Evidence map›Paper›PMID 29232038›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

Novel techniques and preliminary results of ex vivo liver resection and autotransplantation for end-stage hepatic alveolar echinococcosis: A study of 31 cases.

Xianwei Yang, Yiwen Qiu, Bin Huang, Wentao Wang, Shu Shen, Xi Feng, Yonggang Wei, Jianyong Lei, Jichun Zhao, Bo Li and 2 more

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In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  7. Risk factor analysis and prediction of multi-organ metastasis in hepatic alveolar echinococcosis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
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  13. Complex inferior vena cava reconstruction duringWorld journal of clinical cases · 2023
    Article
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  15. Pushing the boundaries of innovation: the potential ofFrontiers in cardiovascular medicine · 2023
    Review
  16. [Relationship Between the Level of Anatomical Risk of Hepatic Alveolar Echinococcosis and Complications after Radical Resection].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
  17. Approaches to reconstruction of inferior vena cava byWorld journal of gastroenterology · 2022
    Article
  18. Review
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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 1 institution in 1 country.

Xianwei YangDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0001-8696-4844
Yiwen QiuDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Bin HuangDepartment of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, China.
Wentao WangDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Shu ShenDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Xi FengDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Yonggang WeiDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Jianyong LeiDepartment of General Surgery, West China Hospital of Sichuan University, Chengdu, China.
Jichun ZhaoDepartment of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, China.
Bo LiDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Tianfu WenDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Lunan YanDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex vivo liver resection combined with autotransplantation is a recently introduced approach to cure end-stage hepatic alveolar echinococcosis (HAE), which is considered unresectable by conventional radical resection due to echinococcal dissemination into the crucial intrahepatic conduits and adjacent structures. This article aims discuss the manipulation details and propose reasonable indications for this promising technique. All patients successfully underwent liver autotransplantation with no intraoperative mortality. The median weight of the autografts was 636 g (360-1300 g), the median operation time was 12.5 hours (9.4-19.5 hours), and the median anhepatic phase was 309 minutes (180- 460 minutes). Intraoperative blood loss averaged 1800 mL (1200-6000 mL). Postoperative complications occurred in 13 patients during hospitalization; 5 patients experienced postoperative complications classified as Clavien-Dindo grade III or higher, and 2 patients died of intraabdominal bleeding and acute cerebral hemorrhage, respectively. Twenty-nine patients were followed for a median of 14.0 months (3-42 months), and no HAE recurrence was detected. The technique requires neither an organ donor nor any postoperative immunosuppressant, and the success of the treatment relies on meticulous preoperative assessments and precise surgical manipulation.

Indexed as

Postoperative ComplicationsAdolescentAdultEchinococcosis, HepaticFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHepatectomyHumansLiver TransplantationMaleMiddle AgedPrognosisRetrospective StudiesRisk Factorsautotransplantationclinical research/practiceliver transplantation/hepatologyliver transplantation: living donorliver transplantation: split

Identifiers

PMID29232038
PMCPMC6055796
OpenAlexW2773279273

What OpenQuestion holds

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LicenceCC BY-NC
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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.