Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012
Routine anterior approach during right hepatectomy: results of a prospective randomised controlled trial.
Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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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.
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.
Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- AnteriorWorld journal of gastroenterology · 2017Pooled it
- Methods to decrease blood loss during liver resection: a network meta-analysis.The Cochrane database of systematic reviews · 2016Pooled it
- Anterior vs conventional approach hepatectomy for large liver cancer: a meta-analysis.World journal of gastroenterology · 2014Pooled it
- Article
- A Comparative Study of Laparoscopic and Open Approaches for Right Hemihepatectomy in Hepatocellular Carcinoma Patients: Safety and Short-Term Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Post-operative Day 1 Serum Transaminase Levels in Relation to Morbidity After Liver Resection.World journal of surgery · 2022Article
- Laparoscopic liver resection: a review of current indications and surgical techniques.Hepatobiliary surgery and nutrition · 2018Review
- Significance of liver hanging maneuver for anatomical hepatectomy in patients with a large hepatocellular carcinoma compressing intrahepatic vasculatures.Annals of hepato-biliary-pancreatic surgery · 2017Article
- Modified hanging manoeuvre facilitates inferior vena cava resection and reconstruction during extended right hepatectomy: A technical case report.Molecular and clinical oncology · 2017Article
- Anatomy of the retrohepatic tunnel in a Chinese population and its clinical application in liver surgery.Scientific reports · 2017Article
- Ventral segment-preserving right hepatectomy in patients with hepatocellular carcinoma.World journal of surgery · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
TRIAL
designA prospective randomised controlled trial was designed to evaluate the advantages of routine application of the anterior approach during right hepatectomy.
methodsThe study was conducted between March 2005 and April 2009 in a tertiary hepatobiliary-pancreatic centre. Patients scheduled for right hepatectomy for primary or metastatic tumours, without infiltration of segment 1, inferior vena cava or main bile duct, were randomly assigned to right hepatectomy using either an anterior or a classic approach. The primary study endpoint was overall blood loss.
resultsSixty-six patients were randomly allocated to undergo right hepatectomy with an anterior (AA group n=33) or a classic approach (CA group n=33). Sixty-five patients were included in the analysis (33 in AA group and 32 in CA group). There was no significant difference in patient age, diagnosis, preoperative hepatic biochemistry and tumour size between the two groups. Overall blood loss (437 ml ± 664 in AA group vs.500 ml ± 532.3 in CA group; p=0.960) and bleeding during transection (p=0.973) were similar between two groups. Perioperative blood transfusion rates were 18% in the AA group and 9.3 % in the CA group (p=0.253). Time of parenchymal transsection was significantly longer in AA group (75.1 ± 26.6 min vs. 56.7 ± 17.5 min, p=0.01). There was no difference between both groups for postoperative prothrombin time, serum transaminase and total bilirubin levels. One patient died in each group (p=0.746). The two groups had similar morbidity rates.
conclusionRoutine application of the anterior approach during right hepatectomy does not decrease intraoperative blood loss and morbidity rate.
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Registered trials
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