Evidence map›Paper›PMID 35578047›Full record

ArticleSurgical endoscopy2022

Peritoneal contamination and associated post-operative infectious complications after natural orifice specimen extraction for laparoscopic colorectal surgery.

Sheng-Chi Chang, Tsung-Han Lee, Tao-Wei Ke, Yi-Chang Chen, Hung-Chang Chen, Yuan-Yao Tsai, Abe Fingerhut, William Tzu-Liang Chen

Abstract read
PubMed Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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 3 countries.

Sheng-Chi ChangDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan.ORCID http://orcid.org/0000-0001-7280-265X
Tsung-Han LeeDepartment of Life Sciences, National Chung Hsing University, No.145, Rd. Xingda, Taichung, 40227, Taiwan. Nosechang100@gmail.com.
Tao-Wei KeDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan.
Yi-Chang ChenDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan.
Hung-Chang ChenDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan.
Yuan-Yao TsaiDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan.
Abe FingerhutDepartment of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai, 200025, People's Republic of China.
William Tzu-Liang ChenDivision of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan. golfoma22@gmail.com.
China Medical University · TWNational Chung Hsing University · TWShanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeritoneal contamination is a major concern during natural orifice specimen extraction after laparoscopic colorectal resection (LCR-NOSE), but few data are available. We explored the prevalence, risk factors, and association between clinical outcomes and infectious complications in patients with positive peritoneal drain fluid culture (PDFC) after LCR-NOSE.

methodWe retrospectively analyzed patient records in our prospectively maintained registry database who underwent LCR-NOSE between 2011and 2020. Peritoneal drain fluid was collected within 12 h post-operative and cultures for microorganisms were obtained. The relationships between PDFC, clinical variables, and infectious complications were examined by univariate and multivariable analysis.

resultsOf 241 consecutive patients who underwent LCR-NOSE and drainage fluid culture, 59 (24.5%) had PDFC. Anterior resection (Odds ratio OR 2.40) was identified as an independent predictor for PDFC. Twenty-eight patients (11.6%) developed infectious complications. Multivariable analysis identified low anterior resection (OR 2.74), prolonged operative time (OR 3.20), and PDFC (OR 5.14) as independent risk factors. Pseudomonas aeruginosa was the most frequently found microorganism (OR 5.19) responsible for infectious complications.

conclusionsMicroorganisms are commonly present in the peritoneum after LCR-NOSE and play a critical role in the development of infectious complications and related morbidity. Specific caution is warranted in patients contaminated with specific types of microorganisms.

Indexed as

Colorectal SurgeryLaparoscopyNatural Orifice Endoscopic SurgeryHumansPeritoneumPostoperative ComplicationsRetrospective StudiesTreatment OutcomeDrainage fluid cultureInfectious complicationsLaparoscopic colorectal resectionMicroorganismsNatural orifice specimen extractionPeritoneal contaminationSurgical site infection

Identifiers

PMID35578047
OpenAlexW4280509790

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.