Evidence map›Paper›PMID 37228573›Full record

ArticleTherapeutics and clinical risk management2023

Safety and Efficacy of Liver Venous Deprivation Following Transarterial Chemoembolization Before Major Hepatectomy for Hepatocellular Carcinoma.

Than-Van Sy, Le Thanh Dung, Bui-Van Giang, Nguyen Quang Nghia, Ninh Viet Khai, Cao Manh Thau, Pham Gia Anh, Trinh Hong Son, Nguyen Minh Duc

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

9 authors at 5 institutions in 1 country.

Than-Van Sy *Department of Radiology, Hanoi Medical University, Ha Noi, Vietnam.ORCID 0000-0001-5162-5631
Le Thanh Dung *Department of Radiology, Hanoi Medical University, Ha Noi, Vietnam.ORCID 0000-0001-5257-2092
Bui-Van GiangDepartment of Radiology, Vinmec Healthcare System, Hanoi, Vietnam.ORCID 0000-0003-4146-4357
Nguyen Quang NghiaCenter of Organ Transplantation, Viet Duc University Hospital, Ha Noi, Vietnam.ORCID 0000-0003-4729-3018
Ninh Viet KhaiCenter of Organ Transplantation, Viet Duc University Hospital, Ha Noi, Vietnam.ORCID 0000-0002-2871-0931
Cao Manh ThauDepartment of Oncology, Viet Duc University Hospital, Ha Noi, Vietnam.ORCID 0000-0002-2448-9475
Pham Gia AnhDepartment of Oncology, Viet Duc University Hospital, Ha Noi, Vietnam.ORCID 0000-0003-2580-0955
Trinh Hong SonDepartment of Oncology, Viet Duc University Hospital, Ha Noi, Vietnam.ORCID 0000-0002-1590-0592
Nguyen Minh DucDepartment of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.ORCID 0000-0001-5411-1492
Viet Duc Hospital · VNHanoi Medical University · VNPham Ngoc Thach University of Medicine · VNVietnam National University, Hanoi · VNVinmec International Hospital · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the safety and efficacy of liver venous deprivation (LVD) following transarterial chemoembolization (TACE) in patients with hepatocellular carcinoma (HCC). Methods: Between January 2021 and December 2022, HCC patients indicated for hepatectomy with initial insufficient future liver remnant (FLR) underwent LVD after TACE to induce preoperative liver hypertrophy. Results: Twenty-seven HCC patients with a median age of 55 years underwent LVD. No TACE or LVD procedure-associated complications occurred, except for 1 case presenting with grade A liver failure after LVD (then recovered after 7 days). The FLR volume was 29.3% (interquartile range [IQR] = 7.5) and 48.9% (IQR = 8.6) of the total liver volume before and after LVD, respectively (p < 0.001). The degree of hypertrophy and FLR hypertrophy rate were 14.8% (IQR = 8.4) and 55.2% (IQR = 36.7), respectively. All 27 patients demonstrated sufficient FLR after LVD (24 patients at three weeks post-LVD, one at six weeks, and two at ten weeks), but only 21 patients accepted surgery. Postoperative histopathology showed 16 patients with cirrhosis and five with mild fibrosis (F1, F2). One patient presented with severe intraoperative bleeding due to damage of left hepatic vein and developed grade C liver failure, then died on day 32 postoperation. Conclusion: LVD following TACE seems to be a safe, effective, and feasible method of inducing significant FLR regeneration in HCC, even in well-selected cirrhotic livers. Comparative studies with a large patient population and multicenter data are needed for further evaluation.

Indexed as

hepatic vein embolizationhepatocellular carcinomaliver hypertrophyliver resectionliver venous deprivationportal vein embolization

Identifiers

PMID37228573
PMCPMC10202697
OpenAlexW4377103185

What OpenQuestion holds

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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.