Evidence map›Paper›PMID 37041464›Full record

Trial reportBMC gastroenterology2023

Development and validation of a video-assisted liver biopsy technique using a minimally-invasive device.

Alexandra Mano Almeida, Hermano Alexandre Lima Rocha, David Augusto Batista Sá Araújo, Paulo Goberlânio de Barros Silva, Luís Pires de Melo Filho, Gleydson César de Oliveira Borges

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2023. 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
–field-weighted citation impact, top 91% 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, 0 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

6 authors at 3 institutions in 2 countries.

Alexandra Mano AlmeidaUnichristus University Center. Fortaleza, Fortaleza, CE, Brazil.
Hermano Alexandre Lima RochaDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA. hermano@ufc.br.
David Augusto Batista Sá AraújoDepartment of Community Health, Federal University of Ceará, Fortaleza, CE, Brazil.
Paulo Goberlânio de Barros SilvaUnichristus University Center. Fortaleza, Fortaleza, CE, Brazil.
Luís Pires de Melo FilhoUnichristus University Center. Fortaleza, Fortaleza, CE, Brazil.
Gleydson César de Oliveira BorgesUnichristus University Center. Fortaleza, Fortaleza, CE, Brazil.
Unichristus · BRHarvard Global Health Institute · USUniversidade Federal do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous liver biopsy is the gold standard technique for establishing the cause of cirrhosis and liver disease activity assessment. However, some cases of steatohepatitis or other chronic liver diseases show a high number of false negative results in samples obtained via the percutaneous route. This fact justifies performing a liver biopsy via the laparoscopic route. However, this is an expensive technique, with morbidities associated with pneumoperitoneum and anesthetic complications. The main objective of this study is to develop a video-assisted technique that uses only a minimally-invasive device for the liver biopsy and the optical trocar. Without additional trocars, this technique constitutes a less invasive procedure than the existing techniques in clinical practice.

methodsThis is a device development and validation study and patients submitted to abdominal laparoscopic surgery and required liver biopsy for moderate to severe steatosis were recruited. The patients were randomized into two groups: laparoscopic liver biopsy technique (n = 10, control group) and mini-laparoscopic liver biopsy technique (n = 8, experimental group). The times associated with procedure performance in both groups were evaluated using the Mann-Whitney or Kruskal-Wallis tests according to data distribution.

resultsAt baseline, there was no statistical difference regarding gender and type of surgery. The experimental group had a significantly shorter time compared with the group that underwent the traditional procedure in mean procedure time (p = 0.003), biopsy time (p = 0.002) and hemostasis time (p = 0.003).

conclusionsThe mini-laparoscopic biopsy device and technique showed to be capable of safely obtaining sufficient tissue samples, which was minimally invasive and in a shorter time than the classic technique.

Indexed as

LaparoscopyLiver DiseasesBiopsyHumansLiver CirrhosisBiopsyHemorrhageLaparoscopesLarge-Core NeedleLiver CirrhosisNeedle

Identifiers

PMID37041464
PMCPMC10091625
OpenAlexW4364361349

What OpenQuestion holds

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LicenceCC BY
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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.