Evidence map›Paper›PMID 33459363›Full record

ArticleJournal of surgical oncology2020

Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients.

Sepideh Gholami, Sean J Judge, Ser-Yee Lee, Kiarash Mashayekhi, Brian K P Goh, Chung-Yip Chan, Miriam A Nuño, Mithat Gönen, Vinod P Balachandran, Peter J Allen and 4 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Impact of liver cirrhosis and portal hypertension on minimally invasive limited liver resection for primary liver malignancies in the posterosuperior segments: An international multicenter study.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2023
    Article
  4. Review
  5. Robot-assisted liver resection: the real benefit so far.Langenbeck's archives of surgery · 2022
    Review
  6. Article
  7. 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

14 authors at 3 institutions in 2 countries.

Sepideh GholamiDepartment of Surgery, UC Davis Medical Center, Sacramento, California.
Sean J JudgeDepartment of Surgery, UC Davis Medical Center, Sacramento, California.ORCID https://orcid.org/0000-0002-1842-9468
Ser-Yee LeeDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0001-9119-7408
Kiarash MashayekhiDepartment of Surgery, UC Davis Medical Center, Sacramento, California.
Brian K P GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8218-4576
Chung-Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.
Miriam A NuñoDepartment of Surgery, UC Davis Medical Center, Sacramento, California.
Mithat GönenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Vinod P BalachandranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Peter J AllenDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Jeffrey A DrebinDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
William R JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID https://orcid.org/0000-0002-1635-5768
Michael I D' AngelicaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Thomas Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID http://orcid.org/0000-0002-3359-3186
Memorial Sloan Kettering Cancer Center · USUniversity of California Davis Medical Center · USNational University of Singapore · SG

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundControversy exists regarding the safety and feasibility of minimally invasive resection for lesions in segments 7 or 8. We compare outcomes of minimally invasive surgery (MIS) and Open parenchymal sparing liver resections at two high-volume centers.

methodsFrom 2003 to 2016 we identified patients who underwent MIS or Open resections for lesions in segments 7 or 8 at two institutions (MSKCC and SGH). Outcomes were compared using univariate and multivariate analyses.

resultsTwo-hundred and forty-five patients underwent resection of lesions in segments 7 or 8 (MIS 30% and Open 70%). Compared to the Open group, the MIS group had longer operative time (223 ± 88 vs 188 ± 72 minutes, P = .003), lower blood loss (297 ± 287 vs 448 ± 670 mL, P = .03), and shorter mean length of stay (5.2 ± 7.4 vs 8.3 ± 11.7 days, P < .001), which remained significant on multivariate analysis. No differences in Pringle time, rate of postoperative complications, or R0 resections were detected.

conclusionsWith appropriately selected patients treated by experienced MIS hepatopancreatobiliary surgeons, MIS resection of segments 7 or 8 is safe with similar rates of complications and R0 resections, with significantly less blood loss and shorter length of stay.

Indexed as

FemaleFollow-Up StudiesHepatectomyHumansLaparoscopyLength of StayLiver NeoplasmsMaleMiddle AgedMinimally Invasive Surgical ProceduresPrognosisProspective StudiesRetrospective Studieslaparoscopic liver resectionliver segments 7/8minimally invasive surgery liver resectionparenchymal sparing liver resectionposterior‐superior liver segments

Identifiers

PMID33459363
PMCPMC7978501
OpenAlexW3081553738

What OpenQuestion holds

Textmetadata
LicenceTDM
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.