Evidence map›Paper›PMID 31549010›Full record

ArticleAnnals of gastroenterological surgery2019

Giving short-term prophylactic antibiotics in patients undergoing open and laparoscopic hepatic resection.

Hiroji Shinkawa, Shogo Tanaka, Shigekazu Takemura, Ryosuke Amano, Kenjiro Kimura, Takayoshi Nishioka, Tokuji Ito, Toru Miyazaki, Atsushi Ishihara, Shoji Kubo

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Hiroji ShinkawaDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.ORCID https://orcid.org/0000-0002-0164-2414
Shogo TanakaDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Shigekazu TakemuraDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Ryosuke AmanoDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Kenjiro KimuraDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Takayoshi NishiokaDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Tokuji ItoDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Toru MiyazakiDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Atsushi IshiharaDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.
Shoji KuboDepartment of Hepato-Biliary-Pancreatic Surgery Osaka City University Graduate School of Medicine Osaka Japan.ORCID https://orcid.org/0000-0002-4353-8033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe 2016 guidelines of the Japan Society for Surgical Infection and the Japan Society of Chemotherapy advocate giving prophylactic antibiotics 1 hour before surgery and until 24 hours after surgery in patients undergoing elective hepatic resection. However, the efficacy of short-term antimicrobial prophylaxis has not been evaluated according to surgical approach. We evaluated the efficacy of giving prophylactic antibiotics in patients undergoing open or laparoscopic hepatic resection.

methodsThe study comprised 218 and 185 patients undergoing open and pure laparoscopic hepatic resection, respectively. Incidence rates of postoperative infectious complications were compared between patients who received flomoxef sodium as the prophylactic antibiotic before and until 24 hours after surgery (short-term group) and those who received flomoxef sodium until 72 hours after surgery (long-term group) among patients undergoing open or laparoscopic hepatic resection. Propensity score matching analysis was carried out to adjust for confounding factors between the short- and long-term groups.

resultsThere was no significant difference in the postoperative infectious complication incidence between the short- and long-term groups among patients undergoing open (18.9% vs 12.2%;

conclusionGiving short-term prophylactic antibiotics might be sufficient in preventing postoperative infectious complications in patients undergoing open and laparoscopic hepatic resection.

Indexed as

antibioticsantimicrobialincidencepropensity scoresurgical site infection

Identifiers

PMID31549010
PMCPMC6750139

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