Evidence map›Paper›PMID 32901683›Full record

ArticleActa cirurgica brasileira2020

Three-dimensional laparoscopic Roux-en-Y gastric bypass with totally hand-sewn anastomoses for morbid obesity. A single center experience.

Francesco Mongelli, Davide La Regina, Fabio Garofalo, Alberto Vannelli, Matteo Di Giuseppe, Maurice FitzGerald, Michele Marengo

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta cirurgica brasileira, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Francesco MongelliMD, Department of Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland. Scientific, intellectual, conception and design of the study; analysis and interpretation of data; statistics analysis; manuscript writing; final approval.ORCID http://orcid.org/0000-0002-8824-651X
Davide La ReginaMD, Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland. Analysis and interpretation of data, manuscript preparation, critical revision, final approval.ORCID http://orcid.org/0000-0003-3519-0505
Fabio GarofaloMD, Department of Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland. Critical revision, final approval.ORCID http://orcid.org/0000-0003-1302-9841
Alberto VannelliMD, Department of Surgery, Ospedale Valduce, Como, Italy. Analysis and interpretation of data, critical revision, final approval.ORCID http://orcid.org/0000-0002-8894-5361
Matteo Di GiuseppeMD, Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland. Acquisition of data, manuscript preparation, critical revision, final approval.ORCID http://orcid.org/0000-0002-9960-4562
Maurice FitzGeraldMD, Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland. Acquisition of data, statistics analysis, manuscript writing, final approval.ORCID http://orcid.org/0000-0002-9586-3831
Michele MarengoMD, Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland. Scientific, intellectual, conception and design of the study, technical procedures, manuscript writing, final approval.ORCID http://orcid.org/0000-0003-1881-4283

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the impact of three-dimensional (3D) vision use on operative time (OT) in laparoscopic Roux-en-Y gastric bypass (LRYGB) with hand-sewn anastomoses.

methodsWe analyzed a prospectively collected database of patients who underwent LRYGB. We included all patients operated on with either 2D or 3D vision. Demographics and clinical characteristics, operative time, hospital stay and 30-day postoperative complications were collected for all patients and analyzed.

resultsDuring the study time, out of 143 patients who underwent LRYGB for morbid obesity, 111 were considered eligible. Seventy-eight patients were operated with 2D vision and 33 patients with 3D vision. Demographics and clinical characteristics were not different among groups. Mean OT was 203±51 and 167±32 minutes in the 2D and 3D groups respectively (p<0.001). Multivariate analyses showed that increasing age and BMI were independently related to prolonged OT, while 3D vision (OR 6.675, 95% CI 2.380-24.752, p<0.001) was strongly associated with shorter OT.

conclusionsThe use of 3D vision in LRYGB significantly reduced the OT, though intra- and postoperative complication rates and the length of hospital stay were not affected. Despite its limitations, our study supports the value of 3D vision laparoscopy in bariatric surgery.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidHumansOperative TimeTreatment Outcome

Identifiers

PMID32901683
PMCPMC7478489

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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.