Evidence map›Paper›PMID 35138419›Full record

ReviewChirurgie (Heidelberg, Germany)2022

[Measures for preventing bile duct injuries during difficult cholecystectomies-Bail-out procedures].

Tanja Morant, Thomas Klier, Natascha C Nüssler

Abstract readReview
PubMed Publisher
In one paragraph

Review in Chirurgie (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Tanja MorantKlinik für Allgemein- und Viszeralchirurgie, München Klinik Neuperlach, München, Deutschland.
Thomas KlierKlinik für Allgemein- und Viszeralchirurgie, München Klinik Neuperlach, München, Deutschland.
Natascha C NüsslerKlinik für Allgemein- und Viszeralchirurgie, München Klinik Neuperlach, München, Deutschland. natascha.nuessler@muenchen-klinik.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholecystectomies can sometimes be very complex operations, which place high demands on the surgeon.

objectiveAre there preoperative and intraoperative procedures available for reducing the risk of intraoperative bile duct injuries during a complex cholecystectomy?

resultsThe complexity of the operation should be estimated preoperatively. Extended diagnostic examinations, preoperative biliary stenting and the performance of the operation by an experienced surgeon may help to reduce the operative risk. In high-risk patients, postponing the cholecystectomy may be indicated. The timely intraoperative recognition of the impossibility to perform a regular cholecystectomy is of decisive importance. In this situation, so-called bail-out procedures, such as fundus-down cholecystectomy or subtotal cholecystectomy are warranted. Conversion from laparoscopic to open surgery is not always necessary.

conclusionBail-out procedures are useful to reduce the risk of bile duct injuries during complex cholecystectomy and can enable a safe completion of the operation.

Indexed as

Abdominal InjuriesBile Duct DiseasesBiliary TractCholecystectomy, LaparoscopicBile DuctsCholecystectomyHumansBile duct stentingFundus-down cholecystectomyMinimally invasive cholecystectomyRisk avoidanceSubtotal cholecystectomy

Identifiers

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.