Evidence map›Paper›PMID 26973411›Full record

ReviewWorld journal of gastroenterology2016

Liver surgery in cirrhosis and portal hypertension.

Christina Hackl, Hans J Schlitt, Philipp Renner, Sven A Lang

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  12. Impact of liver cirrhosis, severity of cirrhosis and portal hypertension on the difficulty of laparoscopic and robotic minor liver resections for primary liver malignancies in the anterolateral segments.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2024
    Article
  13. Design and development of a self-care application for patients with liver cirrhosis.Gastroenterology and hepatology from bed to bench · 2024
    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

4 authors at 1 institution in 1 country.

Christina HacklChristina Hackl, Hans J Schlitt, Philipp Renner, Sven A Lang, Department of Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
Hans J SchlittChristina Hackl, Hans J Schlitt, Philipp Renner, Sven A Lang, Department of Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
Philipp RennerChristina Hackl, Hans J Schlitt, Philipp Renner, Sven A Lang, Department of Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
Sven A LangChristina Hackl, Hans J Schlitt, Philipp Renner, Sven A Lang, Department of Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
University Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of hepatic cirrhosis in Europe and the United States, currently 250 patients per 100000 inhabitants, is steadily increasing. Thus, we observe a significant increase in patients with cirrhosis and portal hypertension needing liver resections for primary or metastatic lesions. However, extended liver resections in patients with underlying hepatic cirrhosis and portal hypertension still represent a medical challenge in regard to perioperative morbidity, surgical management and postoperative outcome. The Barcelona Clinic Liver Cancer classification recommends to restrict curative liver resections for hepatocellular carcinoma in cirrhotic patients to early tumor stages in patients with Child A cirrhosis not showing portal hypertension. However, during the last two decades, relevant improvements in preoperative diagnostic, perioperative hepatologic and intensive care management as well as in surgical techniques during hepatic resections have rendered even extended liver resections in higher-degree cirrhotic patients with portal hypertension possible. However, there are few standard indications for hepatic resections in cirrhotic patients and risk stratifications have to be performed in an interdisciplinary setting for each individual patient. We here review the indications, the preoperative risk-stratifications, the morbidity and the mortality of extended resections for primary and metastatic lesions in cirrhotic livers. Furthermore, we provide a review of literature on perioperative management in cirrhotic patients needing extrahepatic abdominal surgery and an overview of surgical options in the treatment of hepatic cirrhosis.

Indexed as

Carcinoma, HepatocellularHepatectomyHumansHypertension, PortalLiver CirrhosisLiver NeoplasmsLiver TransplantationPatient SelectionPortal PressurePortasystemic Shunt, Transjugular IntrahepaticPostoperative ComplicationsPredictive Value of TestsRisk FactorsTreatment OutcomeCholangiocellular carcinomaCirrhosisHepatocellular carcinomaLiver metastasesLiver resectionPortal hypertension

Identifiers

PMID26973411
PMCPMC4777995
OpenAlexW2324163874

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.