Evidence map›Paper›PMID 37271758›Full record

ArticleJournal of robotic surgery2023

Retrospective analysis of operative time and time to discharge for laparoscopic vs robotic approaches to appendectomy and cholecystectomy.

Ahmad Oussama Rifai, Emily M Rembetski, Larry Collins Stutts, Zachary D Mazurek, Jenifer L Yeh, Kareem Rifai, Ryan A Bear, Alexander J Maquiera, David J Rydell

Open access · hybridAbstract read
In one paragraph

Article in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
7.3field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  5. Robotic versus Laparoscopic Cholecystectomy: Length of Stay and Readmission.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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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

9 authors at 4 institutions in 1 country.

Ahmad Oussama RifaiThe Education and Research Department, The Virtual Nephrologist, INC, PO Box 1750, Lynn Haven, FL, 32444-5950, USA. thevirtualnephrologist@gmail.com.ORCID http://orcid.org/0000-0003-2233-1188
Emily M RembetskiACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Larry Collins StuttsACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Zachary D MazurekACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Jenifer L YehACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Kareem RifaiACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Ryan A BearACOM, Research Department, Alabama College of Osteopathic Medicine, 445 Health Sciences Boulevard, Dothan, AL, 36303, USA.
Alexander J MaquieraHCA Florida Trinity Hospital, 9330 SR 54 E, Trinity, FL, 34655, USA.
David J RydellEnvision Physician Services, HCA Florida Gulf Coast Hospital, 449 west 23rd stree, Panama City, FL, 32405, USA.
Alabama College of Osteopathic Medicine · USLynn University · USMid Coast Hospital · USTrinity Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted appendectomies and cholecystectomies are believed to increase cost compared to the gold standard laparoscopic approach. Two equally qualified surgeons performed both approaches over 2 years to evaluate intraoperative duration, time to discharge, conversion to open procedure, and readmission within 30 days. 110 laparoscopic, 81 robotic-assisted appendectomies; and 105 laparoscopic and 165 robotic-assisted cholecystectomies were performed. Intraoperative time; laparoscopic appendectomy was 1.402 vs 1.3615 h for robotic-assisted (P value = 0.304); laparoscopic cholecystectomy was 1.692 vs 1.634 h for robotic-assisted (P value = 0.196). Time to discharge, was 38.26 for laparoscopic vs 28.349 h for robotic-assisted appendectomy (P value = 0.010), and 35.95 for laparoscopic vs 28.46 h for robotic-assisted cholecystectomy (P value = 0.002). Intraoperative conversion to open; only laparoscopic procedures were converted, one appendectomy and nine cholecystectomies. None in the robotic-assisted procedures. Readmissions, none in the appendectomy group and three in the cholecystectomy group. One laparoscopic and two robotic-assisted cholecystectomy patients were readmitted. Intraoperative times for robotic appendectomy and cholecystectomy were not longer than laparoscopic approach. Robotic approach shortened the time to discharge and the likelihood for conversion to open procedure.

Indexed as

Cholecystectomy, LaparoscopicLaparoscopyRobotic Surgical ProceduresAppendectomyCholecystectomyHumansOperative TimePatient DischargeRetrospective StudiesIntraoperative timeLaparoscopicRobotic-assisted appendectomyRobotic-assisted cholecystectomyTime to discharge

Identifiers

PMID37271758
PMCPMC10492745
OpenAlexW4379365346

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.