Evidence map›Paper›PMID 32128682›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021

Laparoscopic Versus Open Appendectomy for Acute Appendicitis in Children: a Nationwide Retrospective Study on Postoperative Outcomes.

Jun Fujishiro, Eiichiro Watanabe, Norimichi Hirahara, Keita Terui, Hirofumi Tomita, Tetsuya Ishimaru, Hiroaki Miyata

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05511194 (Safety and Efficacy of Enhanced Recovery After Surgery Therapeutic Protocol for Complicated Appendicitis in Children), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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.

NCT05511194 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Safety and Efficacy of Enhanced Recovery After Surgery Therapeutic Protocol for Complicated Appendicitis in Children

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2022 to 2023Enrolled40ConditionsEnhanced Recovery After Surgery, Appendicitis, Children, OnlyArmsEnhanced Recovery After Surgery therapeutic protocol, Conventional management
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  9. Complication analysis in acute appendicitis, results from an international multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Observational
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  17. Laparoscopic Appendectomy versus Open Surgery.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

7 authors at 3 institutions in 1 country.

Jun FujishiroDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. jfujishi-tky@umin.ac.jp.
Eiichiro WatanabeDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Norimichi HiraharaFormer Database committee, The Japanese Society of Pediatric Surgeons, Yunizo Urban Koishikawa Bldg. 4F, Otsuka 5-3-13, Bunkyo-ku, Tokyo, 112-0012, Japan.
Keita TeruiFormer Database committee, The Japanese Society of Pediatric Surgeons, Yunizo Urban Koishikawa Bldg. 4F, Otsuka 5-3-13, Bunkyo-ku, Tokyo, 112-0012, Japan.
Hirofumi TomitaFormer Database committee, The Japanese Society of Pediatric Surgeons, Yunizo Urban Koishikawa Bldg. 4F, Otsuka 5-3-13, Bunkyo-ku, Tokyo, 112-0012, Japan.
Tetsuya IshimaruDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Hiroaki MiyataThe National Clinical Database, Segawa Bldg. 9F, Kandasurugadai 2-8, Chiyoda-ku, Tokyo, 101-0062, Japan.
Japan Pediatric Society · JPThe Japanese Society of Gastroenterological Surgery · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur aim was to compare postoperative outcomes of laparoscopic and open appendectomies for acute appendicitis in children under the circumstance of widespread use of laparoscopic surgery.

methodThis study included data on laparoscopic and open appendectomies in children with acute appendicitis from the National Clinical Database, which is a Japanese nationwide surgical database, in 2015. The occurrence rates of complications within 30 days after the surgery and postoperative hospital stay were compared by univariate and multivariate analyses. p < 0.05 was considered statistically significant.

resultsThis study included 4489 appendectomies, of which 3166 surgeries (70.5%) were performed laparoscopically. Appendectomy was performed for complicated and uncomplicated appendicitis in 1765 (39.3%) and 2724 cases (60.7%), respectively. Postoperative complications within 30 days were observed in 246 operations (5.5%). Organ-space surgical site infection (SSI), deep wound SSIs, and superficial wound SSIs were observed in 2.3%, 1.0%, and 2.4% of operations, respectively. On multivariate analysis, the incidence of postoperative complications (odds ratio 1.21, 95% CI 0.90-1.64, p = 0.207) and the length of hospital stay (median 4 days in both groups, p = 0.835) were not significantly different between patients who underwent laparoscopic or open appendectomy. Subgroup analysis in complicated and uncomplicated appendicitis cases also demonstrated no significant differences in the incidence of postoperative complications between those who underwent laparoscopic or open appendectomy.

conclusionThis study suggested that the occurrence of postoperative complication and the length of hospital stay in pediatric patients who underwent laparoscopic appendectomy are similar with those in pediatric patients who underwent open appendectomy for acute appendicitis.

Indexed as

AppendicitisLaparoscopyAcute DiseaseAppendectomyChildHumansLength of StayPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAppendectomyChildrenLaparoscopy

Identifiers

PMID32128682
OpenAlexW3010058876

What OpenQuestion holds

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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.