Evidence map›Paper›PMID 31898106›Full record

SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021

Is It Just a Matter of Surgical Extension to Achieve the Cure of Hepatocarcinoma? A Meta-Analysis of Propensity-Matched and Randomized Studies for Anatomic Versus Parenchyma-Sparing Liver Resection.

Simone Famularo, Marco Ceresoli, Alessandro Giani, Cristina Ciulli, Enrico Pinotti, Fabrizio Romano, Marco Braga, Luciano De Carlis, Luca Gianotti

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Guideline
  2. Review
  3. Article
  4. Minimally invasive hepatectomyJHEP reports : innovation in hepatology · 2025
    Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. AnatomicalWorld journal of gastrointestinal oncology · 2021
    Article
  15. Review
  16. Review
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

9 authors.

Simone FamularoSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.ORCID 0000-0002-9721-6304
Marco CeresoliSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Alessandro GianiSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Cristina CiulliSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Enrico PinottiSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Fabrizio RomanoSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Marco BragaSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Luciano De CarlisSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Luca GianottiSchool of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy. luca.gianotti@unimib.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefit of anatomic (AR) versus parenchyma-sparing resection (PSR) in hepatocarcinoma (HCC) is still debated. The aim of the study was to compare AR vs. PSR in terms of overall survival (OS) and disease-free survival (DFS).

methodsA systematic review was conducted using Medline and Google Scholar. To reduce intra- and inter-study heterogeneity, only propensity-matched studies and randomized clinical trials (RCT) were evaluated and a generic inverse variance meta-analysis was run. A sub-analysis was performed in case of tumor microvascular invasion (MVI).

resultsEleven propensity-matched and one RCT were evaluated, with a total of 3445 patients (AR = 1776 and PSR = 1669). Tumor burden and liver function were comparable among studies (I

conclusionWhen liver function and tumor burden are comparable, AR and PSR achieved similar overall survival. AR improved local control in the early period after surgery. Furthermore, in the presence of MVI, the extension of surgery was not associated with better OS and DFS.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsDisease-Free SurvivalHepatectomyHumansRandomized Controlled Trials as TopicAnatomic resectionHCCHepatocarcinomaMeta-analysisNon-anatomic resectionParenchyma sparing resectionSurvival

Identifiers

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.