Evidence map›Paper›PMID 29045432›Full record

Observational studyPloS one2017

Inflammatory response and oxidative stress during liver resection.

Christoph Schwarz, Fabian Fitschek, David Bar-Or, Daniel A Klaus, Bianca Tudor, Edith Fleischmann, Georg Roth, Dietmar Tamandl, Thomas Wekerle, Michael Gnant and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  8. Cancer therapy and cachexia.The Journal of clinical investigation · 2025
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  10. Research and practice in thrombosis and haemostasis · 2025
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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

12 authors at 3 institutions in 2 countries.

Christoph SchwarzDepartment of Surgery and Center for Perioperative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-7676-2779
Fabian FitschekDepartment of Surgery and Center for Perioperative Medicine, Medical University of Vienna, Vienna, Austria.
David Bar-OrTrauma Research Department, St. Anthony Hospital, Lakewood, Colorado, United States of America.
Daniel A KlausDept. of Anesthesiology, General Intensive Care and Pain Medicine; Medical University of Vienna, Vienna, Austria.
Bianca TudorDept. of Anesthesiology, General Intensive Care and Pain Medicine; Medical University of Vienna, Vienna, Austria.
Edith FleischmannDept. of Anesthesiology, General Intensive Care and Pain Medicine; Medical University of Vienna, Vienna, Austria.
Georg RothDept. of Anesthesiology, General Intensive Care and Pain Medicine; Medical University of Vienna, Vienna, Austria.
Dietmar TamandlDepartment of Biomedical Imaging and Image Guided Therapy; Medical University of Vienna, Vienna, Austria.
Thomas WekerleSection of Transplantation Immunology, Department of Surgery; Medical University of Vienna, Vienna, Austria.
Michael GnantDepartment of Surgery and Center for Perioperative Medicine, Medical University of Vienna, Vienna, Austria.
Martin BodingbauerDepartment of Surgery and Center for Perioperative Medicine, Medical University of Vienna, Vienna, Austria.
Klaus KaczirekDepartment of Surgery and Center for Perioperative Medicine, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATVienna General Hospital · ATSwedish Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative complications are still a major concern after liver resection (LR). Systemic inflammation and deregulated reactive oxygen species during major abdominal surgery may impair outcome after hepatectomy.

methodsPatients undergoing LR were included in this study (n = 40). Oxidative stress (OS) was measured peri- and post-operatively as static oxidation-reduction potential markers (sORP) and antioxidant capacity ORP (cORP) by using the RedoxSYS Diagnostic system. Furthermore, Th1- and Th2-specific cytokines were assessed.

resultsWhereas there was no significant change in systemic sORP during LR and in the early postoperative course, there was a substantial decrease of cORP immediately post-surgery, and on postoperative days 1 and 3 (p<0.001). OS response was tightly regulated, as there was a significant correlation between sORP and cORP (p<0.0001; R2:0.457). An increase of OS (sORP) after LR of more than 3 mV was predictive for severe postoperative complications (53.8% vs. 12.5; p = 0.017). There was a significantly higher IL-2 (p = 0.006) and IL-5 (p = 0.001) increase during hepatectomy in patients who developed a severe morbidity.

conclusionAntioxidant capacity remained stable during LR but dropped during the post-surgical period, suggesting a consumption of antioxidants to maintain OS within healthy range. Severe postoperative complications were associated with a pronounced inflammatory response during surgery.

Indexed as

Oxidative StressAdultAgedCytokinesFemaleHepatectomyHumansInflammationLiverMaleMiddle AgedPostoperative ComplicationsCytokines

Identifiers

PMID29045432
PMCPMC5646773
OpenAlexW2766779582

What OpenQuestion holds

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LicenceCC BY
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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.