Evidence map›Paper›PMID 34557940›Full record

ArticleLangenbeck's archives of surgery2022

Open pancreaticoduodenectomy: setting the benchmark of time to functional recovery.

Giovanni Marchegiani, Giampaolo Perri, Stefano Andrianello, Gaia Masini, Giacomo Brentegani, Alessandro Esposito, Claudio Bassi, Roberto Salvia

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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 1 institution in 2 countries.

Giovanni MarchegianiDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy. giovanni.marchegiani@univr.it.ORCID http://orcid.org/0000-0002-6824-4533
Giampaolo PerriDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Stefano AndrianelloDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Gaia MasiniDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Giacomo BrenteganiDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Alessandro EspositoDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Claudio BassiDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
Roberto SalviaDepartment of Surgery and Oncology, General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust - Verona University, P.le Scuro 10, 37134, Verona, Italy.
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNo accepted benchmarks for open pancreaticoduodenectomy (PD) exist. The study assessed the time to functional recovery after open PD and how this could be affected by the magnitude of midline incision (MI). MATERIALS AND

methodsProspective snapshot study during 1 year. Time to functional recovery (TtFR) was assessed for the entire cohort. Further analyses were conducted after excluding patients developing a Clavien-Dindo ≥ 2 morbidity and after stratifying for the relative length of MI.

resultsThe overall median TtFR was 7 days (n = 249), 6 days for uncomplicated patients (n = 124). A short MI (SMI, < 60% of xipho-pubic distance, n = 62) was compared to a long MI (LMI, n = 62) in uncomplicated patients. The choice of a SMI was not affected by technical issues and provided a significantly shorter TtFR (5 vs 6 days, p = 0.002) especially for pain control (4 vs. 5 days, p = 0.048) and oral food intake (5 vs. 6 days, p = 0.001).

conclusionFunctional recovery after open PD with MI is achieved within 1 week from surgery in half of the patients. This should be the appropriate benchmark for comparison with minimally invasive PD. Moreover, PD with a SMI is feasible, safe, and associated with a faster recovery.

Indexed as

BenchmarkingPancreaticoduodenectomyHumansLength of StayPancreatectomyPostoperative ComplicationsProspective StudiesBenchmarkFunctional recoveryMidline incisionMinimally invasiveOpenPancreatoduodenectomy

Identifiers

PMID34557940
PMCPMC9151571
OpenAlexW3201453136

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.