Evidence map›Paper›PMID 31139986›Full record

SynthesisSurgical endoscopy2019

Laparoscopic liver resection in elderly patients: systematic review and meta-analysis.

Margherita Notarnicola, Emanuele Felli, Stefania Roselli, Donato Francesco Altomare, Michele De Fazio, Nicola de'Angelis, Tullio Piardi, Silvana Acquafredda, Michele Ammendola, Alessandro Verbo and 2 more

Abstract readMeta-AnalysisSystematic 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 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
  5. Observational
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  9. 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

12 authors.

Margherita NotarnicolaDepartment of Emergency and Organ Transplantation, Institute of General Surgery and Liver Transplantation, University of Bari, 70124, Bari, Italy.
Emanuele FelliHepato-Biliary and Pancreatic Surgical Unit, General, Digestive, and Endocrine Surgery, IRCAD, IHU-Strasbourg (Institute of Image-Guided Surgery), University of Strasbourg, 1 place de l'Hôpital, 67091, Strasbourg, France.
Stefania RoselliDepartment of Emergency and Organ Transplantation, Institute of General Surgery and Liver Transplantation, University of Bari, 70124, Bari, Italy.
Donato Francesco AltomareDepartment of Emergency and Organ Transplantation, Institute of General Surgery and Liver Transplantation, University of Bari, 70124, Bari, Italy.
Michele De FazioDepartment of Emergency and Organ Transplantation, Institute of General Surgery and Liver Transplantation, University of Bari, 70124, Bari, Italy.
Nicola de'AngelisUnits of Digestive, HPB Surgery and Liver Transplantation, Henri Mondor Hospital, University of Paris-Est, UPEC, Créteil, France.
Tullio PiardiDepartment of Surgery, Hôpital Robert Debré, University of Champagne-Ardenne, Reims, France.
Silvana AcquafreddaDepartment of Medical Oncology, University of Bari, 70124, Bari, Italy.
Michele AmmendolaDepartment of Medical and Surgical Sciences, Clinical Surgery Unit, "Magna Graecia" University Medical School, Catanzaro, Italy.
Alessandro VerboGeneral and Hepatobiliary Unit, Ospedale Regionale F. Miulli, Strada Prov. 127 Acquaviva - Santeramo Km. 4, 100, 70021, Acquaviva delle Fonti, Italy.
Patrick PessauxHepato-Biliary and Pancreatic Surgical Unit, General, Digestive, and Endocrine Surgery, IRCAD, IHU-Strasbourg (Institute of Image-Guided Surgery), University of Strasbourg, 1 place de l'Hôpital, 67091, Strasbourg, France.
Riccardo MemeoDepartment of Emergency and Organ Transplantation, Institute of General Surgery and Liver Transplantation, University of Bari, 70124, Bari, Italy. drmemeo@yahoo.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic liver resection (LLR) is becoming standard practice, replacing the open approach in terms of safety and feasibility. However, few data are available for the elderly. The objective of this study is to assess the feasibility of LLR in elderly patients, by making a comparison with open liver resection (OLR) and with non-elderly patients. Relevant studies found in the Cochrane Library, Embase, PubMed, and Web of Science were used in order to perform a systematic review and meta-analysis. Nine fully extracted comparative studies were included and two groups were identified: Group 1 with a comparison between OLR and LLR in the elderly and Group 2 with a focus on differences after LLR between elderly and non-elderly patients. A total number of 497 elderly patients who underwent LLR were analyzed. A random effect model was used for the meta-analysis. In Group 1, 1025 elderly patients were included: 640 underwent OLR and 385 underwent LLR. LLR was associated with minor blood loss (MD - 240 mL, 95% CI - 416.61, - 63.55; p 0.008; I

Indexed as

AgedAge FactorsHepatectomyHumansLaparoscopyLiver DiseasesOutcome and Process Assessment, Health CarePostoperative ComplicationsCancerElderly patientsHepatectomyLaparoscopicLiver resection

Identifiers

PMID31139986

What OpenQuestion holds

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Read underepoch 390

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.