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ArticleEuropean radiology2017

Extended liver venous deprivation before major hepatectomy induces marked and very rapid increase in future liver remnant function.

Boris Guiu, François Quenet, Laure Escal, Frédéric Bibeau, Lauranne Piron, Philippe Rouanet, Jean-Michel Fabre, Eric Jacquet, Alban Denys, Pierre-Olivier Kotzki and 2 more

Registry-linked trialAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04692259 (Is It Possible To Predict PHLF? - Retrospective Analysis of Gadoxetate MRI Prior To Major Liver Resection), which is not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 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.

NCT04692259 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Is It Possible To Predict PHLF? - Retrospective Analysis of Gadoxetate MRI Prior To Major Liver Resection

TypeinterventionalSponsorUniversity Hospital, LinkoepingRan2020 to 2024Enrolled200ConditionsMRI, Liver Resection, Liver Failure as A Complication of CareArmsMRI
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Review
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  9. Initial experience with Double-vein Embolization in Hungary.European journal of radiology open · 2024
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  16. Sequential YLangenbeck's archives of surgery · 2023
    Article
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  19. Article
  20. Review

11 more citing papers are in PubMed but not listed here.

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

12 authors.

Boris GuiuDepartment of Radiology, St-Eloi University Hospital, 34980, Montpellier, France. B-guiu@chu-montpellier.fr.
François QuenetDepartment of Surgery, Institut du Cancer de Montpellier (ICM), 34298, Montpellier, France.
Laure EscalDepartment of Radiology, St-Eloi University Hospital, 34980, Montpellier, France.
Frédéric BibeauDepartment of Pathology, Institut du Cancer de Montpellier (ICM), 34298, Montpellier, France.
Lauranne PironDepartment of Radiology, St-Eloi University Hospital, 34980, Montpellier, France.
Philippe RouanetDepartment of Surgery, Institut du Cancer de Montpellier (ICM), 34298, Montpellier, France.
Jean-Michel FabreDepartment of Surgery, St-Eloi University Hospital, 34295, Montpellier, France.
Eric JacquetDepartment of Surgery, Beausoleil Clinic, 34980, Montpellier, France.
Alban DenysDepartment of Radiology, CHUV, Lausanne, Switzerland.
Pierre-Olivier KotzkiINSERM U1194, Montpellier Cancer Research Institute, 34298, Montpellier, France.
Daniel VerzilliDepartment of Anesthesiology, St-Eloi University Hospital, 34980, Montpellier, France.
Emmanuel DeshayesINSERM U1194, Montpellier Cancer Research Institute, 34298, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the safety and efficacy of extended liver venous deprivation (eLVD), i.e. combination of right portal vein embolisation and right (accessory right) and middle hepatic vein embolisation before major hepatectomy for future remnant liver (FRL) functional increase.

methodseLVD was performed in non-cirrhotic patients referred for major hepatectomy in a context of small FRL (baseline FRL <25% of the total liver volume or FRL function <2.69%/min/m

resultsTen consecutive patients underwent eLVD before surgery for liver metastases (n = 8), Klatskin tumour (n = 1) and gallbladder carcinoma (n = 1). FRL function increased by 64.3% (range = 28.1-107.5%) at day 21. In patients with serial measurements, maximum FRL function was at day 7 (+65.7 ± 16%). The FRL volume increased by +53.4% at 7 days (+25 ± 8 cc/day). Thirty-one days (range = 22-45 days) after eLVD, 9/10 patients were resected. No post-hepatectomy liver failure was reported. Two grade II and one grade III complications (Dindo-Clavien classification) occurred. No patient died with-in 90 days following surgery.

conclusionseLVD is safe and provides a marked and very rapid increase in liver function, unprecedented for an interventional radiology procedure. KEY POINTS: • eLVD is safe • eLVD provides a marked and very rapid increase in liver function • After eLVD, the FRL-F increased by 64.3% (28.1-107.5%) at day 21 • After eLVD, the maximum FRL-F was obtained at day 7 (+65.7 ± 16%) • After eLVD, the FRL volume increased by +53.4% at 7 days (+25 ± 8 cc/day).

Indexed as

AgedAniline CompoundsBile Duct NeoplasmsEmbolization, TherapeuticFemaleGallbladder NeoplasmsGlycineHepatectomyHepatic VeinsHumansImino AcidsKlatskin TumorLiverLiver FailureLiver Function TestsLiver NeoplasmsAniline CompoundsGlycineImino AcidsOrganotechnetium CompoundsRadiopharmaceuticalstechnetium Tc 99m mebrofeninHepatic veinLiverPortal vein embolisationScintigraphySurgery

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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.