Evidence map›Paper›PMID 37365939›Full record

SynthesisAnnals of the Royal College of Surgeons of England2024

A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

M Al-Azzawi, M Abouelazayem, C Parmar, R Singhal, B Amr, A Martinino, S D Atıcı, K Mahawar

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevention of bile duct injury - A bird's eye view.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  4. Article
  5. Article
  6. Gallstone ileus 16 years postcholecystectomy?Radiology case reports · 2025
    Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. 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 8 institutions in 3 countries.

M Al-AzzawiUniversity Hospital Crosshouse, UK.
M AbouelazayemSt George's University Hospitals NHS Foundation Trust, UK.
C ParmarWhittington Health NHS Trust, UK.
R SinghalUniversity Hospitals Birmingham NHS Foundation Trust, UK.
B AmrUniversity Hospitals Plymouth NHS Trust, UK.
A MartininoUniversity of Rome "La Sapienza", Italy.
S D AtıcıIzmir Tepecik Training and Research Hospital, Turkey.
K MahawarSouth Tyneside and Sunderland NHS Foundation Trust, UK.
Izmir Tepecik Eğitim ve Araştırma Hastanesi · TRSapienza University of Rome · ITSouth Tyneside and Sunderland NHS Foundation Trust · GBSt George’s University Hospitals NHS Foundation Trust · GBUniversity Hospital Crosshouse · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospitals Plymouth NHS Trust · GBWhittington Health NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic subtotal cholecystectomy (LSTC) is a bailout procedure that is undertaken when it is not safe to proceed with a laparoscopic total cholecystectomy owing to dense adhesions in Calot's triangle. The main aim of this review was to investigate the early (≤30 days) and late (>30 days) morbidity and mortality of LSTC.

methodsA literature search of the PubMed

resultsOverall, 45 studies involving 2,166 subtotal cholecystectomy patients (51% female) were identified for inclusion in the review. The mean patient age was 55 years (standard deviation: 15 years). Just over half (53%) of the patients had an elective procedure. The conversion rate was 6.2% (

conclusionsLSTC is an acceptable alternative in patients with a "difficult" Calot's triangle.

Indexed as

Cholecystectomy, LaparoscopicGallstonesCholecystectomyCystic DuctHumansMorbidityBiliary surgeryGallbladderGallstonesLaparoscopicMinimally invasiveSubtotal cholecystectomy

Identifiers

PMID37365939
PMCPMC10904265
OpenAlexW4382122417

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.