Evidence map›Paper›PMID 40705093›Full record

ReviewSurgery today2025

Methods used for smoke evacuation in laparoendoscopic surgery: a technical review.

Jianlu Zhang, Ziqi Zhou, Wai San Ho, Qiaofei Liu, Feng Tian, Junchao Guo

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgery today, 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

6 authors.

Jianlu Zhang *Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Ziqi Zhou *Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
Wai San Ho *Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Qiaofei LiuDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Feng TianDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. andytianfeng@126.com.
Junchao GuoDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. pumch_research@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe surgical smoke generated in laparoendoscopic surgery compromises visual clarity and poses health hazards to the operating team. While numerous strategies to maintain a clear surgical field and mitigate these risks have been developed, existing research remains fragmented. This lack of systematic evidence of effective solutions creates challenges in clinical practice.

methodsWe conducted this study to evaluate the effectiveness of current smoke evacuation methods aimed at maintaining surgical field visibility and mitigating occupational hazards during laparoendoscopic procedures. The analysis synthesizes literature retrieved from PubMed/MEDLINE, Scopus, and the Cochrane Library databases, with all included studies published up until January, 2025.

resultsA total of 19 techniques were categorized systematically into four distinct approaches: active instrument-tip suction, port-side evacuation, valveless trocar systems, and continuous suction for gasless laparoendoscopy. Each category exhibits unique operational mechanisms, advantages, and limitations.

conclusionsMultiple solutions exist for surgical smoke management in laparoendoscopic procedures, but their future development should prioritize creating more efficient, user-friendly, and safer evacuation technologies that will account for global healthcare resource disparities to ensure broad clinical applicability.

Indexed as

LaparoscopyOccupational ExposureSmokeHumansSuctionSmokeLens foggingMinimally invasive surgeryOperating roomsSurgical smoke

Identifiers

PMID40705093

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.