Evidence map›Paper›PMID 37064062›Full record

ArticleJournal of surgical case reports2023

Right-sided ALPPS after preoperative emergency embolization of the right hepatic artery: case report with a favorable anatomy.

Petras Laurinavicius, Philip C Müller, Soleen Ghafoor, Jan Philipp Jonas, Christian E Oberkofler, Pierre-Alain Clavien, Henrik Petrowsky

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Article in Journal of surgical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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.

Petras LaurinaviciusDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.
Philip C MüllerDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.
Soleen GhafoorInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
Jan Philipp JonasDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.
Christian E OberkoflerDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.
Pierre-Alain ClavienDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.
Henrik PetrowskyDepartment of Surgery, Swiss HPB and Transplantation Centre, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with extensive colorectal liver metastases (CRLM) and insufficient future liver remnant (FLR) a faster and more effective FLR augmentation than portal vein embolization is the associating liver partition and portal vein ligation in staged hepatectomy (ALPPS). Before ALPPS, the presence of arterial blood supply to the subsequently resected hemiliver must be ensured. We present a case with neoadjuvant-treated CRLM and insufficient FLR who developed a large intrahepatic hematoma after liver biopsy. For continuous bleeding, the right hepatic artery was embolized. Fortunately, an accessory right hepatic artery arising from the superior mesenteric artery was present, which enabled the ALPPS procedure to be performed. After ALPPS, the patient did not experience liver failure. The case exemplifies that preoperative evaluation of the vascular supply of the liver is of paramount importance in advanced hepatic surgery such as ALPPS.

Indexed as

Colorectal cancerLiver metastasesLiver surgeryTwo-stage hepatectomy

Identifiers

PMID37064062
PMCPMC10101734

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