Evidence map›Paper›PMID 29173259›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2017

Optimizing associated liver partition and portal vein ligation for staged hepatectomy outcomes: Surgical experience or appropriate patient selection?

Ibrahim Al Hasan, Mauro Enrique Tun-Abraham, Kerollos N Wanis, Carlos Garcia-Ochoa, Mark A Levstik, Bandar Al-Judaibi, Roberto Hernandez-Alejandro

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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

7 authors at 3 institutions in 3 countries.

Ibrahim Al HasanFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Mauro Enrique Tun-AbrahamFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Kerollos N WanisFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Carlos Garcia-OchoaFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Mark A LevstikFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Bandar Al-JudaibiFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Roberto Hernandez-AlejandroFrom the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transplant Program, London Health Sciences Centre, London, Ont. (Al-Judaibi); the Division of Transplantation, University of Rochester Medical Center, Rochester, Minn. (Levstik); and the Department of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia (Al-Judaibi).
Riyadh Armed Forces Hospital · SALondon Health Sciences Centre · CAUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly reports of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) outcomes have been suboptimal. The literature has confirmed that learning curves influence surgical outcomes. We have 54 months of continuous experience performing ALPPS with strict selection criteria. This study aimed to evaluate the impact of the learning curve on ALPPS outcomes.

methodsWe retrospectively compared patients who underwent ALPPS between April 2012 and March 2016. Patients were grouped into 2 24-month (early and late) periods. All candidates had a high tumour load requiring staged hepatectomy after chemotherapy response, a predicted future liver remnant (FLR) less than 30% and good performance status.

resultsThirty-three patients underwent ALPPS during the study period: 16 in the early group (median age 65 yr, mean body mass index [BMI] 27) and 17 in the late group (median age 60 yr, mean BMI 25). Bilobar disease was comparable in both groups (94% v. 88%,

conclusionExcellent results can be obtained in innovative complex surgery with careful patient selection and good technical skills. Additionally, the learning curve brought confidence to perform more complex procedures while maintaining good outcomes.

Indexed as

Clinical CompetenceLearning CurvePatient SelectionAdultAgedFemaleHepatectomyHumansLigationLiver NeoplasmsMaleMiddle AgedPortal VeinRetrospective StudiesTreatment Outcome

Identifiers

PMID29173259
PMCPMC5726970
OpenAlexW2769030268

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.