Evidence map›Paper›PMID 36943587›Full record

SynthesisLangenbeck's archives of surgery2023

Comparison of the safety and effectiveness of different surgical timing for acute cholecystitis after percutaneous transhepatic gallbladder drainage: a systematic review and meta-analysis.

Xuyun Wang, Xiangdong Niu, Pengxian Tao, Yan Zhang, He Su, Xiaopeng Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

6 authors.

Xuyun WangGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China.
Xiangdong NiuGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China.
Pengxian TaoGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China.
Yan ZhangGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China.
He SuGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China. suhedoctor@163.com.
Xiaopeng WangGeneral Surgery Cadre Ward, Gansu Provincial Hospital, Lanzhou, Gansu, 730000, China. wxpjm78@163.com.

Funding

Gansu Provincial People's Hospital Key R&D Projects 17GSSY3-2Natural Science Fund of Gansu Province 20JR10RA381
6 · The paper itself

Abstract

backgroundTo compare the efficacy and safety of laparoscopic cholecystectomy (LC) in the treatment of acute cholecystitis (AC) at different time points after percutaneous transhepatic gallbladder drainage (PTGBD).

methodsPubMed, EMBASE, Cochrane Library, and Web of Science were searched from database inception to 1 May 2022. The last date of search was the May 30, 2022. The Newcastle-Ottawa scale (NOS) was used to conduct quality assessments, and RevMan (Version 5.4) was used to perform the meta-analysis.

resultsA total of 12 studies and 4379 patients were analyzed. Compared with the < 2-week group, the ≥ 2-week group had shorter operation time, less intraoperative blood loss, shorter postoperative hospital stay, lower rate of conversion to laparotomy, and fewer complications. There was no statistical difference between the two groups regarding bile duct injury, bile leakage, and total cost.

conclusionsThe evidence indicates that the ≥ 2-week group has the advantage in less intraoperative blood loss, minor tissue damage, quick recovery, and sound healing in treating AC. It can be seen that LC after 2 weeks is safe and effective for AC patients who have already undergone PTGBD and is recommended, but further confirmation is needed in a larger sample of randomized controlled studies.

Indexed as

Cholecystectomy, LaparoscopicCholecystitis, AcuteBlood Loss, SurgicalDrainageHumansRetrospective StudiesTreatment OutcomeCholecystectomy, laparoscopicCholecystitis, acuteMeta-analysisOperation opportunityPercutaneous transhepatic gallbladder drainage

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.