Evidence map›Paper›PMID 37173895›Full record

ReviewCancers2023

Irreversible Electroporation for Liver Metastases from Colorectal Cancer: A Systematic Review.

Harry V M Spiers, Francesco Lancellotti, Nicola de Liguori Carino, Sanjay Pandanaboyana, Adam E Frampton, Santhalingam Jegatheeswaran, Vinotha Nadarajah, Ajith K Siriwardena

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. [Interventional therapeutic strategies for metastatic liver cancer].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  2. Irreversible Electroporation for Tonsillar Ablation in Adults.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  3. Review
  4. Article
  5. Meta-Analysis: The Holy Grail?Cardiovascular and interventional radiology · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
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 at 4 institutions in 1 country.

Harry V M SpiersCambridge Hepato-Pancreato-Biliary Unit, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK.ORCID 0000-0001-7308-2711
Francesco LancellottiHepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester M13 9WL, UK.ORCID 0000-0002-1830-127X
Nicola de Liguori CarinoHepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester M13 9WL, UK.
Sanjay PandanaboyanaHPB and Transplant Unit, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0003-3099-2197
Adam E FramptonHepato-Pancreato-Biliary Surgery Unit, Royal Surrey NHS Foundation Trust, Guildford GU2 7XX, UK.ORCID 0000-0002-1392-2755
Santhalingam JegatheeswaranHepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester M13 9WL, UK.
Vinotha NadarajahDepartment of Radiology, Manchester Royal Infirmary, Manchester M13 9WL, UK.ORCID 0000-0003-3087-3446
Ajith K SiriwardenaHepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester M13 9WL, UK.ORCID 0000-0001-8004-0560
Manchester Royal Infirmary · GBFreeman Hospital · GBUniversity of Cambridge · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrreversible electroporation (IRE) is a non-thermal form of ablation based on the delivery of pulsed electrical fields. It has been used to treat liver lesions, particularly those in proximity to major hepatic vasculature. The role of this technique in the portfolio of treatments for colorectal hepatic metastases has not been clearly defined. This study undertakes a systematic review of IRE for treatment of colorectal hepatic metastases.

methodsThe study protocol was registered with the PROSPERO register of systematic reviews (CRD42022332866) and reports in compliance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA). The Ovid MEDLINE

resultsOne hundred eighty patients underwent treatment for liver metastases from colorectal cancer. The median transverse diameter of tumours treated by IRE was <3 cm. Ninety-four (52%) tumours were adjacent to major hepatic inflow/outflow structures or the vena cava. IRE was undertaken under general anaesthesia with cardiac cycle synchronisation and with the use of either CT or ultrasound for lesion localisation. Probe spacing was less than 3.2 cm for all ablations. There were two (1.1%) procedure-related deaths in 180 patients. There was one (0.5%) post-operative haemorrhage requiring laparotomy, one (0.5%) bile leak, five (2.8%) post-procedure biliary strictures and a zero incidence of post-IRE liver failure.

conclusionsThis systematic review shows that IRE for colorectal liver metastases can be accomplished with low procedure-related morbidity and mortality. Further prospective study is required to assess the role of IRE in the portfolio of treatments for patients with liver metastases from colorectal cancer.

Indexed as

ablationcolorectal cancerirreversible electroporationliver metastasessystematic review

Identifiers

PMID37173895
PMCPMC10177346
OpenAlexW4366828242

What OpenQuestion holds

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LicenceCC BY
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.