Evidence map›Paper›PMID 34815189›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2022

Laparoscopic versus open liver resection for hepatocellular carcinoma in elderly patients: a propensity score matching analysis.

Antonella Delvecchio, Maria Conticchio, Umberto Riccelli, Valentina Ferraro, Francesca Ratti, Maximiliano Gelli, Ferdinando M Anelli, Alexis Laurent, Giulio C Vitali, Paolo Magistri and 12 more

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Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

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  15. Editorial on "Hepatobiliary surgery and nutrition · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

Antonella DelvecchioGeneral Surgery, University Hospital Policlinico of Bari, Italy.
Maria ConticchioGeneral Surgery, University Hospital Policlinico of Bari, Italy.
Umberto RiccelliMaxillo-Facial Surgery, Casa Sollievo Della Sofferenza Hospital, San Giovanni Rotondo, Italy.
Valentina FerraroDepartment of Hepato-Pancreatic-Biliary Surgery, Miulli Hospital, Bari, Italy.
Francesca RattiDivision of Hepatobiliary Surgery, IRCCS San Raffaele Hospital, Milan, Italy.
Maximiliano GelliDepartment of Surgical Oncology, Institute of Oncology Gustave Roussy, Villejuif, France; Hepatobiliary Centre, Paul Brousse University Hospital, Villejuif, France.
Ferdinando M AnelliDepartment of General Surgery and Liver and Pancreas Transplantation, University Hospital Reina Sofía, Córdoba, Spain.
Alexis LaurentDepartment of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor University Hospital, AP-HP, UPEC University, Créteil, France.
Giulio C VitaliDivision of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Paolo MagistriHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.
Giacomo AssiratiHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.
Emanuele FelliDepartment of Digestive Surgery, Strasbourg University Hospital, IRCAD, Strasbourg, France.
Taiga WakabayashiDepartment of Digestive Surgery, Strasbourg University Hospital, IRCAD, Strasbourg, France.
Patrick PessauxDepartment of Digestive Surgery, Strasbourg University Hospital, IRCAD, Strasbourg, France.
Tullio PiardiDepartment of HBP and Digestive Oncological Surgery, Robert Debré University Hospital, Reims, France; Department of Surgery, HPB Unit, Troyes Hospital, Troyes, France.
Fabrizio Di BenedettoHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.
Nicola de'AngelisDepartment of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor University Hospital, AP-HP, UPEC University, Créteil, France.
Javier Briceño-DelgadoDepartment of General Surgery and Liver and Pancreas Transplantation, University Hospital Reina Sofía, Córdoba, Spain.
Rene AdamHepatobiliary Centre, Paul Brousse University Hospital, Villejuif, France.
Daniel CherquiHepatobiliary Centre, Paul Brousse University Hospital, Villejuif, France.
Luca AldrighettiDivision of Hepatobiliary Surgery, IRCCS San Raffaele Hospital, Milan, Italy.
Riccardo MemeoDepartment of Hepato-Pancreatic-Biliary Surgery, Miulli Hospital, Bari, Italy. Electronic address: info@drmemeoriccardo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical resection is a first-line curative option for hepatocellular carcinoma, but its role is still unclear in elderly patients. The aim of our study was to compare short- and long-term outcomes of laparoscopic and open liver resection in elderly patients with hepatocellular carcinoma.

methodsThe study included 665 consecutive hepatocellular carcinoma liver resection cases in patients with ≥70 years of age treated in eight European hospital centres. Patients were divided into laparoscopic and open liver resection groups. Perioperative and long-term outcomes were compared between these groups.

resultsAfter a 1:1 propensity score matching, 219 patients were included in each group. Clavien-Dindo grades III/IV (6 vs. 20%, p = 0.04) were lower in the laparoscopic than in the open matched group. Hospital stay was shorter in the laparoscopic than in the open matched group (5 vs. 7 days, p < 0.001). There were no significant differences between laparoscopic and open groups regarding overall survival and disease-free survival at 1-, 3- and 5- year periods.

conclusionLaparoscopic liver resection for hepatocellular carcinoma is associated with good short-term outcomes in patients with ≥70 years of age compared to open liver resection. Laparoscopic liver resection is safe and feasible in elderly patients with hepatocellular carcinoma.

Indexed as

Carcinoma, HepatocellularLaparoscopyLiver NeoplasmsAgedHepatectomyHumansLength of StayPostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment Outcome

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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.