Evidence map›Paper›PMID 32767145›Full record

Trial reportSurgical endoscopy2021

Prospective randomized controlled trial on comparison of standard CO

Rosalia Luketina, Theodore L H Luketina, Stavros A Antoniou, Gernot Köhler, Sören Könneker, Lisa Manzenreiter, Helwig Wundsam, Oliver Owen Koch, Michael Knauer, Klaus Emmanuel

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
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. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-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.

NCT06737068 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Low Pressure Pneumoperitoneum Using AirSeal® for Reduction in Postoperative Shoulder Pain Following Robot Assisted Hiatal Hernia Repair: a Prospective Randomized Controlled Trial.

TypeinterventionalSponsorRiverside University Health System Medical CenterRan2025 to 2027Enrolled120ConditionsHernia, Hiatal, Pneumoperitoneum, Postoperative Pain, Shoulder PainArmsLow pressure pneumoperitoneum (8-10mmHg) with AirSeal device, Standard pressure pneumoperitoneum (13- 15 mmHg) with AirSeal device
NCT07782580 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Low-Pressure AirSeal Versus Conventional Insufflation in Major Minimally Invasive Hepatopancreatobiliary Surgery - A Randomized Controlled Trial

TypeinterventionalSponsorJuan GlinkaRan2026 to 2028Enrolled70ConditionsHepato-Pancreato-Biliary Conditions Requiring Minimally Invasive SurgeryArmsLow Pressure AirSeal Insufflation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Usefulness of AirSeal™ Intelligent Flow System in Gas Insufflation Total Endoscopic Thyroidectomy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  7. Impact of AirSealUpdates in surgery · 2022
    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

10 authors at 6 institutions in 4 countries.

Rosalia LuketinaDepartment Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, Eberhard Karls University Tuebingen, Schnarrenbergstr. 95, 72076, Tuebingen, Germany. r_luketina@yahoo.de.ORCID http://orcid.org/0000-0003-4439-3179
Theodore L H LuketinaDepartment of Anaesthesia & Intensive Care Medicine, Cantonal Hospital of Muensterlingen, Muensterlingen, Switzerland.
Stavros A AntoniouDepartment of Surgery, School of Medicine, European University Cyprus, Nicosia, Cyprus.
Gernot KöhlerDepartment of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Ordensklinikum Linz, Austria.
Sören KönnekerDepartment of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hanover, Germany.
Lisa ManzenreiterDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Helwig WundsamDepartment of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Ordensklinikum Linz, Austria.
Oliver Owen KochDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Michael KnauerBreast Center Ostschweiz, Schuppistrasse 10, 9016, St. Gallen, Switzerland.
Klaus EmmanuelDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Paracelsus Medical University · ATBG Klinik Tübingen · DEBreast Center · CHEuropean University Cyprus · CYKantonsspital Münsterlingen · CHMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAirSeal® is a valve-free insufflation system that enables a stable pneumoperitoneum with continuous smoke evacuation and CO

methodsOne hundred and ninety-eight patients undergoing elective laparoscopic cholecystectomy, colorectal surgery and hernia repair were randomized to either AirSeal® (group A) or standard pressure CO

resultsPatients were randomized to either group A (n = 101) or group S (n = 97) and were analyzed by intention-to-treat. There was no significant difference in mean operative time between the groups (median [IQR]; 71 min [56-94] in group A vs. 69 min [52-93] in group S; p = 0.434). Shoulder tip pain levels were significantly lower in group S (VAS 0 [0-3] in group S vs. 2 [0-4] in group A; p = 0.001). There was no significant difference in complications, surgical side effects (subcutaneous emphysema was not observed in any group) and length of hospital stay.

conclusionThis randomized controlled trial showed that using the AirSeal® system did not reduce operative time and was associated with a higher postoperative shoulder tip pain compared to standard CO

Indexed as

Cholecystectomy, LaparoscopicInsufflationLaparoscopyPneumoperitoneumCarbon DioxideHumansPneumoperitoneum, ArtificialPostoperative PainProspective StudiesCarbon DioxideAirSeal®CholecystectomyHerniaLaparoscopic surgeryPneumoperitoneumRandomized

Identifiers

PMID32767145
PMCPMC7412773
OpenAlexW3048230699

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.