Evidence map›Paper›PMID 29744334›Full record

ArticleHepatobiliary surgery and nutrition2018

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery.

Laleh G Melstrom, Susanne G Warner, Yanghee Woo, Virginia Sun, Byrne Lee, Gagandeep Singh, Yuman Fong

Open access · hybridAbstract read
In one paragraph

Article in Hepatobiliary surgery and nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Robot-assisted liver resection: the real benefit so far.Langenbeck's archives of surgery · 2022
    Review
  7. Article
  8. The future of robotic liver surgery.Hepatobiliary surgery and nutrition · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Robotic surgery: the promise and finally the progress.Hepatobiliary surgery and nutrition · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Laleh G MelstromDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Susanne G WarnerDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Yanghee WooDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Virginia SunDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Byrne LeeDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Gagandeep SinghDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Yuman FongDepartment of Surgery, City of Hope Medical Center, Duarte, CA, USA.
City Of Hope National Medical Center · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
Oncology Research Career Development ProgramK12CA001727 · NCI · CITY OF HOPE NATIONAL MEDICAL CENTER · PI MORTIMER, JOANNE E. · 1992 to 2024
$14.6M
NCI NIH HHS K12 CA001727NCI NIH HHS P30 CA033572
6 · The paper itself

Abstract

backgroundThe premise of minimally invasive surgery (MIS) is to minimize facial and muscle injury in order to enhance recovery from surgery. Robotic MIS surgery for resection of tumors in solid organs is gaining traction, though clear superiority of this approach is lacking and robotic surgery is more expensive. Our philosophy in robotically-assisted hepatectomy has been to employ this approach for cases where location of tumors make difficult a classical laparoscopic approach (superior/posterior tumors), and cases where the incision for an open operation dominates the course of recovery.

methodsThis is a retrospective review of a prospectively collected database.

resultsIn this study we report 97 cases of liver resection subjected to the robotic approach, of which 90% were resected robotically. The mean operative time was 186±9 min; mean blood loss was 111±15 mL, and complications occurred in 9%. Two thirds of the patients remained in hospital 3 days or less, including three patients subjected to hemihepatectomy (2 left and 1 right). Fourteen individuals were discharged on the same day. The strongest predictors of long hospital stay (>3 days) were major hepatectomy (P=0.007), complications (P=0.008), and operative time >210 min (P=0.001).

conclusionsWith thoughtful case selection, this is a first demonstration that hepatectomy can be conducted as an out-patient or short-stay procedure.

Indexed as

Adoption of minimally invasive surgery (MIS)enhanced recovery after surgery (ERAS)robotic MIS hepatectomysurgical outcome

Identifiers

PMID29744334
PMCPMC5934136
OpenAlexW2628895667

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.