Evidence map›Paper›PMID 29170994›Full record

ArticleHepatology international2018

"No go" donor hepatectomy in living-donor liver transplantation.

Viniyendra Pamecha, Kishore G S Bharathy, Shyam S Mahansaria, Piyush K Sinha, Archana Rastogi, Shridhar V Sasturkar

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Hepatology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Single Orifice Outflow Reconstruction: Refining the Venous Outflow in Modified Right Lobe Live Donor Liver Transplantation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  2. Preoperative Alanine Aminotransferase and Remnant Liver Volume Predict Liver Regeneration After Live Donor Hepatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    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

6 authors at 1 institution in 1 country.

Viniyendra PamechaDepartment of Liver Transplantation and HPB Surgery, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India. viniyendra@yahoo.co.uk.
Kishore G S BharathyDepartment of Liver Transplantation and HPB Surgery, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India.
Shyam S MahansariaDepartment of Liver Transplantation and HPB Surgery, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India.
Piyush K SinhaDepartment of Liver Transplantation and HPB Surgery, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India.
Archana RastogiDepartment of Pathology, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India.
Shridhar V SasturkarDepartment of Liver Transplantation and HPB Surgery, Institute of Liver and Biliary Sciences, D1, Vasant Kunj, New Delhi, 110070, India.
Institute of Liver and Biliary Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelection of appropriate donors after rigorous evaluation is of paramount importance in living-donor liver transplantation. Despite this, donor surgery may not proceed due to unforeseen reasons. The aim of this paper is to study reasons for "no go" donor hepatectomy in living liver donors. PATIENTS AND

methodsDonor operations stopped after surgical start, directly due to donor safety-related reasons, qualified for inclusion as "no go" donor hepatectomy. Living-donor evaluation was performed as per standard protocol. Data for consecutive living liver donors operated between April 2012 and November 2016 were analyzed to evaluate reasons for "no go" donor hepatectomy in a liver transplantation unit at a tertiary care teaching hospital.

resultsIn 307 donors, the operation was aborted in 7 (2.3 %). One patient had unexpected biliary pathology with fibrosis found intraoperatively. Operations in five donors were abandoned in view of liver parenchymal abnormalities (fibrosis/steatohepatitis). One donor had hemodynamically significant bradycardia after handling the round ligament. All these donors recovered uneventfully and remained well on follow-up.

conclusions"No go" donor hepatectomy remains a real possibility despite rigorous assessment. Although thresholds for on-table rejection of the donor after complete evaluation vary, "no go" hepatectomy is a calculated risk-avoidance approach.

Indexed as

Donor SelectionHepatectomyLiver TransplantationLiving DonorsAdolescentAdultFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultDonor selectionLiving-donor liver transplantationLiving-donor safetyOutcome

Identifiers

PMID29170994
OpenAlexW2769566222

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.