Evidence map›Paper›PMID 36810687›Full record

SynthesisSurgical endoscopy2023

SAGES/AHPBA guidelines for the use of minimally invasive surgery for the surgical treatment of colorectal liver metastases (CRLM).

Timothy J Vreeland, Amelia T Collings, Ahmad Ozair, Alexandra M Adams, Rebecca Dirks, Bradley S Kushner, Iswanto Sucandy, David Morrell, Jake Whiteside, Mohammed T Ansari and 16 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

26 authors at 20 institutions in 4 countries.

Timothy J Vreeland *Department of Surgery, Brooke Army Medical Center, San Antonio, TX, USA.
Amelia T Collings *Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ahmad OzairFaculty of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Alexandra M AdamsDepartment of Surgery, Brooke Army Medical Center, San Antonio, TX, USA.
Rebecca DirksDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Bradley S KushnerWashington University School of Medicine, St. Louis, MO, USA.
Iswanto SucandyDigestive Health Institute, AdventHealth Tampa, FL, USA.
David MorrellDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Jake WhitesideDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Mohammed T AnsariSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Jordan CloydDivision of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Sean P ClearyDivision of Hepatobiliary and Pancreas Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Eugene CeppaDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ahmed M Abou-SettaDepartment of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Adnan AlseidiDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Ziad AwadDepartment of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA.
Subhashini AylooAlpert Medical School of Brown University, Providence, RI, USA.
Joseph BuellDivision of Surgery, Mission Healthcare System, HCA Healthcare, Asheville, NC, USA.
Georgios OrthopoulosDepartment of Surgery, University of Massachusetts Chan Medical School-Baystate, Worcester, USA.
William RichardsonSection of General Surgery, Oschner Clinic, New Orleans, LA, USA.
Samer SbayiDepartment of Surgery, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Go WakabayashiCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Department of Surgery, Ageo Central General Hospital, Ageo City, Japan.
Horacio AsbunBaptist Health Miami Cancer Institute, Miami, FL, USA.
Bethany J SlaterDepartment of Surgery, University of Chicago Medicine, Chicago, USA.
Aurora D PryorDepartment of Surgery, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
D Rohan JeyarajahTCU/UNTHSC School of Medicine, Fort Worth, USA. drj@tscsurgical.com.ORCID 0000-0002-1673-678X
Indiana University School of MedicineBrooke Army Medical Center · USStony Brook School · USAdventHealth Tampa · USBaptist Hospital of Miami · USBrown University · USHakodate Central General Hospital · JPKing George's Medical University · INMayo Clinic in Arizona · USMission Health · USPenn State Milton S. Hershey Medical Center · USThe Ohio State University Wexner Medical Center · USUniversity of California, San Francisco · USUniversity of Chicago · USUniversity of Florida · USUniversity of Manitoba · CAUniversity of Massachusetts Chan Medical School · USUniversity of North Texas · USUniversity of Ottawa · CAWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal liver metastases (CRLM) occur in roughly half of patients with colorectal cancer. Minimally invasive surgery (MIS) has become an increasingly acceptable and utilized technique for resection in these patients, but there is a lack of specific guidelines on the use of MIS hepatectomy in this setting. A multidisciplinary expert panel was convened to develop evidence-based recommendations regarding the decision between MIS and open techniques for the resection of CRLM.

methodsSystematic review was conducted for two key questions (KQ) regarding the use of MIS versus open surgery for the resection of isolated liver metastases from colon and rectal cancer. Evidence-based recommendations were formulated using the GRADE methodology by subject experts. Additionally, the panel developed recommendations for future research.

resultsThe panel addressed two KQs, which pertained to staged or simultaneous resection of resectable colon or rectal metastases. The panel made conditional recommendations for the use of MIS hepatectomy for both staged and simultaneous resection when deemed safe, feasible, and oncologically effective by the surgeon based on the individual patient characteristics. These recommendations were based on low and very low certainty of evidence.

conclusionsThese evidence-based recommendations should provide guidance regarding surgical decision-making in the treatment of CRLM and highlight the importance of individual considerations of each case. Pursuing the identified research needs may help further refine the evidence and improve future versions of guidelines for the use of MIS techniques in the treatment of CRLM.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsRectal NeoplasmsHepatectomyHumansMinimally Invasive Surgical ProceduresColorectal cancerColorectal liver metastasesMinimally invasive hepatectomyOpen hepatectomy

Identifiers

PMID36810687
OpenAlexW4321437585

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.