Evidence map›Paper›PMID 30887184›Full record

SynthesisSurgical endoscopy2019

Short-term outcomes of laparoscopic repeat liver resection after open liver resection: a systematic review.

Taiga Wakabayashi, Emanuele Felli, Riccardo Memeo, Pietro Mascagni, Yuta Abe, Yuko Kitagawa, Patrick Pessaux

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. [Evidence of minimally invasive oncological surgery of the liver].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Pooled it
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  11. Short-term Outcomes and Difficulty of Repeat Laparoscopic Liver Resection.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Laparoscopic repeat liver resection.Annals of gastroenterological surgery · 2020
    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

7 authors.

Taiga WakabayashiInstitut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD), Strasbourg, France.
Emanuele FelliInstitut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD), Strasbourg, France.
Riccardo MemeoInstitut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD), Strasbourg, France.
Pietro MascagniInstitute of Minimally Invasive Hybrid Image-Guided Surgery, Institut Hospitalo-Universitaire (IHU), Université de Strasbourg, Strasbourg, France.
Yuta AbeDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Yuko KitagawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Patrick PessauxInstitut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD), Strasbourg, France. patrick.pessaux@chru-strasbourg.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic repeat liver resection (LRLR) still represents a challenge for surgeons especially in case with previous open liver surgery. The aim of the study is to perform a systematic review of the current literature to investigate the feasibility of LRLR after open liver resection (OLR) for liver diseases.

methodsA computerized search was performed for all English language studies evaluating LRLR. A meta-analysis was performed to evaluate the short-term outcomes in comparative studies between LRLR with previous laparoscopic liver resection (LLR) and OLR.

resultsFrom the initial 55 manuscripts, 8 studies including 3 comparative studies between LRLR after OLR and LLR were investigated. There was a total of 108 patients. Considering initial surgery, the extent of initial liver resection was major liver resection in 20% of patients in whom it was reported. In all the patients, the most frequent primary histology was hepatocellular carcinoma, followed by colorectal liver metastasis. A half of reported patients had severe adhesions at the time of LRLR. The median operative time for LRLR was ranged from 120 to 413 min and the median blood loss ranged from 100 to 400 mL. There were 11% of the patients conversions to open surgery, hand-assisted laparoscopic surgery, or tumor ablation. The overall postoperative morbidity was 15% of all the patients, and there was no postoperative mortality. The median postoperative hospital stay was ranged from 3.5 to 10 days. The meta-analysis shows that LRLR after OLR is associated with a longer operative time and a more important blood loss compared to LRLR after LLR. However, no difference between LRLR after OLR and LLR was shown as far as hospital stay and morbidity rate are concerned.

conclusionsLRLR after OLR has been described in eight articles with favorable short-term outcomes in highly selected patients.

Indexed as

Carcinoma, HepatocellularConversion to Open SurgeryFollow-Up StudiesHepatectomyHumansLaparoscopyLiver NeoplasmsTime FactorsLaparoscopyPrevious open liver resectionRedo liver surgeryRepeat hepatectomyRepeat liver resectionShort-term outcomes

Identifiers

What OpenQuestion holds

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Registered trials

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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.