Evidence map›Paper›PMID 38379005›Full record

ArticleSurgical endoscopy2024

Subcutaneous emphysema associated with laparoscopic or robotic abdominal surgery: a retrospective single-center study.

Kazuma Ito, Kozo Kataoka, Yuya Takenaka, Naohito Beppu, Yurie Tsukasaki, Koichi Kohno, Hiroshi Tsubamoto, Hisashi Shinohara, Seiko Hirono, Shingo Yamamoto and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. [Anesthesia for robot-assisted surgery].Die Anaesthesiologie · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

12 authors at 2 institutions in 1 country.

Kazuma Ito *Division of Lower GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Kozo Kataoka *Division of Lower GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan. kozokataoka@hotmail.co.jp.ORCID 0000-0003-2043-8184
Yuya TakenakaDivision of Lower GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Naohito BeppuDivision of Lower GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Yurie TsukasakiNursing Department, Hyogo Medical University, Nishinomiya, Japan.
Koichi KohnoNursing Department, Hyogo Medical University, Nishinomiya, Japan.
Hiroshi TsubamotoDepartment of Obstetrics and Gynecology, Hyogo Medical University, Nishinomiya, Japan.
Hisashi ShinoharaDivision of Upper GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Seiko HironoDepartment of Hepato-Biliary-Pancreatic Surgery, Hyogo Medical University, Nishinomiya, Japan.
Shingo YamamotoDepartment of Urology, Hyogo Medical University, Nishinomiya, Japan.
Hiroki IkeuchiDivision of Inflammatory Bowel Disease Surgery, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Masataka IkedaDivision of Lower GI, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.
Hyogo University · JPHoshigaoka Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubcutaneous emphysema (SCE) is a common complication in laparoscopic surgery. However, its precise incidence and impact on the clinical course are partially known. In this study, the incidence and risk factors of SCE were retrospectively analyzed.

methodsPatients who underwent laparoscopic/robotic abdominal surgery (e.g., gastrointestinal, hepatobiliary, gynecologic, and urologic surgery) between October 2019 and September 2022 were retrospectively analyzed. The presence of SCE was confirmed by either conclusive findings obtained through chest/abdominal X-ray examination immediately after operation, or intraoperative palpation conducted by nurses. X-ray examination was performed in the operation room before extubation.

resultsA total of 2503 patients treated with laparoscopic/robotic abdominal surgery between October 2019 and September 2022 were identified and all of them were included in the analysis. SCE was confirmed in 23.1% of the patients (i.e., 577/2503). SCE was identified by X-ray examination in 97.6% of the patients. Extubation failure was observed in 10 patients; however, pneumothorax was not observed. Female sex (odds ratio [OR]: 2.09; 95% confidence interval [95%CI]: 1.69-2.57), age ≥ 80 years (OR 1.63; 95%CI 1.19-2.22), body mass index < 20 (OR 1.32; 95%CI 1.06-1.65), operation time > 360 min (OR 1.97; 95%CI 1.53-2.54), robotic surgery (OR 2.54; 95%CI 1.91-3.38), maximum intraabdominal pressure with CO

conclusionAlthough the presence of SCE is associated with a low risk of severe complications, monitoring of the perioperative intraabdominal pressure is essential for performing safe laparoscopic/robotic surgery, particularly in elderly patients.

Indexed as

LaparoscopyRobotic Surgical ProceduresSubcutaneous EmphysemaAgedAged, 80 and overCarbon DioxideFemaleHumansPostoperative ComplicationsRetrospective StudiesCarbon DioxideAbdominal surgeryLaparoscopicRoboticSubcutaneous emphysema

Identifiers

PMID38379005
OpenAlexW4391953933

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.