Evidence map›Paper›PMID 36849753›Full record

Trial reportBJS open2023

Asia-Pacific multicentre randomized trial of laparoscopic versus open major hepatectomy for hepatocellular carcinoma (AP-LAPO trial).

Kelvin K C Ng, Charing C N Chong, Kit-Fai Lee, Paul B S Lai, Thomas K C Cheng, Hua-Wei Chen, Bin Yi, Ji-Wei Huang

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04852211 (Asia-Pacific Multi-Centre Randomized Trial of Laparoscopic Versus Open Major Hepatectomy for Hepatocellular Carcinoma), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT04852211 naunknown statusnot on this map

Asia-Pacific Multi-Centre Randomized Trial of Laparoscopic Versus Open Major Hepatectomy for Hepatocellular Carcinoma (AP-LAPO Trial)

TypeinterventionalSponsorChinese University of Hong KongRan2021 to 2024Enrolled212ConditionsHepatocellular CarcinomaArmsOpen or laparoscopic surgery
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

8 authors.

Kelvin K C NgDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong.ORCID 0000-0002-3679-6368
Charing C N ChongDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong.ORCID 0000-0002-8425-8767
Kit-Fai LeeDepartment of Surgery, Prince of Wales Hospital, Hong Kong.ORCID 0000-0003-0637-0291
Paul B S LaiDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong.
Thomas K C ChengDepartment of Surgery, Kwong Wah Hospital, Hong Kong.ORCID 0000-0002-6440-7825
Hua-Wei ChenDepartment of Surgery, The First People Hospital of Foshan, Foshan, China.
Bin YiDepartment of Biliary Surgery, Eastern Hepatobiliary Surgery Hospital & Institute, Second Military Medical University, Shanghai, China.
Ji-Wei HuangDepartment of Surgery, West China Medical School of Sichuan University, Sichuan, China.

Funding

Health and Medical Research FundHealth Bureau of Hong Kong Special Administrative Region of China 08190446
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma is the sixth most common malignancy in the world. Major hepatectomy (resection of greater than or equal to three liver segments) is needed if a tumour is large or close to major blood vessels. Despite low mortality, open major hepatectomy is associated with high rates of tumour recurrence that limits survival. Laparoscopic major hepatectomy has been proposed as an alternative approach with potential oncological benefits. This study compares laparoscopic major hepatectomy with open major hepatectomy for hepatocellular carcinoma in a randomized trial.

methodsThe Asia-Pacific multicentre randomized trial of laparoscopic versus open major hepatectomy for hepatocellular carcinoma (AP-LAPO trial) is an open-labelled multicentre randomized trial to be conducted in five centres in the Asia-Pacific region. The study will test the hypothesis that laparoscopic major hepatectomy for hepatocellular carcinoma is associated with less tumour recurrence and better survival compared with open major hepatectomy; the primary outcome being 2-year recurrence-free survival. Secondary outcomes include hospital mortality, postoperative complications according to the Clavien-Dindo classification, time to functional recovery, quality of life, long-term survival, and postoperative serum surgical stress-related cytokines. RESULTS AND

conclusionThe AP-LAPO trial will determine whether laparoscopic major hepatectomy offers oncological benefits to patients with hepatocellular carcinoma compared with open major hepatectomy. REGISTRATION NUMBER: NCT04852211 (http://www.clinicaltrials.gov) registered on 21 April 2021. PROTOCOL VERSION: AP-LAPO trial version 01 (1 December 2021).

Indexed as

Carcinoma, HepatocellularLaparoscopyLiver NeoplasmsAsiaHepatectomyHumansNeoplasm Recurrence, LocalQuality of Life

Identifiers

PMID36849753
PMCPMC9970867

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Registered trials

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.