Evidence map›Paper›PMID 35821685›Full record

ArticleJournal of minimally invasive surgery2022

Optimal drain management following complicated laparoscopic cholecystectomy for acute cholecystitis: a propensity-matched comparative study.

Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of minimally invasive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
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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 at 1 institution in 1 country.

Seung Jae LeeDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-3302-6624
In Seok ChoiDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-9656-3697
Ju Ik MoonDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-8120-5854
Dae Sung YoonDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-6447-2862
Won Jun ChoiDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0003-0278-4024
Sang Eok LeeDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-9956-7693
Nak Song SungDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-7549-3829
Seong Uk KwonDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.
In Eui BaeDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-9220-8815
Seung Jae RohDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-3232-2798
Sung Gon KimDepartment of Surgery, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-8837-073X
Konyang University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study was performed to investigate the effect of drain placement on complicated laparoscopic cholecystectomy (cLC) for acute cholecystitis (AC). Methods: This single-center retrospective study reviewed patients with AC who underwent cLC between January 2010 and December 2020. cLC was defined as open conversion, subtotal cholecystectomy, adjacent organ injury during surgery, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL. One-to-one propensity score matching was performed to compare the surgical outcomes between patients with and without drain on cLC. Results: A total of 216 patients (mean age, 65.8 years; 75 female patients [34.7%]) underwent cLC, and 126 (58.3%) underwent intraoperative abdominal drainage. In the propensity score-matched cohort (61 patients in each group), early drain removal (≤postoperative day 3) was performed in 42 patients (68.9%). The overall rate of surgical site infection (SSI) was 10.7%. Late drain removal demonstrated significantly worse surgical outcomes than no drain placement and early drain removal for overall complications (13.1% vs. 21.4% vs. 47.4%, Conclusion: This study demonstrated that drain placement is not routinely recommended, even after cLC for AC. When placing a drain, early drain removal is recommended because late drain removal is associated with a higher risk of organ space SSI.

Indexed as

Acute cholecystitisCholecystectomyDrainageLaparoscopy

Identifiers

PMID35821685
PMCPMC9218398
OpenAlexW4282970082

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.