Evidence map›Paper›PMID 34615531›Full record

ArticleWorld journal of surgical oncology2021

Laennec's approach for laparoscopic anatomical hemihepatectomy.

Wei Hu, Gongming Zhang, Meng Chen, Chengcheng Zhong, Mingxu Li, Xitai Sun, Kai Li, Zhong Wang

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Wei HuDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
Gongming ZhangDepartment of Pathology, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
Meng ChenDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
Chengcheng ZhongDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
Mingxu LiDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
Xitai SunDepartment of Hepatobiliary Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210093, Jiangsu, China.
Kai LiDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China. liuxy716@sina.com.
Zhong WangDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China. 18961326366@189.cn.ORCID http://orcid.org/0000-0003-3448-2725
Xuzhou Medical College · CNKangda College of Nanjing Medical UniversityNanjing Drum Tower Hospital · CN

Funding

National Natural Science Foundation of China 81900772
6 · The paper itself

Abstract

backgroundLaennec's capsule has been found for about 200 years. However, laparoscopic anatomical right and left hemihepatectomy (LARH and LALH) using Laennec's approach are rarely reported.

methodsWe retrospectively analyzed the technical details and the surgical outcomes of 15 patients who underwent LAH via Laennec's approach between May 2017 and July 2020. The operation time, intraoperative blood loss, postoperative complications, and hospital stay were recorded and analyzed.

resultsFour of 15 patients were diagnosed with hepatic hemangioma, 2 had hepatolithiasis, and 9 patients had primary liver cancer. During the surgery, Laennec's approach was used for LAH without conversion to open surgery. Four patients were treated with LARH, and 11 patients were cured with LALH. The mean age of the patients was 62.1 ± 6.5 years, and four were male. The mean operative time, blood loss, and length of the postoperative hospital stay were 193 ± 49 min, 247 ± 120 mL, and 8.7 ± 2.0 days, respectively. There was no incidence of postoperative bile leakage and bleeding. No mortality occurred. We also demonstrated that Laennec's capsule does exist around the peripheral hepatic veins with histological confirmation.

conclusionsLaennec's approach is safe and feasible for LAH. Precise isolation of Laennec's approach based on Laennec's capsule helps to standardize the surgical techniques for laparoscopic anatomical hepatectomy.

Indexed as

LaparoscopyLithiasisLiver DiseasesAgedHumansMaleMiddle AgedPrognosisRetrospective StudiesHemihepatectomyLaennec’s capsuleLaparoscopySurgical approach

Identifiers

PMID34615531
PMCPMC8496013
OpenAlexW3137970138

What OpenQuestion holds

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LicenceCC BY
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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.