Evidence map›Paper›PMID 29199380›Full record

ArticleLangenbeck's archives of surgery2018

Liver resection for HCC outside the BCLC criteria.

Manish S Bhandare, Shraddha Patkar, Nitin Shetty, Ashwin Polnaya, Suyash Kulkarni, Rohit R Dusane, Shailesh V Shrikhande, Mahesh Goel

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. SURGICAL MANAGEMENT OF LARGE HEPATOCELLULAR CARCINOMA: THE FIRST SINGLE-CENTER STUDY FROM WESTERN INDIA.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2020
    Observational
  10. Article
  11. Treatment strategies for locally advanced hepatocellular carcinoma.Translational gastroenterology and hepatology · 2019
    Review
  12. Observational
  13. Article
  14. Liver Resection for Hepatocellular Carcinoma: Recent Advances.Journal of clinical and experimental hepatology
    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

8 authors.

Manish S BhandareDepartment of Surgical Oncology, Gastrointestinal and Hepato-Pancreato-Biliary service, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Shraddha PatkarDepartment of Surgical Oncology, Gastrointestinal and Hepato-Pancreato-Biliary service, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Nitin ShettyDepartment of Interventional Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Ashwin PolnayaDepartment of Interventional Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Suyash KulkarniDepartment of Interventional Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Rohit R DusaneDepartment of Biostatistics, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Shailesh V ShrikhandeDepartment of Surgical Oncology, Gastrointestinal and Hepato-Pancreato-Biliary service, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Mahesh GoelDepartment of Surgical Oncology, Gastrointestinal and Hepato-Pancreato-Biliary service, Tata Memorial Hospital, Mumbai, Maharashtra, India. drmaheshgoel@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical resection still remains the mainstay of management of hepatocellular carcinoma (HCC). At present, Barcelona clinic liver cancer (BCLC) staging is the most widely used tool to guide treatment; however, criteria for offering surgery as curative treatment are restrictive. We aimed to evaluate short-term and long-term outcomes of HCC after resection, even for patients outside BCLC criteria for resection.

methodsData was collected from a prospective database from GI and HPB Department, Tata Memorial Hospital, Mumbai. Study period was from June 2010 to June 2015.

resultsOne hundred three patients of HCC were operated during this period, of which 100 underwent complete resection. Patients were staged according to the BCLC classification (BCLC stage A-25, B-64, C-11). Preoperative therapy was administered in 36 (36%) patients. At median follow-up of 21 months, overall 3-year survival for BCLC stages A, B, and C was 55.2, 62.7, and 37.5%, respectively.

conclusionIn today's era of liver transplantation, resection (especially for larger tumors) may still be the preferred treatment option, considering problems and difficulties in donor availability, cost, and long waiting list for liver transplant. With evolving modern surgical technique, long-term survival benefit can be achieved with acceptable safety in most BCLC stage B and selected BCLC stage C patients and those who either do not fit into the transplant criteria or cannot afford transplant. Carefully designed trials are required to further elucidate these results.

Indexed as

HepatectomyAdolescentAdultAgedAged, 80 and overCarcinoma, HepatocellularFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingPatient SelectionRetrospective StudiesTime FactorsTreatment OutcomeBarcelona clinic liver cancer stagingCirrhosisHepatocellular carcinomaResection

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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.