Evidence map›Paper›PMID 30519886›Full record

ArticleLangenbeck's archives of surgery2019

Contemporary practice and short-term outcomes after liver resections in a complete national cohort.

Kristoffer Lassen, Linn Såve Nymo, Frank Olsen, Kristoffer Watten Brudvik, Åsmund Avdem Fretland, Kjetil Søreide

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Article in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Guideline
  2. Robotic Versus Laparoscopic Liver Resection: A Nationwide Propensity Score Matched Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
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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

6 authors.

Kristoffer LassenDepartment of HPB Surgery, Oslo University Hospital at Rikshospitalet, Sognsvannsveien 20, 0372, Oslo, Norway. krlass@ous-hf.no.ORCID http://orcid.org/0000-0003-0039-6554
Linn Såve NymoDepartment of Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway.
Frank OlsenCentre for Clinical Documentation and Evaluation (SKDE), Northern Norway Regional Health Authority, Bodo, Norway.
Kristoffer Watten BrudvikDepartment of HPB Surgery, Oslo University Hospital at Rikshospitalet, Sognsvannsveien 20, 0372, Oslo, Norway.
Åsmund Avdem FretlandDepartment of HPB Surgery, Oslo University Hospital at Rikshospitalet, Sognsvannsveien 20, 0372, Oslo, Norway.
Kjetil SøreideClinical Surgery, Royal Infirmary of Edinburgh and University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproved outcome after liver resections have been reported in several series, but outcomes from national cohorts are scarce. Our aim was to evaluate nationwide practice and short-term outcomes after liver surgery in a universal healthcare system.

methodsA complete 5-year cohort of all liver resections from the Norwegian Patient Registry (NPR). Short-term outcomes were aggregated length of stay (a-LoS), reoperation and 90-day mortality.

resultsOf 2118 liver resections, 605 (28.6%) were major, median age was 65 years and 1184 (55%) were male. Most common indication was metastatic disease (n = 1554; 73.4%) and primary malignancy (n = 328; 15.3%). Laparoscopy was performed in 513 (33.9%) of minor and 37 (6.1%) of major liver resections and increased over time to 39.1% of minor resections in 2016. Median a-LoS was 12 days for major resections, 8 days for open minor and 3 days for laparoscopic minor resections. Reoperation was reported for 159 (7.4%) and 90-day mortality for 44 (2.1%). Primary malignancy, male gender, elderly patients and major resections were associated with poorer outcome.

conclusionsIn a national cohort, laparoscopy is used for a substantial proportion of minor resections and was associated with reduced a-LoS. Risk factors for reoperation and mortality were male gender, increased age and major resection for primary malignancy.

Indexed as

AgedCohort StudiesFemaleHepatectomyHumansLaparoscopyLength of StayLiver NeoplasmsMaleMiddle AgedNorwayPostoperative ComplicationsReoperationSurvival RateTreatment OutcomeLaparoscopicLiver resectionNational cohortShort-term outcomes

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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.