Evidence map›Paper›PMID 35107493›Full record

Trial reportArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2022

TECHNIQUE OF EXPOSURE OF THE ESOPHAGOGASTRIC JUNCTION OBTAINED BY THE FLEXIBLE LIVER RETRACTOR IN BARIATRIC SURGERY: A RANDOMIZED CONTROLLED TRIAL.

Rodrigo Feitosa de Albuquerque Lima Babadopulos, Luiz Gonzaga de Moura-Jr, Vagnaldo Fechine, Marina Becker Sales Rocha, Natalícia Antunes, Thomaz Alexandre Costa, Bruno Almeida Costa, Manoel Odorico DE-Moraes

Open access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 3 institutions in 1 country.

Rodrigo Feitosa de Albuquerque Lima BabadopulosUnidade de Cirurgia Bariátrica, Hospital Geral Dr. César Cals, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0002-2651-4419
Luiz Gonzaga de Moura-JrUnidade de Cirurgia Bariátrica, Hospital Geral Dr. César Cals, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0003-0092-648X
Vagnaldo FechineCentro de Pesquisa e Desenvolvimento de Medicamentos, Unidade de Farmacologia Clínica, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0002-8893-5323
Marina Becker Sales RochaCentro de Pesquisa e Desenvolvimento de Medicamentos, Unidade de Farmacologia Clínica, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0001-7197-4599
Natalícia AntunesDepartamento de Farmacologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - Unicamp, Campinas, São Paulo - SP, Brasil.ORCID http://orcid.org/0000-0002-7820-552X
Thomaz Alexandre CostaCentro de Pesquisa e Desenvolvimento de Medicamentos, Unidade de Farmacologia Clínica, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0003-1789-6694
Bruno Almeida CostaCentro de Pesquisa e Desenvolvimento de Medicamentos, Unidade de Farmacologia Clínica, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0002-1816-4498
Manoel Odorico DE-MoraesCentro de Pesquisa e Desenvolvimento de Medicamentos, Unidade de Farmacologia Clínica, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0003-3378-8722
Universidade Federal do Ceará · BRHospital Geral de Fortaleza · BRUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIn the Roux-en-Y gastric bypass technique, classic laparoscopic surgical retractors are usually rigid, require an additional incision for its installation, or must be handled by an assistant during the surgical procedure, involving a risk of liver injury. The aim of this study was to evaluate and validate a technique of the esophagogastric junction exposure obtained by the flexible liver retractor in bariatric surgery, comparing its efficacy with the retractor classically used for this purpose.

methodsThis study was performed as a randomized, open, prospective, controlled, and comparative design in patients with medical indications of bariatric surgery. The subjects were distributed in the classic (control) and flexible (test) retractor groups.

resultsA total of 100 patients (n=50 control group, n=50 test group) were included. No statistically significant difference was observed in the mean duration of surgery. Regarding visibility, 100% of the patients in the flexible retractor group demonstrated an optimal visibility level, although without statistical significance concerning the classic retractor group (94%). Invariably, carrying a trocar was necessary when using the classic retractor.

conclusionsThe flexible liver retractor is safe, effective, ergonomic, and inexpensive. Furthermore, it presented a satisfactory aesthetic profile, and the use of specific instruments, new adaptation curve, and training for its handling were not required.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidEsophagogastric JunctionHumansProspective Studies

Identifiers

PMID35107493
PMCPMC8846480
OpenAlexW4210290025

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.