Evidence map›Paper›PMID 38789638›Full record

Trial reportWorld journal of urology2024

The impact of low pressure pneumoperitoneum in robotic assisted radical prostatectomy II: a prospective, randomized, double blinded trial.

Kevin Keating, Charla Holdren, Richard Eames, Christopher Pulford, Emiley O'Pry, David Peifer, Matthew Rohloff, Jeffery Fletcher, Thomas J Maatman

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
–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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
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.

Kevin KeatingDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA. kevin.keating@umhwest.org.
Charla HoldrenDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Richard EamesDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Christopher PulfordDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Emiley O'PryDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
David PeiferDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Matthew RohloffDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Jeffery FletcherDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.
Thomas J MaatmanDepartment of Urological Surgery, University of MI Health - West, 5900 Byron Center Ave., Wyoming, MI, 49519, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze postoperative ileus rates and postoperative complications between the different pneumoperitoneum settings. The secondary objective was to evaluate narcotic use and intraoperative blood loss between the different pneumoperitoneum settings.

methodsA prospective, randomized, double blinded study was conducted at pneumoperitoneum pressures of either 12 mmHg or 15 mmHg for patients undergoing robotic assisted radical prostatectomy with bilateral pelvic lymph node dissection by a single high volume surgeon.

resultsThe risk of ileus in the 12 mmHg group was 1.9% (2/105) compared to 3.2% (3/93) in the 15 mmHg group (OR 0.58, 95%CI 0.1-3.6). There was no difference in the risk of any complication with a complication rate of 4.8% (5/105) in the 12 mmHg arm compared to 4.3% (4/93) in the 15 mmHg arm (OR 1.1, 95% CI 0.3 - 4.3).

conclusionPneumoperitoneum pressure setting of 12 mmHg has no significant difference to 15 mmHg in the rate of postoperative complications, narcotic use, and intraoperative bleeding. Additional research is warranted to understand the optimal.

Indexed as

Pneumoperitoneum, ArtificialPostoperative ComplicationsPressureProstatectomyRobotic Surgical ProceduresAgedBlood Loss, SurgicalDouble-Blind MethodHumansIleusLymph Node ExcisionMaleMiddle AgedProspective StudiesProstatic NeoplasmsNarcotic usePneumoperitoneumPostoperative ileusRobotic assisted radical prostatectomy

Identifiers

What OpenQuestion holds

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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.