Evidence map›Paper›PMID 30048313›Full record

ArticleAnnals of surgery2020

Impact of Anatomical Resection for Hepatocellular Carcinoma With Microportal Invasion (vp1): A Multi-institutional Study by the Kyushu Study Group of Liver Surgery.

Masaaki Hidaka, Susumu Eguchi, Koji Okuda, Toru Beppu, Ken Shirabe, Kazuhiro Kondo, Yuko Takami, Masayuki Ohta, Masayuki Shiraishi, Shinichi Ueno and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Preoperative MRI Intratumoral Heterogeneity Radiomics for Microvascular Invasion and Recurrence-Free Survival in HCC.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Observational
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  20. Laparoscopic anatomical SVIII resectionWorld journal of gastrointestinal surgery · 2024
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Masaaki HidakaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Susumu EguchiKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Koji OkudaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Toru BeppuKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Ken ShirabeKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Kazuhiro KondoKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Yuko TakamiKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Masayuki OhtaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Masayuki ShiraishiKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Shinichi UenoKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Atsushi NanashimaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Tomoaki NoritomiKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Kenji KitaharaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.
Hikaru FujiokaKyushu Study Group of Liver Surgery, Omura, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the present study was to evaluate the value of anatomical resection for hepatocellular carcinoma (HCC) with microportal vascular invasion (vp1) between 2000 and 2010.

backgroundVascular invasion has been reported as a prognostic factor of liver resection for HCC. Anatomical resection for HCC has resulted in optimum outcomes of eradicating intrahepatic micrometastases through the portal vein, but opposite results have also been reported.

methodsA clinical chart review was performed for 546 patients with HCC with vp1. We retrospectively evaluated the recurrence-free survival (RFS) between anatomical (AR) and nonanatomical resection (NAR). The site of recurrence was also compared between these groups. The influence of AR on the overall survival (OS) and RFS rates was analyzed in patients selected by propensity score matching, and the prognostic factors were identified.

resultsA total of 546 patients were enrolled, including 422 in the AR group and 124 in the NAR group. There was no difference in the 5-year OS and RFS rates between the 2 groups. Local recurrence was significantly more frequent in the NAR group than in the AR group. In a multivariate analysis, hepatitis C virus, serum protein induced by vitamin K absence II of 380 mAU/mL or more, tumor diameter of 5 cm or more, and age of 70 years or older were significant predictors of a poor RFS after liver resection. There were no significant differences in the OS or RFS between the AR and NAR groups by a propensity score-matched analysis.

conclusionsAlthough local recurrence around the resection site was suppressed by AR, AR for HCC with vp1 did not influence the RFS or OS rates after hepatectomy in the modern era.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularFemaleHepatectomyHumansJapanLiver NeoplasmsMaleMiddle AgedNeoplasm InvasivenessPrognosisPropensity ScoreRetrospective StudiesSurvival Rate

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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.