Evidence map›Paper›PMID 24326456›Full record

ArticleWorld journal of surgery2014

ALPPS for patients with colorectal liver metastases: effective liver hypertrophy, but early tumor recurrence.

Karl J Oldhafer, Marcello Donati, Robert M Jenner, Axel Stang, Gregor A Stavrou

Abstract read
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In one paragraph

Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 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.

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

65 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  17. Variation in complications and mortality following ALPPS at early-adopting centers.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2021
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Karl J OldhaferDivision of General and Abdominal Surgery, Department of Surgery, Asklepios Hospital Barmbek, Ruebenkamp 220, 22291, Hamburg, Germany, k.oldhafer@asklepios.com.
Marcello Donati
Robert M Jenner
Axel Stang
Gregor A Stavrou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssociating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a promising method to increase resectability rates of liver tumors. Little has been published about oncological results so far. This report describes clinical evidence regarding a possible effect of ALPPS on tumor recurrence.

methodsTen ALPPS procedures were performed for otherwise non-resectable colorectal liver metastases. Seven of these ten patients had a follow-up of at least 3 months and were analyzed for tumor recurrence.

resultsSix of these seven patients had tumor recurrence to the liver. Three of seven patients presented with lung metastases, occurring earlier than liver metastases in two of three cases. One patient with a follow-up of 3 months had no visible recurrent disease, but increasing carcinoembryonic antigen levels.

conclusionsThe patient group operable only through ALPPS is at high risk for recurrence and early tumor progression. Still, this new method is the only chance for an oncological treatment strategy including a surgical approach and possibly better outcome.

Indexed as

AgedAged, 80 and overColorectal NeoplasmsFemaleFollow-Up StudiesHepatectomyHumansHypertrophyLigationLiverLiver NeoplasmsMaleMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm Staging

Identifiers

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Registered trials

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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.