Evidence map›Paper›PMID 31853630›Full record

ArticleSurgical endoscopy2020

Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma.

Takashi Onoe, Megumi Yamaguchi, Toshimitsu Irei, Kohei Ishiyama, Takeshi Sudo, Naoto Hadano, Masato Kojima, Haruna Kubota, Ryuta Ide, Hirofumi Tazawa and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 12% of its field
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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  12. LaparoscopicWorld journal of gastrointestinal surgery · 2022
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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

15 authors at 2 institutions in 1 country.

Takashi OnoeDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan. tonoemd@gmail.com.ORCID http://orcid.org/0000-0002-8188-4623
Megumi YamaguchiDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Toshimitsu IreiDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Kohei IshiyamaDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Takeshi SudoDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Naoto HadanoDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Masato KojimaDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Haruna KubotaDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Ryuta IdeDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Hirofumi TazawaDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Wataru ShimizuDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Takahisa SuzukiDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Yosuke ShimizuDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Takao HinoiDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan.
Hirotaka TashiroDepartment of Surgery, Kure Medical Center/Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan. tashiro.hirotaka.zn@mail.hosp.go.jp.
Kure Medical Center · JPHiroshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with repeat open liver resection (OLR) for recurrent HCC.

methodsWe performed 42 repeat OLR and 30 repeat LLR for cases of recurrent HCC between January 2007 and March 2018. This study retrospectively compared the patients' clinicopathological characteristics and operative and short-term outcomes including surgical time, intraoperative blood loss, duration of hospital stay, and postoperative complications between the two groups.

resultsThere were no significant differences in patient characteristics between the two groups except in terms of Child-Pugh grade. The repeat LLR group had lower median intraoperative blood loss (100 mL vs. 435 mL; P = 0.001) and shorter median postoperative hospital stay (10 days vs. 14.5 days; P = 0.002). The other results including postoperative complications were comparable between the two groups. Further, comparison of two subpopulations of the repeat LLR group stratified by previous hepatectomy type (open or laparoscopic) or tumor location (segments 7 and 8 or other) revealed no significant differences in the postoperative clinical characteristics between them, although the morbidity rate tended to be higher in patients who underwent open hepatectomy for primary HCC than in patients who underwent laparoscopic hepatectomy.

conclusionsRepeat LLR for recurrent HCC is feasible and useful with good short-term outcomes although an appropriate patient selection seems to be necessary.

Indexed as

LaparoscopyAgedAged, 80 and overCarcinoma, HepatocellularFeasibility StudiesFemaleHepatectomyHumansLiverLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsRetrospective StudiesTime FactorsHepatocellular carcinomaLaparoscopic liver resectionRepeat surgery

Identifiers

PMID31853630
OpenAlexW2996215424

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.