Evidence map›Paper›PMID 30421118›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019

Laparoscopic Liver Resection: Experience of 436 Cases in One Center.

Te-Hung Chen, Horng-Ren Yang, Long-Bin Jeng, Shih-Chao Hsu, Chia-Hao Hsu, Chun-Chieh Yeh, Mei-Due Yang, William Tzu-Liang Chen

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. Risk factors associated with postoperative complications and prolonged postoperative length of stay after laparoscopic liver resection.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. 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.

Te-Hung ChenSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
Horng-Ren YangSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
Long-Bin JengSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan. longbin@mail.cmuh.org.tw.
Shih-Chao HsuSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
Chia-Hao HsuSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
Chun-Chieh YehSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
Mei-Due YangSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.
William Tzu-Liang ChenSchool of Medicine, China Medical University, No.2, Yude Rd., North Dist, Taichung City, 404, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo report experience of laparoscopic liver resection (LLR) in one center.

methodsWe retrospectively reviewed 436 consecutive LLRs in 411 patients between December 2010 and December 2016. On the basis of the 2008 Louisville Statement, we divided the 436 cases into two groups: Simple Group (n = 203) and Difficult Group (n = 233).

resultsThe indications were HCC (n = 194), colorectal cancer liver metastasis (n = 156), benign tumors (n = 62), hepatolithiasis (n = 2), and other malignant lesions (n = 22). The median tumor size was 24 mm (range 3 to 130). Procedures of LLR included wedge resection (n = 230), one segmentectomy (n = 8), two segmentectomies (n = 12), left lateral sectionectomy (n = 75), right hepatectomy (n = 52), left hepatectomy (n = 31), extended right hepatectomy (n = 2), extended left hepatectomy (n = 5), central bisectionectomy (n = 3), right posterior sectionectomy (n = 12), and right anterior sectionectomy (n = 6). The median operative time was 228 min (range 9-843) and median blood loss was 150 ml (range 2-3500). Twenty-five cases required blood transfusion (5.7%). Conversion to open surgery was required in six cases (1.4%). The mean length of stay was 6.4 ± 2.9 days. Overall complication rate was 9.4% and major complication rate was 5%. One patient died of liver failure on the thirtieth postoperative day after a right hepatectomy. We had higher median blood loss (200 vs. 100 ml; p < 0.001), higher transfusion rate (8.2 vs. 2.9%; p = 0.020), longer median operative time (297 vs. 164 min; p < 0.001), higher conversion rate (2.6 vs. 0%; p = 0.021), higher complication rate (14.2 vs. 3.9%; p < 0.001), and longer mean postoperative hospital stay (6.8 ± 2.9 vs. 5.9 ± 3.0 days; p < 0.001) in the Difficult Group.

conclusionsLaparoscopic liver resection is safe for selected patients in the Difficult Group. On the basis of the 2008 Louisville Statement, selection criteria of LLR are helpful to predict the difficulty of the operation and the postoperative outcomes of LLR.

Indexed as

AdultAgedAged, 80 and overBlood Loss, SurgicalBlood TransfusionColorectal NeoplasmsConversion to Open SurgeryFemaleHepatectomyHepatic InsufficiencyHumansLaparoscopyLength of StayLiver NeoplasmsMaleMiddle AgedConsensusHepatectomyLaparoscopicLiver resectionOutcomes

Identifiers

PMID30421118

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.