Evidence map›Paper›PMID 40493040›Full record

ArticleLangenbeck's archives of surgery2025

Comparison of clinical efficacy of Laennec's capsule approach and traditional approach in patients with gallbladder stones complicated by acute cholecystitis.

Heng Zhang, Rong Xu, Zhilong Yang

Abstract readComparative Study
In one paragraph

Article in Langenbeck's archives of surgery, 2025. 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. 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

3 authors.

Heng Zhang *Department of General Surgery, Nanjing Lishui People's Hospital, Nanjing, 211200, Jiangsu, China.
Rong Xu *Department of Obstetrics and Gynecology, Nanjing Lishui People's Hospital, Nanjing, 211200, Jiangsu, China.
Zhilong YangDepartment of General Surgery, Nanjing Lishui People's Hospital, Nanjing, 211200, Jiangsu, China. 641952830@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the application of laparoscopic cholecystectomy (LC), such as safety, feasibility, and advantages via Laennec’s capsule in patients with gallbladder stones complicated by acute cholecystitis.

methodsA total of 120 patients with gallbladder stones and acute cholecystitis who underwent surgery at Lishui District People’s Hospital, Nanjing, from June 2022 to August 2024 were retrospectively assessed. Patients were divided into the following two groups: the experimental (LC via the Laennec’s capsule, n = 60) and control groups (conventional LC with Calot’s triangle dissection, n = 60). The parameters such as the intraoperative blood loss, operative time, duration of postoperative drainage, length of hospital stay, bile duct injury rate, conversion to open surgery, the rate of postoperative complications, use of bioabsorbable clips, and gastrointestinal recovery were recorded. The enzyme-linked immunosorbent assay was used to measure serum interleukin-6 (IL-6) and C-reactive protein (CRP) levels.

resultsThe experimental group demonstrated significantly lower intraoperative blood loss, shorter duration of postoperative drainage, faster gastrointestinal recovery, shorter hospital stay, lower postoperative pain scores, and reduced use of bioabsorbable clips than the control group (p < 0.05). Serum IL-6 and CRP levels in the experimental group were significantly lower at 24 h postoperatively than those in the control group. However, no statistically significant differences were observed between the experimental and control groups in terms of baseline characteristics, operative time, conversion to open surgery rate, or postoperative complication rate (p > 0.05).

conclusionLC via the Laennec’s capsule offers advantages by accelerating gastrointestinal recovery, reducing the postoperative inflammatory response, and improving quality of life in the treatment of gallbladder stone patients with acute cholecystitis.

Indexed as

Cholecystectomy, LaparoscopicCholecystitis, AcuteGallstonesAdultAgedBlood Loss, SurgicalFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeClinical efficacyConventional Calot’s triangle dissectionGallbladder stones with acute cholecystitisLaennec’s capsuleLaparoscopic cholecystectomy

Identifiers

PMID40493040
PMCPMC12152058

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Registered trials

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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.