Evidence map›Paper›PMID 32129898›Full record

ArticleThe British journal of surgery2020

Prophylactic salpingectomy for prevention of ovarian cancer at the time of elective laparoscopic cholecystectomy.

G Tomasch, M Lemmerer, S Oswald, S Uranitsch, C Schauer, A-M Schütz, B Bliem, A Berger, P F J Lang, G Rosanelli and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  3. Recommendations for diagnosing STIC: a systematic review and meta-analysis.Virchows Archiv : an international journal of pathology · 2022
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  7. Opportunistic salpingectomy during gynecologic and non-gynecologic abdominopelvic procedures for ovarian cancer primary prevention: a cost-effectiveness analysis.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

G TomaschDepartment of Obstetrics and Gynaecology, Medical University of Graz, Graz, Austria.
M LemmererDepartment of Surgery, Medical University of Graz, Graz, Austria.
S OswaldDepartment of Surgery, Krankenhaus der Elisabethinen Graz, Graz, Austria.
S UranitschDepartment of Surgery, Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria.
C SchauerDepartment of Gynaecology, Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria.
A-M SchützDepartment of Obstetrics and Gynaecology, Medical University of Graz, Graz, Austria.
B BliemDepartment of Obstetrics and Gynaecology, Medical University of Graz, Graz, Austria.
A BergerDepartment of Surgery, Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria.
P F J LangDepartment of Gynaecology, Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria.
G RosanelliDepartment of Surgery, Krankenhaus der Elisabethinen Graz, Graz, Austria.
F RonaghiDepartment of Obstetrics and Gynaecology, Krankenhaus der Barmherzigen Brüder St Veit an der Glan, Graz, Austria.
J TschmelitschDepartment of Surgery, Krankenhaus der Barmherzigen Brüder St Veit an der Glan, Graz, Austria.
S F LaxDepartment of Pathology, Landeskrankenhaus Graz II, Graz, Austria.
S UranuesDepartment of Surgery, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6085-8362
K TamussinoDepartment of Obstetrics and Gynaecology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-5016-4669
Medical University of Graz · ATHospital of the Brothers of St. John of God · ATKrankenhaus der Elisabethinen · ATLandeskrankenhaus Feldkirch · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost serous ovarian cancers are now understood to originate in the fallopian tubes. Removing the tubes (salpingectomy) likely reduces the risk of developing high-grade serous ovarian cancer. Numerous gynaecological societies now recommend prophylactic (or opportunistic) salpingectomy at the time of gynaecological surgery in appropriate women, and this is widely done. Salpingectomy at the time of non-gynaecological surgery has not been explored and may present an opportunity for primary prevention of ovarian cancer.

methodsThis study investigated whether prophylactic salpingectomy with the intention of reducing the risk of developing ovarian cancer would be accepted and could be accomplished at the time of elective laparoscopic cholecystectomy. Women aged at least 45 years scheduled for elective laparoscopic cholecystectomy were recruited. They were counselled and offered prophylactic bilateral salpingectomy at the time of cholecystectomy. Outcome measures were rate of accomplishment of salpingectomy, time and procedural steps needed for salpingectomy, and complications.

resultsA total of 105 patients were included in the study. The rate of acceptance of salpingectomy was approximately 60 per cent. Salpingectomy was performed in 98 of 105 laparoscopic cholecystectomies (93·3 per cent) and not accomplished because of poor visibility or adhesions in seven (6·7 per cent). Median additional operating time was 13 (range 4-45) min. There were no complications attributable to salpingectomy. One patient presented with ovarian cancer 28 months after prophylactic salpingectomy; histological re-evaluation of the tubes showed a previously undetected, focal serous tubal intraepithelial carcinoma.

conclusionProphylactic salpingectomy can be done during elective laparoscopic cholecystectomy.

Indexed as

Cholecystectomy, LaparoscopicElective Surgical ProceduresProphylactic Surgical ProceduresSalpingectomyAdultAgedCarcinoma in SituFeasibility StudiesFemaleHumansMiddle AgedOperative TimeOvarian NeoplasmsPostoperative ComplicationsPrimary Prevention

Identifiers

PMID32129898
PMCPMC7154767
OpenAlexW3010539039

What OpenQuestion holds

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LicenceCC BY
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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.