Evidence map›Paper›PMID 32006086›Full record

ArticleLangenbeck's archives of surgery2020

Live surgical demonstrations for minimally invasive colorectal training.

Umut Kaan Unal, Eren Esen, Bengi Su Yilmaz, Erman Aytac, Ismail Ahmet Bilgin, Volkan Ozben, Emre Ozoran, Orhan Agcaoglu, Emre Balik, Bilgi Baca and 3 more

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Article in Langenbeck's archives of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Umut Kaan UnalCerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
Eren EsenDepartment of Surgery, New York University Langone Health, New York, NY, USA.
Bengi Su YilmazDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Erman AytacDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Ismail Ahmet BilginDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Volkan OzbenDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Emre OzoranDepartment of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.
Orhan AgcaogluDepartment of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.
Emre BalikDepartment of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.
Bilgi BacaDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Ismail HamzaogluDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Tayfun KarahasanogluDepartment of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey. tkarahasanoglu@yahoo.com.ORCID http://orcid.org/0000-0001-9700-0450
Dursun BugraDepartment of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLive surgical demonstrations are considered an effective educational tool providing a chance for trainees to observe a real-time decision-making process of expert surgeons. No data exists evaluating the impact of live surgical demonstrations on the outcomes of minimally invasive colorectal surgery. This study evaluates perioperative and short-term postoperative outcomes in patients undergoing minimally invasive colorectal surgery in the setting of live surgical demonstrations.

methodsPatients undergoing minimally invasive colorectal surgery which was performed as live surgical demonstrations (the study group) performed between 2006 and 2018 were reviewed. These patients were case-matched with those undergoing operations in routine practice (the control group). The study and control group were compared for intraoperative and short-term postoperative outcomes.

resultsThirty-nine live surgery cases in the study group were case-matched with its thirty-nine counterparts as the control group. Operating time was longer (200 vs 165 min; p = 0.002) and estimated intraoperative blood loss was higher in the study group (100 vs 55 ml; p = 0.008). Patients in the study group stayed longer in the hospital (6 vs 5 days; p = 0.001). While conversion (n = 4 vs n = 1, p = 0.358) and intraoperative complications (n = 6 vs n = 2, p = 0.2) were more frequent in the study group, these outcomes did not reach statistical significance. Overall complications were higher in the study group (n = 22 vs n = 9, p = 0.003). One patient underwent a reoperation due to postoperative bleeding, and one mortality occurred in the live surgery group.

conclusionsLive surgical demonstrations in minimally invasive colorectal surgery seem to be associated with increased risk of operative morbidity.

Indexed as

AdultAgedColorectal SurgeryFemaleGastrointestinal DiseasesHumansIntraoperative ComplicationsLaparoscopyMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsRetrospective StudiesTreatment OutcomeColorectalLive surgical demonstrationsMinimally invasive surgerySurgical educationSurgical training

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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.