Evidence map›Paper›PMID 22993104›Full record

ArticleSurgery today2012

Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma.

Shinji Itoh, Kengo Fukuzawa, Yuki Shitomi, Masahiro Okamoto, Tadahiko Kinoshita, Akinobu Taketomi, Ken Shirabe, Kenzo Wakasugi, Yoshihiko Maehara

Registry-linked trialAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgery today, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02197481 (BiClamp Forceps Liver Transection Versus Clamp Crushing Technique in Liver Resections), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT02197481 phase3completednot on this mapstarted 2014, after this paper: background citation

BiClamp Forceps Liver Transection Versus Clamp Crushing Technique in Liver Resections: A Randomized Clinical Trial

TypeinterventionalSponsorThe Second Hospital of Anhui Medical UniversityRan2014 to 2016Enrolled105ConditionsHepatobiliary DiseaseArmsClamp-Crushing technique, BiClamp forceps
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  4. Influence of the water jet systemWorld journal of clinical cases · 2022
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  9. Slow Gait Speed Is a Risk Factor for Complications After Hepatic Resection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
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  17. Perioperative Microbiologic Monitoring of Sputum on Postoperative Day One as a Predictor of Pneumonia After Hepatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015
    Article
  18. 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

9 authors at 2 institutions in 1 country.

Shinji ItohDepartment of Surgery, Oita Red Cross Hospital, 3-2-37 Chiyomachi, Oita 870-0033, Japan. itoshin@surg2.med.kyushu-u.ac.jp
Kengo Fukuzawa
Yuki Shitomi
Masahiro Okamoto
Tadahiko Kinoshita
Akinobu Taketomi
Ken Shirabe
Kenzo Wakasugi
Yoshihiko Maehara
Oita Red Cross Hospital · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesThis study aimed to evaluate a novel surgical device combination [VIO system containing a bipolar clamp (BiClamp) and the monopolar soft-coagulation (SOFT COAG)] in hepatic resection for patients with hepatocellular carcinoma (HCC).

methodsThis study performed 124 hepatic resections for HCC and divided them into 2 groups: 60 patients (Conventional group) underwent liver parenchymal transection using Cavitron Ultrasonic Surgical Aspirator (CUSA) system and saline-coupled bipolar electrocautery for hemostasis; the BiClamp was used with the CUSA system for liver parenchymal transection and SOFT COAG was used with saline-coupled bipolar electrocautery for hemostasis in 64 patients (VIO group).

resultsThe median blood loss in the VIO group was 345 mL, which was less than that in the Conventional group (median 548 mL, P = 0.0423). A multivariate logistic regression analysis showed that no use of the VIO system (P = 0.0172) was an independent predictor of intraoperative blood loss, respectively. In patients with liver cirrhosis, the VIO group included a significantly lower proportion of patients with liver cirrhosis that experienced more than 500 mL of intraoperative blood loss in comparison to those in the Conventional group (P = 0.0262).

conclusionsThe VIO system was safe for hepatic resection and its use was associated with a significant decrease in intraoperative blood loss even in cirrhotic patients.

Indexed as

AdultAgedAged, 80 and overAntibiotic ProphylaxisBlood Loss, SurgicalCarcinoma, HepatocellularElectrocoagulationFemaleHemostasis, SurgicalHepatectomyHumansLiverLiver CirrhosisLiver NeoplasmsMaleMiddle Aged

Identifiers

PMID22993104
OpenAlexW1978730320

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.