Evidence map›Paper›PMID 33938991›Full record

ArticleSurgical endoscopy2022

Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy.

Stuart A Abel, Benzon M Dy, Hind Al-Lami, Suhail A Zeineddin, Abhishek Chandra, Juliane Bingener, Melanie L Lyden

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-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.

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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Stuart A AbelDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Benzon M DyDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Hind Al-LamiDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Suhail A ZeineddinDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Abhishek ChandraDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Juliane BingenerDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Melanie L LydenDepartment of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Lyden.Melanie@mayo.edu.
Mayo Clinic · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term outcomes of SIRC are not well established. Furthermore, SIRC is only now being considered more frequently for patients with independent risk factors for PSH, such as obesity. As such, the paucity of data on longer-term post-surgical outcomes of SIRC is particularly notable as it pertains to obese patients.

methodsAll patients undergoing cholecystectomy performed by two surgeons at our institution from 2008-2018 were reviewed. Our inclusion criteria were patients who underwent SIRC or multiport laparoscopic cholecystectomy (MPLC) and had at least one month of postoperative follow-up. Patients who underwent additional procedures at the time of cholecystectomy were excluded. Our outcomes of interest were the 30-day POC rate and the long-term PSH rate. Analysis was conducted on an intention-to-treat basis, using logistic regression analysis for POC and time-to-event analysis for PSH.

resultsWe examined 584 patients who underwent either SIRC (51%) or MPLC (49%). Of the 296 patients who underwent SIRC, 15 (5%) developed a POC and 23 (8%) developed a PSH. Of the 288 patients who underwent MPLC, 11 (4%) developed a POC, and 28 (10%) developed a PSH. Procedure group and obesity was not associated with the risk of POC (p = 0.29, p = 0.21, respectively). Procedure group was not associated with an increased risk of PSH (p = 0.29). Obese patients, however, were 1.94 times more likely to develop PSH compared to non-obese patients overall (p = 0.02).

conclusionsThere is no statistically significant difference in POC and PSH rate following SIRC when compared with MPLC in patients in the same BMI group. Male gender and prior abdominal surgery are risk factors for POC, while advancing age and obesity are risk factors for PSH.

Indexed as

Cholecystectomy, LaparoscopicRoboticsRobotic Surgical ProceduresCholecystectomyFemaleHumansMaleObesityRetrospective StudiesCholecystectomyCholecystitisObesityRoboticRobotic assistedSingle incisionSingle site

Identifiers

PMID33938991
OpenAlexW3157048223

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Registered trials

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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.