Evidence map›Paper›PMID 37286991›Full record

ArticleBMC surgery2023

Short-term outcomes of robotic versus open hepatectomy among overweight patients with hepatocellular carcinoma: a propensity score-matched study.

Zhao-Yi Lin, Xiu-Ping Zhang, Guo-Dong Zhao, Cheng-Gang Li, Zhao-Hai Wang, Rong Liu, Ming-Gen Hu

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Robotic Caudate Lobectomy: Feasibility and Techniques with Da Vinci Xi and SP Systems.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

7 authors at 1 institution in 1 country.

Zhao-Yi Lin *Medical School of Chinese PLA, Beijing, 100853, China.
Xiu-Ping Zhang *Medical School of Chinese PLA, Beijing, 100853, China.
Guo-Dong Zhao *Medical School of Chinese PLA, Beijing, 100853, China.
Cheng-Gang LiMedical School of Chinese PLA, Beijing, 100853, China.
Zhao-Hai WangMedical School of Chinese PLA, Beijing, 100853, China.
Rong LiuMedical School of Chinese PLA, Beijing, 100853, China. liurong301@126.com.
Ming-Gen HuMedical School of Chinese PLA, Beijing, 100853, China. hmg301@126.com.
Chinese PLA General Hospital · CN

Funding

National Key Research and Development Program of China No.2022YFC2407400
6 · The paper itself

Abstract

backgroundRobotic hepatectomy (RH) has gradually been accepted as it has overcome some of the limitations of open hepatectomy (OH). This study was to compare short-term outcomes in RH and OH for overweight (preoperative body mass index ≥ 25 kg/m²) patients with hepatocellular carcinoma (HCC).

methodsPerioperative and postoperative data from these patients who underwent RH or OH between January 2010 and December 2020 were retrospectively analyzed. Propensity score matching (PSM) analysis was performed to determine the impact of RH versus OH on the prognosis of overweight HCC patients.

resultsAll 304 overweight HCC patients were included, 172 who were underwent RH, and 132 who were underwent OH. After the 1:1 PSM, there were 104 patients in both RH and OH groups. After PSM, the RH group of patients had a shorter operative time, less estimated blood loss (EBL), a longer total clamping time, a shorter postoperative length of stay (LOS), less chance of surgical site infection and less rates of blood transfusion (all P < 0.05) compared to the OH patients. The differences between operative time, EBL and LOS were more significant in obese patients. RH was found to be an independent protective factor of EBL ≥ 400ml relative to OH in overweight patients for the first time.

conclusionsRH was safe and feasible in overweight HCC patients. Compared with OH, RH has advantages in terms of operative time, EBL, postoperative LOS, and surgical site infection. Carefully selected overweight patients should be considered for RH.

Indexed as

Carcinoma, HepatocellularLaparoscopyLiver NeoplasmsRobotic Surgical ProceduresHepatectomyHumansLength of StayOverweightPropensity ScoreRetrospective StudiesSurgical Wound InfectionTreatment OutcomeHepatocellular carcinomaOpen hepatectomyOutcomeOverweightRobotic hepatectomy

Identifiers

PMID37286991
PMCPMC10246414
OpenAlexW4379768363

What OpenQuestion holds

Textmetadata
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.