Evidence map›Paper›PMID 39692883›Full record

Observational studyLangenbeck's archives of surgery2024

Low vs. conventional intra-abdominal pressure in laparoscopic colorectal surgery: a prospective cohort study.

Mohammed Hamid, Shafquat Zaman, Omar Ezzat Saber Mostafa, Alex Deutsch, Jonty Bird, Anthony Kawesha, Michael Reay, Irmeet Banga, Anna Williams, Peter Waterland and 1 more

Abstract readObservational StudyComparative Study
PubMed Publisher
In one paragraph

Observational study in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Mohammed HamidDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Shafquat ZamanDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Omar Ezzat Saber MostafaDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK. omar.mostafa1@nhs.net.ORCID http://orcid.org/0000-0001-5273-3386
Alex DeutschDepartment of Anaesthetics and Intensive Care, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Jonty BirdDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Anthony KaweshaDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Michael ReayDepartment of Anaesthetics and Intensive Care, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Irmeet BangaDepartment of Anaesthetics and Intensive Care, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Anna WilliamsDepartment of Anaesthetics and Intensive Care, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Peter WaterlandDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Akinfemi AkingboyeDepartment of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLow intraabdominal pressure (IAP) during laparoscopy is associated with improved post-operative outcomes across a variety of surgical specialties. A prospective cohort study was undertaken to assess post-operative outcomes in patients undergoing laparoscopic colorectal surgery (LCRS) with low (8mmHg) versus conventional (15mmHg) IAP.

methodsA prospective real-world observational study of patients undergoing LCRS in a single-centre, between June 2020 and June 2023 was performed. Operative procedures for diverse colonic pathology such as diverticular disease, inflammatory bowel disease (IBD), and colorectal cancers (CRC) were included. The evaluated primary outcomes were post-operative pain, return of gastrointestinal motility, and length of hospital stay. Secondary outcomes were the overall safety profile including intra- and post-operative complications and morbidity. Outcomes of interest were investigated using multivariate analysis.

resultsA total of 120 patients were included of which 69 (57.5%) were male. Median age and BMI of the cohort was 67 years (51-75 years) and 27 kg/m

conclusionLow IAP use during LCRS is feasible with a comparable safety profile to conventional laparoscopy. Intra-operative respiratory physiology is improved with reduced postoperative pain and analgesic requirement, and earlier time to pass flatus. Future rationally designed; well-powered, randomised trials are needed to understand the benefits of low intra-peritoneal pressure during laparoscopic colorectal resections.

Indexed as

LaparoscopyPressureAgedCohort StudiesFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsPostoperative PainProspective StudiesColorectal surgeryLaparoscopyPneumoperitoneumPostoperative pain

Identifiers

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.