Observational studyThe British journal of surgery2021
A national propensity score-matched analysis of emergency laparoscopic versus open abdominal surgery.
Observational study in The British journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Robotic versus laparoscopic general surgery in the emergency setting: a systematic review.Journal of robotic surgery · 2024Pooled it
- Anastomotic leak risk factors following colon cancer resection: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- High-energy devices in different surgical settings: lessons learnt from a full health technology assessment report developed by SICE (Società Italiana di Chirurgia Endoscopica).Surgical endoscopy · 2023Pooled it
- Laparoscopic and Robotic Appendectomy: Efficiency and Cost Comparison.Journal of surgery and research · 2026Article
- Robot-assisted cholecystectomies take less time to perform than laparoscopy in the urgent setting: a single-centered study evaluating elective and urgent cases.Journal of robotic surgery · 2026Article
- Laparoscopic-first approach for treating a small bowel injury in a patient stabilized after initial hemodynamic shock: a case report and video.International journal of surgery case reports · 2026Article
- Determinants of Compliance to Enhanced Recovery Protocol After Emergency Laparotomy.World journal of surgery · 2026Observational
- Adherence to enhanced recovery protocol in emergency general surgery: a prospective observational study.Updates in surgery · 2025Observational
- Clinicopathological and prognostic implications of OPMDs in oral squamous cell carcinoma: a 17-Year retrospective cohort study.BMC oral health · 2025Article
- Robotic emergency general surgery, future or fallacy?: case-matched comparison of operative and clinical outcomes during the adoption phase in a tertiary centre.Journal of robotic surgery · 2025Article
- Emergency Laparoscopy for Complex and Trauma Cases: Feasibility and Outcomes in Experienced Surgical Teams.Cureus · 2025Article
- Rise of the robots: implementing robotic surgery into the acute care surgery practice.Surgical endoscopy · 2025Article
- Operative and non-operative management for intestinal emergencies: findings from a single-centre retrospective cohort study.Annals of the Royal College of Surgeons of England · 2024Article
- A Comparative Analysis between Enhanced Recovery after Surgery and Traditional Care in the Management of Obstructive Colorectal Cancer.Medicina (Kaunas, Lithuania) · 2024Observational
- Assistance by adaptative damping on a complex bimanual task in laparoscopic surgery.International journal of computer assisted radiology and surgery · 2024Article
- Laparoscopy for emergency abdominal surgery is associated with reduced physical functional decline in older patients: a cohort study.BMC geriatrics · 2024Article
- Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Enhanced perioperative care in emergency general surgery: the WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study.Journal of minimally invasive surgery · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopy has been widely adopted in elective abdominal surgery but is still sparsely used in emergency settings. The study investigated the effect of laparoscopic emergency surgery using a population database.
methodsData for all patients from December 2013 to November 2018 were retrieved from the NELA national database of emergency laparotomy for England and Wales. Laparoscopically attempted cases were matched 2 : 1 with open cases for propensity score derived from a logistic regression model for surgical approach; included co-variates were age, gender, predicted mortality risk, and diagnostic, procedural and surgeon variables. Groups were compared for mortality. Secondary endpoints were blood loss and duration of hospital stay.
resultsOf 116 920 patients considered, 17 040 underwent laparoscopic surgery. The most common procedures were colectomy, adhesiolysis, washout and perforated ulcer repair. Of these, 11 753 were matched exactly to 23 506 patients who had open surgery. Laparoscopically attempted surgery was associated with lower mortality (6.0 versus 9.1 per cent, P < 0.001), blood loss (less than 100 ml, 64.4 versus 52.0 per cent, P < 0.001), and duration of hospital stay (median 8 (i.q.r. 5-14) versus 10 (7-18) days, P < 0.001). Similar trends were seen when comparing only successful laparoscopic cases with open surgery, and also when comparing cases converted to open surgery with open surgery.
conclusionIn appropriately selected patients, laparoscopy is associated with superior outcomes compared with open emergency surgery.
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