Evidence map›Paper›PMID 38021963›Full record

ArticleCureus2023

Symptom Duration and Surgeon Volume: Impact on Early Laparoscopic Cholecystectomy for Acute Cholecystitis.

Yasin Güneş, İksan Taşdelen, Anıl Ergin, Ahmet Çakmak, Ali Cihan Bilgili, Anıl Bayram, Mehmet T Aydın

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 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
0.8field-weighted citation impact, top 24% 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, 3 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

7 authors at 2 institutions in 2 countries.

Yasin GüneşGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
İksan TaşdelenGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Anıl ErginGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Ahmet ÇakmakGeneral Surgery, Sinop Ayancık State Hospital, Sinop, TUR.
Ali Cihan BilgiliGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Anıl BayramGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Mehmet T AydınGeneral Surgery Department, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi · TRState Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 'golden 72 hours' rule from the onset of symptoms still applies in laparoscopic cholecystectomy for acute cholecystitis. This rule has been discussed with increasing experience in laparoscopic surgery in recent years.

objectiveThis study aims to determine the optimal symptom duration based on the surgeon's volume when deciding on early laparoscopic cholecystectomy for acute cholecystitis. MATERIALS AND

methodsThe patients were categorized into two groups: Group 1 (≤3 days) and Group 2 (>3 days) based on the symptom duration, and high-volume surgeons (performing >100 laparoscopic cholecystectomies in a year) and low-volume surgeons (performing <100 laparoscopic cholecystectomies in a year) based on the surgeon volume. All surgeons had received advanced training in laparoscopic surgery.

resultsThere was no statistical difference in postoperative outcomes between groups, except for a few data (p>0.05). The operative time was longer in Group 2, the postoperative hospital stay was longer for low-volume surgeons than for high-volume surgeons after three days, and operative time was longer after three days than the first three days in low-volume surgeons (p<0.05).

conclusionsEarly laparoscopic cholecystectomy may be recommended for acute cholecystitis with symptom duration of more than three days, regardless of the surgeon volume, as long as they are competent in laparoscopic surgeries.

Indexed as

acute cholecystitisearly laparoscopic cholecystectomyhigh-volume surgeonslow-volume surgeonssymptom duration

Identifiers

PMID38021963
PMCPMC10664691
OpenAlexW4387879894

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.