Evidence map›Paper›PMID 34480720›Full record

Trial reportObesity surgery2021

Technical Feasibility, Outcomes, and Patient Satisfaction After Needlescopic and Laparoscopic Bariatric Surgery: a Randomized Study.

Yen-Yi Juo, Chan Park, Jin Yoo, Daniel Guerron, Ranjan Sudan, Kelli Friedman, Dana Portenier, Keri A Seymour

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. The Interplay between Obesity and Inflammation.Life (Basel, Switzerland) · 2024
    Review
  3. Review
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.

Yen-Yi JuoSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.ORCID http://orcid.org/0000-0003-4862-9636
Chan ParkSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.
Jin YooSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.
Daniel GuerronSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.
Ranjan SudanSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.
Kelli FriedmanDepartment of Psychiatry, Duke University Medical Center, Durham, NC, 27704, USA.
Dana PortenierSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA.
Keri A SeymourSchool of Medicine, Department of Surgery, Duke University, 407 Crutchfield St, Durham, NC, 27704, USA. keri.seymour@duke.edu.
Duke University · USDuke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeedlescopic instruments create a 3-mm incision and may result in less pain and superior cosmesis. There is limited understanding of the effectiveness of needlescopic instruments in patients with a body mass index (BMI) > 35 kg/m

methodsLaparoscopic bariatric procedures were performed on 30 adults at a single academic medical center from January to December 2017. Patients were randomized to conventional laparoscopy (LAP) or needlescopic (NEED) surgery. The Multidimensional Body-Self Relations Questionnaire (MBSRQ) and Patient Scar Assessment Questionnaire (PSAQ) were completed at 6 months and 1 year. Univariate analysis was performed on perioperative outcomes and survey scores.

resultsSurgery was completed on patients in the LAP group (N = 13) and compared to the NEED group (N = 17). The mean BMI was 41.4 kg/m2 LAP and 41.1 kg/m2 NEED. The most common procedure was Roux-en-Y gastric bypass (RYGB), with 13 RYGB in LAP and 12 RYGB in NEED (P = 0.76).The operative time was not significantly different between the LAP and the NEED group (209.5 ± 66.1 vs 181.9 ± 58.1 min, P = 0.48). There was no leak or mortality in the 30-day follow-up period. Within MBSRQ, the patient's appearance self-evaluation score was similar between LAP and NEED (2.5 ± 0.6 vs 2.4 ± 0.6, P = 0.61). Within PSAQ, the mean satisfaction score for incision appearance was also similar between LAP and NEED (16.1± 2.9 vs 15.4 ± 4.6, P = 0.85). Incision-related perceptions remained consistent at 6 months and 1 year after bariatric surgery.

conclusionsNeedlescopic instruments are safe and a viable alternative to use during bariatric surgery. Appearance and perception of scar were similar between groups. Further studies with needlescopic instruments should include patients with a BMI > 35 kg/m

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidAdultBody Mass IndexFeasibility StudiesHumansPatient SatisfactionRetrospective StudiesTreatment OutcomeWeight Loss

Identifiers

PMID34480720
OpenAlexW3198200100

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.