Evidence map›Paper›PMID 37875644›Full record

SynthesisProstate cancer and prostatic diseases2024

Impact of peritoneal reconfiguration on lymphocele formation after robot-assisted radical prostatectomy with pelvic lymph node dissection: a systematic review and meta-analysis of randomized controlled trials.

Francesco Ditonno, Celeste Manfredi, Antonio Franco, Alessandro Veccia, Fabrizio Dal Moro, Cosimo De Nunzio, Marco De Sio, Alessandro Antonelli, Riccardo Autorino

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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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 5 institutions in 2 countries.

Francesco Ditonno *Department of Urology, Rush University Medical Center, Chicago, IL, USA.ORCID 0009-0005-0126-4731
Celeste Manfredi *Department of Urology, Rush University Medical Center, Chicago, IL, USA.ORCID 0000-0002-9706-8516
Antonio Franco *Department of Urology, Rush University Medical Center, Chicago, IL, USA.
Alessandro VecciaDepartment of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0001-5947-3206
Fabrizio Dal MoroDepartment of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, Padua, Italy.
Cosimo De NunzioDepartment of Urology, Sant'Andrea Hospital, Sapienza University, Rome, Italy.ORCID 0000-0002-2190-512X
Marco De SioUnit of Urology, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro AntonelliDepartment of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-7455-8803
Riccardo AutorinoDepartment of Urology, Rush University Medical Center, Chicago, IL, USA. ricautor@gmail.com.ORCID 0000-0001-7045-7725
Rush University Medical Center · USUniversity of Verona · ITAzienda Ospedaliera Sant'Andrea · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent strategies have been proposed to prevent lymphocele (LC) formation after radical prostatectomy (RARP) with pelvic lymph node dissection (PLND). According to several recently published randomized control trials (RCTs) on the topic, peritoneal reconfiguration appears to be associated with promising results. This systematic review aimed to assess the impact of peritoneal reconfiguration on LC formation in patients undergoing RARP and PLND.

methodsA comprehensive bibliographic search was conducted in August 2023. Studies assessing patients with prostate cancer undergoing RARP with PLND (P) and concomitant peritoneal reconfiguration (I) compared or not with other techniques (C) to prevent LC formation (O) were included. Original prospective and retrospective studies (S) were selected. LC and symptomatic LC rates were chosen as co-primary outcomes. Only RCTs were included in the meta-analysis.

resultsEleven studies investigating 2991 patients were included in the systematic review, and five RCTs evaluating 1712 subjects were deemed eligible for meta-analysis. Peritoneal flap (PF) was the most common surgical technique used for LC prevention (9 studies). A significantly lower likelihood of LC was observed after PF (OR 0.82, 95% CI 0.27-1.37, I

conclusionsPF after RARP with PLND reduces LC formation, LC-related complications, and severe postoperative adverse events.

Indexed as

Lymph Node ExcisionLymphocelePeritoneumPostoperative ComplicationsProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresHumansMalePelvisRandomized Controlled Trials as Topic

Identifiers

PMID37875644
OpenAlexW4387906079

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.