Evidence map›Paper›PMID 37538165›Full record

ArticleAsian journal of urology2023

Neuraxial anesthesia versus general anesthesia in patients undergoing three-dimensional laparoscopic radical prostatectomy: Preliminary results of a prospective comparative study.

Stefano Alba, Deborah Fimognari, Fabio Crocerossa, Luigi Ascalone, Carmine Pullano, Fernando Chiaravalloti, Francesco Chiaradia, Umberto Carbonara, Matteo Ferro, Ottavio de Cobelli and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Asian journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Stefano AlbaDepartment of Urology, Romolo Hospital, Rocca di Neto, Kr, Italy.
Deborah FimognariDepartment of Urology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Fabio CrocerossaDepartment of Urology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Luigi AscaloneDepartment of Urology, Romolo Hospital, Rocca di Neto, Kr, Italy.
Carmine PullanoDepartment of Anesthesiology, Villa Pia, Roma, Italy.
Fernando ChiaravallotiDepartment of Anesthesiology, Romolo Hospital, Rocca di Neto Kr, Italy.
Francesco ChiaradiaDepartment of Urology, Romolo Hospital, Rocca di Neto, Kr, Italy.
Umberto CarbonaraUniversità degli Studi di Bari Aldo Moro, Department of Urology, Bari, Italy.
Matteo FerroDivision of Urology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Ottavio de CobelliDivision of Urology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Vincenzo PagliaruloDepartment of Urology, Vito Fazzi Hospital, Lecce, Italy.
Giuseppe LucarelliDepartment of Emergency and Organ Transplantation-Urology, Andrology and Kidney Transplantation Unit, University of Bari, Bari, Italy.
Michele BattagliaDepartment of Emergency and Organ Transplantation-Urology, Andrology and Kidney Transplantation Unit, University of Bari, Bari, Italy.
Rocco DamianoDepartment of Urology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Francesco CantielloDepartment of Urology, Magna Graecia University of Catanzaro, Catanzaro, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Neuraxial anesthesia (NA) showed to reduce both morbidity and mortality in patients undergoing laparoscopic surgery. We aimed to investigate the use of NA in patients undergoing transperitoneal three-dimensional laparoscopic radical prostatectomy (t-3DLRP) and compare the intraoperative and postoperative outcomes with a control group of patients undergoing t-3DLRP under general anesthesia (GA). Methods: A prospective, double-center, double-surgeon study cohort of 84 consecutive patients undergoing t-3DLRP between June 2019 and June 2021 was analyzed. A study group of 42 patients undergoing t-3DLRP under NA was compared with a control group of 42 patients undergoing t-3DLRP under GA. Results: The two group were similar in all demographic, clinical, and pathological variables. Postoperative blood gas parameters were within physiologic limits in both groups. Muscle relaxation was adequate for surgery during both NA and GA. Median length of stay was 1 day shorter for NA group than GA group (5 days Conclusion: t-3DLRP under NA is a feasible and safe procedure, with less postoperative pain and fewer minor complications than the same procedure under GA. NA allows the maintenance of muscle relaxation and respiratory excursions without interfering with surgery.

Indexed as

General anesthesiaLaparoscopyNeuraxial anesthesiaPostoperative complicationsProstate cancerRadical prostatectomy

Identifiers

PMID37538165
PMCPMC10394281

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Registered trials

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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.