Evidence map›Paper›PMID 32789588›Full record

ArticleSurgical endoscopy2021

Robotic and laparoscopic surgical techniques in patients with Crohn's disease.

Salini Hota, Salvatore Parascandola, Savannah Smith, Mayou Martin Tampo, Richard Amdur, Vincent Obias

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  15. The future of robotic surgery for inflammatory bowel diseases.Annals of medicine and surgery (2012) · 2022
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  16. Article
  17. Intestinal strictures in Crohn's disease: a 2021 update.Therapeutic advances in gastroenterology · 2022
    Review
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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

6 authors at 4 institutions in 2 countries.

Salini HotaDepartment of Surgery, Eastern Virginia Medical School, 825 Fairfax Ave Ste. 610, Norfolk, VA, 23507, USA. salini.hota@gmail.com.ORCID http://orcid.org/0000-0001-8893-1456
Salvatore ParascandolaDepartment of Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Savannah SmithThe George Washington University Medical School, Washington, DC, USA.
Mayou Martin TampoDivision of Colorectal Surgery, Philippine General Hospital, Manila, Philippines.
Richard AmdurMedical Faculty Associates, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Vincent ObiasDivision of Colon and Rectal Surgery, The George Washington University, Washington, DC, USA.
George Washington University · USEastern Virginia Medical School · USPhilippine General Hospital · PHWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrohn's disease has historically been managed medically with sparing use of surgical resection. With the development of strictures or fistulas, surgical management such as an ileocecal resection may become necessary. Minimally invasive options such as laparoscopic and robotic-assisted techniques are alternatives to open surgery. The purpose of this study was to evaluate the safety of minimally invasive surgery for Crohn's disease.

methodsWe performed a retrospective review of the National Surgical Quality Improvement Program (NSQIP) database to select 5158 patients with Crohn's disease who underwent ileocecal resection (open, laparoscopic, or robotic-assisted). Preoperative, perioperative, and 30-day postoperative outcomes were compared between the groups using both univariate and multivariate logistical regression models. SAS was used for data analysis with p < 0.05 considered significant.

resultsThe three treatment groups (open, laparoscopic, and robotic-assisted ileocecal resection) had 30-day postoperative outcomes reported in NSQIP. The average BMI was 25 kg/m

conclusionsThe decision to operate on a patient with Crohn's disease involves selecting an approach based on patient factors, surgeon preference, and availability of equipment. When evaluating the short-term postoperative outcomes in patients that have undergone ileocecal resection for management of Crohn's, minimally invasive techniques have had a lower incidence of wound infections, anastomotic leaks, and re-intervention in carefully selected patients. This retrospective review of a large national database demonstrates the efficacy of minimally invasive techniques in managing Crohn's disease in selected patients.

Indexed as

Crohn DiseaseLaparoscopyRobotic Surgical ProceduresAdultHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeCrohn’sIleocecectomyMinimally invasive

Identifiers

PMID32789588
OpenAlexW3048563587

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.