Evidence map›Paper›PMID 33080991›Full record

Trial reportInternational journal of environmental research and public health2020

The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy.

Łukasz Warchałowski, Edyta Łuszczki, Anna Bartosiewicz, Katarzyna Dereń, Marta Warchałowska, Łukasz Oleksy, Artur Stolarczyk, Robert Podlasek

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Łukasz WarchałowskiDepartment of General Surgery, Clinical Regional Hospital No. 2 in Rzeszów, 35-301 Rzeszów, Poland.
Edyta ŁuszczkiInstitute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland.ORCID 0000-0002-4619-7705
Anna BartosiewiczInstitute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland.ORCID 0000-0003-2359-7818
Katarzyna DereńInstitute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland.ORCID 0000-0002-0977-5844
Marta WarchałowskaNZOZ Primadent in Rzeszów, 35-301 Rzeszów, Poland.
Łukasz OleksyOrthopaedic and Rehabilitation Department, Medical University of Warsaw, 02-091 Warszawa, Poland.ORCID 0000-0002-0589-0554
Artur StolarczykOrthopaedic and Rehabilitation Department, Medical University of Warsaw, 02-091 Warszawa, Poland.
Robert PodlasekDepartment of General Surgery, Clinical Regional Hospital No. 2 in Rzeszów, 35-301 Rzeszów, Poland.
University of Rzeszów · PLMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic cholecystectomy is a standard treatment for cholelithiasis. In situations where laparoscopic cholecystectomy is dangerous, a surgeon may be forced to change from laparoscopy to an open procedure. Data from the literature shows that 2 to 15% of laparoscopic cholecystectomies are converted to open surgery during surgery for various reasons. The aim of this study was to identify the risk factors for the conversion of laparoscopic cholecystectomy to open surgery. A retrospective analysis of medical records and operation protocols was performed. The study group consisted of 263 patients who were converted into open surgery during laparoscopic surgery, and 264 randomly selected patients in the control group. Conversion risk factors were assessed using logistic regression analysis that modeled the probability of a certain event as a function of independent factors. Statistically significant factors in the regression model with all explanatory variables were age, emergency treatment, acute cholecystitis, peritoneal adhesions, chronic cholecystitis, and inflammatory infiltration. The use of predictive risk assessments or nomograms can be the most helpful tool for risk stratification in a clinical scenario. With such predictive tools, clinicians can optimize care based on the known risk factors for the conversion, and patients can be better informed about the risks of their surgery.

Indexed as

CholecystectomyCholecystectomy, LaparoscopicCholecystitisCholedocholithiasisCholelithiasisFemaleHumansIntraoperative ComplicationsLaparotomyMaleRetrospective StudiesRisk AssessmentRisk FactorsTreatment Outcomeconversionlaparoscopic cholecystectomyopen surgeryrisk factors

Identifiers

PMID33080991
PMCPMC7588875
OpenAlexW3092942784

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.