Evidence map›Paper›PMID 32060747›Full record

Trial reportSurgical endoscopy2021

Laparoscopic Appendectomy Performed by junior SUrgeonS: impact of 3D visualization on surgical outcome. Randomized multicentre clinical trial. (LAPSUS TRIAL).

E Botteri, M Ortenzi, G Alemanno, A Giordano, E Travaglio, C Turolo, S Castiglioni, E Treppiedi, E Rosso, A Gattolin and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Safety of Three-Dimensional versus Two-Dimensional Laparoscopic Hysterectomy during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Impact of Refractive Errors on Da Vinci SI Robotic 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

15 authors at 5 institutions in 1 country.

E BotteriGeneral Surgery, ASST SPEDALI CIVILI BRESCIA, Montichiari, Italy. e.botteri@libero.it.
M OrtenziClinical Surgery, Ospedali Riuniti Ancona, Ancona, Italy.
G AlemannoCareggi, Florence, Italy.
A GiordanoCareggi, Florence, Italy.
E TravaglioGeneral Surgery, Regina Montis Regalis, Mondovì, Italy.
C TuroloGeneral Surgery, ASST SPEDALI CIVILI BRESCIA, Montichiari, Italy.
S Castiglioni2° General Surgery, Hospital 'Spirito Santo', Pescara, Italy.
E TreppiediGeneral Surgery, Fondazione Poliambulanza, Brescia, Italy.
E RossoGeneral Surgery, Fondazione Poliambulanza, Brescia, Italy.
A GattolinGeneral Surgery, Regina Montis Regalis, Mondovì, Italy.
V Caracino2° General Surgery, Hospital 'Spirito Santo', Pescara, Italy.
P ProsperiCareggi, Florence, Italy.
A ValeriCareggi, Florence, Italy.
M GuerrieriClinical Surgery, Ospedali Riuniti Ancona, Ancona, Italy.
N VettorettoGeneral Surgery, ASST SPEDALI CIVILI BRESCIA, Montichiari, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITFondazione Poliambulanza Istituto Ospedaliero · ITOspedale di Santo Spirito · ITOspedali Riuniti di Ancona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate the effect of 3D visualization applied to laparoscopic appendectomy (LA) performed by young surgeons (YS). We considered both operative features and clinical outcomes, aiming to highlight the benefits that this technology could bring to novice surgeons and their laparoscopic training.

methodsAll the surgical procedures were performed by residents who had performed less than 20 appendectomies prior to the beginning of the study under the supervision of an expert surgeon. At the time of enrolment patients were randomized into two arms: Experimental arm (EA): laparoscopic appendectomy performed with laparoscopic 3D vision technology. Control arm (CA): laparoscopic appendectomy performed with the "standard" 2D technology. The primary endpoint was to find any statistically significant difference in operative time between the two arms. Differences in conversion rate, intra-operative complications, post-operative complications and surgeons' operative comfort were considered as secondary endpoints.

resultsWe randomized 135 patients into the two study arms. The two groups were homogeneous for demographic characteristics, BMI and ASA scores. The characteristics of clinical presentation and anatomical position showed no significant difference. The operative time was longer in the CA (57.5 vs. 49.6 min, p = 0.048, 95% CI). In the subgroup of complicated appendicitis, this trend toward inferior operative time was confirmed without reaching statistical significance (2D = 60 min, 3D = 49.5 min, p = 0.082 95% CI). No intra-operative complications were observed in either group. The conversion rate was 5.6% (4 patients) in the 2D group and 4.6% (3 patients) in 3D group.

conclusionThe utilization of 3D laparoscopy was associated with reduction in operative time without influencing other parameters, in particular without altering the safety profile of the procedure.

Indexed as

AdultAppendectomyFemaleHumansImaging, Three-DimensionalLaparoscopyMaleMiddle AgedProspective StudiesSurgeonsTreatment OutcomeYoung Adult3D laparoscopy3D technologyLaparoscopic appendectomyLaparoscopic trainingYoung surgeons

Identifiers

PMID32060747
OpenAlexW3006379892

What OpenQuestion holds

Textmetadata
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.