Evidence map›Paper›PMID 24151380›Full record

ReviewWorld journal of gastroenterology2013

Current position of ALPPS in the surgical landscape of CRLM treatment proposals.

Marcello Donati, Gregor A Stavrou, Karl J Oldhafer

Registry-linked trialAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02184182 (Liver Resection After Portal Vein Ligation / Embolization and Transection Plane Devascularization With Radio Frequency / Microwave), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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.

NCT02184182 phase2unknown statusnot on this mapstarted 2014, after this paper: background citation

Liver Resection After Portal Vein Ligation / Embolization and Transection Plane Devascularization With Radio Frequency / Microwave: Pilot Study on Primary and Secondary Liver Tumors

TypeinterventionalSponsorAzienda Ospedaliera di PadovaRan2014 to 2017Enrolled10ConditionsLiver TumorsArmsVLS ablation/portal ligation/hepatectomy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Extreme liver resections with preservation of segment 4 only.World journal of gastroenterology · 2017
    Article
  7. Associating liver partition and portal vein ligation for staged hepatectomy: A surgical technique for liver resections.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Two-stage hepatectomy for liver metastasis from colorectal cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Article
  12. Article
  13. Article
  14. FIRST BRAZILIAN CONSENSUS ON MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 1: PRE-TREATMENT EVALUATION.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
    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

3 authors.

Marcello DonatiMarcello Donati, Gregor A Stavrou, Karl J Oldhafer, Department of General and Abdominal Surgery, Asklepios Hospital Barmbek, 22291 Hamburg, Germany.
Gregor A Stavrou
Karl J Oldhafer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Authors summarize problems, criticisms but also advantages and indications regarding the recent surgical proposal of associating liver partition and portal vein ligation (PVL) for staged hepatectomy (ALPPS) for the surgical management of colorectal liver metastases. Looking at published data, the technique, when compared with other traditional and well established methods such as PVL/portal vein embolisation (PVE), seems to give real advantages in terms of volumetric gain of future liver remnant. However, major concerns are raised in the literature and some questions remain unanswered, preliminary experiences seem to be promising. The method has been adopted all over the world over the last 2 years, even if oncological long-term results remain unknown, and benefit for patients is questionable. No prospective studies comparing traditional methods (PVE, PVL or classical 2 staged hepatectomy) with ALPPS are available to date. Technical reinterpretations of the original method were also proposed in order to enhance feasability and increase safety of the technique. More data about morbidity and mortality are also expected. The real role of ALPPS is, to date, still to be established. Large clinical studies, even if, for ethical reasons, in well selected cohorts of patients, are expected to better define the indications for this new surgical strategy.

Indexed as

Colorectal NeoplasmsHepatectomyHumansLigationLiver NeoplasmsPatient SelectionPortal VeinRisk AssessmentRisk FactorsTreatment OutcomeColorectal metastasesIn situ splitLiver metastasesLiver resectionsPortal ligation

Identifiers

PMID24151380
PMCPMC3801367

What OpenQuestion holds

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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.