Evidence map›Paper›PMID 35813892›Full record

ArticleJournal of clinical and translational research2022

Outcomes of surgical resection of super-giant (≥15 cm) hepatocellular carcinoma: Volume does matter, if not the size.

Jia Jia Wee, Chin Li Tee, Sameer P Junnarkar, Jee Keem Low, Yen Pin Tan, Cheong Wei Huey, Vishal G Shelat

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical and translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 7 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

7 authors at 1 institution in 1 country.

Jia Jia WeeDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Chin Li TeeDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Sameer P JunnarkarDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Jee Keem LowDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Yen Pin TanDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Cheong Wei HueyDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Vishal G ShelatDivision of Hepatopancreatobilliary Surgery, General Surgery, Tan Tock Seng Hospital, Singapore.
Tan Tock Seng Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: Resection for giant hepatocellular carcinoma (HCC) (≥10 cm) is deemed safe and feasible. However, a super-giant HCC (≥15 cm) poses unique technical complexity for hepatectomy with limited data suggesting feasibility and oncologic efficiency. This study aims to evaluate the short-term and long-term outcomes of hepatectomy in patients with super-giant HCC. Methods: A retrospective review was conducted on patients with super-giant HCC who underwent hepatectomy from 2011 to 2021. We report perioperative and oncologic outcomes such as length of stay (LOS), 30-day readmission, 90-day mortality, and cumulative survival rate. Results: Of the 18 patients, the median tumor diameter was 172.5 mm (range 150-250). The most common risk factor was chronic hepatitis B virus (HBV) infection ( Conclusion: Primary hepatic resection is safe in patients with super-giant HCC. However, long-term outcomes are poor, and high tumor volume may be associated with inferior oncological outcomes in HCC. Relevance for Patients: The presentation of super-giant HCCs may be asymptomatic and some patients are diagnosed late with limited treatment options. In some centers, this group of patients are denied surgical resection and recommended for only locoregional therapies like TACE. This paper demonstrates that hepatic resection is safe and may be an option in patients who present at an advanced stage with a high tumor burden.

Indexed as

hepatectomyhepatocellular carcinomalargeoutcomessuper-giantsurvival

Identifiers

PMID35813892
PMCPMC9260342
OpenAlexW4285025001

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.