Evidence map›Paper›PMID 38918215›Full record

ArticleSurgery today2024

Usefulness of laparoscopic surgery for colorectal perforation: a single-center retrospective cohort study.

Nobuhisa Tanioka, Michio Kuwahara, Hiromichi Maeda, Naoki Edo, Yuzuko Nokubo, Shigeto Shimizu, Toyokazu Akimori, Satoru Seo

Abstract read
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In one paragraph

Article in Surgery today, 2024. 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
–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

1 citing paper in PubMed.

  1. Minimally invasive surgery for colorectal cancer emergencies.World journal of clinical oncology · 2025
    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

8 authors.

Nobuhisa TaniokaDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan.
Michio KuwaharaDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan. wrcmc1123michi@yahoo.co.jp.
Hiromichi MaedaDepartment of Surgery, Kochi Medical School Hospital, Kochi University, Kohasu, Oko-Cho, Nankoku, Kochi, 783-8505, Japan.
Naoki EdoDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan.
Yuzuko NokuboDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan.
Shigeto ShimizuDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan.
Toyokazu AkimoriDepartment of Surgery, Hata Kenmin Hospital, 3-1 Yoshina, Yamanacho, Sukumo-City, Kochi, 788-0785, Japan.
Satoru SeoDepartment of Surgery, Kochi Medical School Hospital, Kochi University, Kohasu, Oko-Cho, Nankoku, Kochi, 783-8505, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to determine the safety and efficacy of laparoscopic surgery in patients with colorectal perforation owing to a significant lack of evidence in this field.

methodsThis retrospective cohort study analyzed the data of 70 patients who underwent emergency surgery for colorectal perforations between January 2017 and December 2023. The surgical outcomes of the patients who underwent open and laparoscopic surgeries were statistically compared. The primary endpoints were postoperative mortality and complications. The secondary endpoints included blood loss, surgical time, length of hospital stay, and 1-year overall survival.

resultsOverall, 28 patients underwent open surgery and 42 underwent laparoscopic surgery. No significant difference was noted in the postoperative mortality or overall rate of severe complications between the two groups. The incidence of superficial and deep incisional surgical site infection was lower in the laparoscopic surgery group (35.7% vs. 0.0%, p < 0.001), while the surgical time was significantly longer in the laparoscopic group (175.6 ± 92.2 min vs. 290.0 ± 102.3 min, p < 0.001). No significant differences were found in blood loss, length of hospital stay, or 1-year overall survival.

conclusionsLaparoscopic surgery for colorectal perforation markedly reduced superficial and deep incisional surgical site infection, with no substantial difference in mortality or severe complications.

Indexed as

Intestinal PerforationLaparoscopyLength of StayOperative TimePostoperative ComplicationsAdultAgedBlood Loss, SurgicalCohort StudiesColonEmergenciesFemaleHumansMaleMiddle AgedRectumColorectal perforationLaparoscopic surgerySurgical site infection

Identifiers

PMID38918215

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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.