornaro

Abstract readCase Reports
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Gasless single-port laparoscopic cholecystectomy.Journal of minimally invasive surgery · 2021
    Article
  8. Article
  9. Single-Port vs. Conventional Multi-Port Laparoscopic Lymph Node Biopsy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  10. Single-Port Cholecystectomy for Cholecystitis Versus Non-Cholecystitis.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  11. Early Outcomes of Robotic Single Site Cholecystectomy Using the DaVinci Xi® System.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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.

Marco CasacciaSurgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics, Genoa University, Italy.
Denise PalomboSurgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics, Genoa University, Italy.
Andrea RazzoreSurgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics, Genoa University, Italy.
Emma FirpoSurgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics, Genoa University, Italy.
Fabio GalloSection of Biostatistics, Department of Health Sciences (DISSAL), Genoa University, Italy.
Rosario FornaroSurgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics, Genoa University, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSafety, efficacy, and costs are still debated issues in single-port laparoscopy. The aim of the study was to compare clinical outcomes and hospital costs for conventional 4-port laparoscopic cholecystectomy (4PLC) and single-port laparoscopic cholecystectomy (SPLC) performed at a single institution.

methodsA series of 40 SPLC patients operated on from October 2016 to May 2017 were compared to a hystorical series of 40 4PLC patients. Primary endpoints were the operative time, blood loss, postoperative pain, analgesia requirement, length of stay, and morbidity. Secondary endpoints were the operative costs and total hospital costs.

resultsNo patient required surgical conversion in both groups. Duration of surgery was significantly longer in the SPLC group. Length of hospitalization was shorter for patients operated on by SPLC (1.9 ± 0.9 vs 2.3 ± 1.2 days;

conclusionSPLC has shown relevant procedure and postoperative outcomes when compared to traditional 4PLC. The technique has proved to be promising even in cases of acute cholecystitis considered to date a relative contraindication. Further studies are needed to confirm its safety and feasibility in this setting. In contrast with the current evidence of increased costs for the single-port technique, a reduction of material and hospitalization costs was experienced in our study.

Indexed as

LaparoscopesCholecystectomy, LaparoscopicCholecystitis, AcuteFemaleHumansIncidenceItalyMaleMiddle AgedOperative TimePostoperative ComplicationsTreatment OutcomeCholecystectomyHealth Care CostsLaparoscopicTreatment Outcome

Identifiers

PMID31488940
PMCPMC6708410

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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.