Evidence map›Paper›PMID 31388921›Full record

SynthesisJournal of gastrointestinal cancer2020

Is Single-Incision Laparoscopic Liver Surgery Safe and Efficient for the Treatment of Malignant Hepatic Tumors? A Systematic Review.

Nikolaos Machairas, Dimitrios Papaconstantinou, Apostolos Gaitanidis, Natasha Hasemaki, Anna Paspala, Paraskevas Stamopoulos, Stylianos Kykalos, Georgios C Sotiropoulos

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Single incision laparoscopic surgery for hepatocellular carcinoma.World journal of gastrointestinal surgery · 2024
    Article
  3. Review
  4. Review
  5. Article
  6. Article
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.

Nikolaos Machairas3rd Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece. nmachair@gmail.com.ORCID http://orcid.org/0000-0003-3239-3905
Dimitrios Papaconstantinou3rd Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Apostolos Gaitanidis3rd Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Natasha Hasemaki1st Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Anna Paspala3rd Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Paraskevas Stamopoulos2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Stylianos Kykalos2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Georgios C Sotiropoulos2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this review was to evaluate the safety and efficiency of single-incision laparoscopic liver surgery (SILLS) for malignant liver lesions.

methodsA retrospective review of the Medline database was performed, including studies published up to February 2019.

resultsOverall, 69 patients (50 males) with a median age of 61 years (range, 31-90) from 16 studies underwent SILLS for malignant liver disease and were included in this review. The majority of patients underwent resection for hepatocellular carcinoma (n = 52, 75 %), followed by metastatic disease (n = 15, 22 %). The hepatic lesions were located in anterolateral liver segments in 62 patients (90 %) and in posterosuperior liver segments in 7 patients (10 %). Sixty-five patients (94 %) underwent minor liver resection. The median blood loss was 200 mL (range 0-2500), while 4 patients that underwent single-port resection were converted to either conventional laparoscopy or open resections. Two cases were reported to be associated with postoperative complications in the single-port group (1 [1.7 %] grade Dindo-Clavien I-II, 1 [1.7 %] grade Dindo-Clavien III-IV), while no complications were noted in the multiport group. All patients successfully underwent R0 resection.

conclusionsSILLS seems to be a safe and efficient treatment modality for malignant liver disease when performed by experienced surgeons in carefully selected patients. More studies are needed to better identify which patients may benefit from such an operative approach.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularFemaleHepatectomyHumansLaparoscopyLiver NeoplasmsMaleMiddle AgedRetrospective StudiesLaparoscopicLiver resectionMalignant tumorsMinimally invasiveSingle incision

Identifiers

PMID31388921

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.