Evidence map›Paper›PMID 41714455›Full record

ArticleSurgical endoscopy2026

Conversion to open following a minimally invasive surgical attempt in inflammatory bowel disease is not associated with increased morbidity compared to a planned open approach.

Shannon N Radomski, Michael Consul, Miloslawa Stem, Lawrence B Brown, Alodia Gabre-Kidan, Ada E Graham, Andrea C Bafford, Vincent J Obias

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. 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. 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.

Shannon N Radomski *Colorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA. sradoms1@jhmi.edu.ORCID http://orcid.org/0000-0002-2923-9096
Michael Consul *Colorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Miloslawa StemColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Lawrence B BrownColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Alodia Gabre-KidanColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Ada E GrahamColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Andrea C BaffordColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Vincent J ObiasColorectal Research Unit, Department of Surgery, The Johns Hopkins University School of Medicine, Halsted 658, 600 N Wolfe Street, Baltimore, MD, 21287, USA.

Funding

The Effect Of Structural Racism On Racial And Geographic Disparities In Deceased Organ DonationF32DK132832 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BROWN, LAWRENCE · 2022 to 2024
$273k
NCI NIH HHS 5T32CA126607-12NIDDK NIH HHS F32DK132832
6 · The paper itself

Abstract

backgroundUse of minimally invasive surgical (MIS) techniques in the management of patients with inflammatory bowel disease (IBD) is increasing. The aim of this study was to compare postoperative morbidity in patients who underwent planned open procedures to those who had an unplanned conversion to open.

methodsThis study was a retrospective analysis of the ACS-NSQIP colectomy and proctectomy targeted databases from 2016 to 2022 in adult patients with a diagnosis of either Crohn's disease (CD) or ulcerative colitis (UC). Patients were stratified by surgical approach, and propensity score matching was used to compare the primary outcome of 30-day overall morbidity between planned open procedures and MIS procedures converted to open.

resultsA total of 23,272 patients met the inclusion criteria. Of the 2343 robotic procedures, 181 (7.7%) were converted to an open approach. For laparoscopic CD and UC cases, 1266 (13.8%) and 334 (6.5%), respectively, were converted to open. Patients who underwent an attempted robotic approach for UC that was converted to open (n = 59) had similar rates of overall and serious morbidity compared to planned open cases (33.9% vs. 30.5%, p = 0.694, and 27.1% vs. 13.6%, p = 0.067, respectively). For laparoscopic UC cases, there were similar rates of overall and serious morbidity compared to planned open UC cases (38.8% vs. 32.1%, p = 0.073, and 20.0% vs. 17.6%, p = 0.425, respectively). Attempted robotic approaches for CD that were converted to open (n = 119) had similar rates of overall and serious morbidity compared to planned open cases (35.3% vs. 26.1%, p = 0.122, and 21.9% vs. 19%, p = 0.247, respectively). For laparoscopic CD cases, there were similar rates of overall and serious morbidity compared to planned open CD cases (27.4% vs. 29.7%, p = 0.200, and 15.8% vs. 16.8%, p = 0.517, respectively).

conclusionsConversion to open following an initial MIS approach in patients with IBD is not associated with worse outcomes compared to planned open procedures.

Indexed as

ColectomyColitis, UlcerativeConversion to Open SurgeryCrohn DiseaseInflammatory Bowel DiseasesLaparoscopyMinimally Invasive Surgical ProceduresPostoperative ComplicationsProctectomyRobotic Surgical ProceduresAdultFemaleHumansMaleMiddle AgedRetrospective StudiesColorectal surgeryInflammatory bowel diseaseMinimally invasive surgical proceduresPostoperative complicationsPost-surgical morbidity

Identifiers

PMID41714455

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.