Evidence map›Paper›PMID 37859673›Full record

ReviewCureus2023

Operative and Hepatic Function Outcomes of Laparoscopic vs. Open Liver Resection: A Systematic Review and Meta-Analysis.

Reda H Mithany, Farid Gerges, M Hasaan Shahid, Shenouda Abdallah, Mina Manasseh, Mark Abdelmaseeh, Mazin Abdalla, Eiad Elmahi

Abstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Reducing invasiveness in liver surgery-where is the limit?World journal of gastrointestinal surgery · 2025
    Article
  3. 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.

Reda H MithanyLaparoscopic Colorectal Surgery, Kingston Hospital National Health Services (NHS) Foundation Trust, Kingston, GBR.
Farid GergesGeneral and Emergency Surgery, Kingston Hospital National Health Services (NHS) Foundation Trust, Kingston, GBR.
M Hasaan ShahidSurgery, Postgraduate Medical Institute, Lahore, PAK.
Shenouda AbdallahSurgery, Jaber Al-Ahmad Hospital, Kuwait, KWT.
Mina ManassehGeneral Surgery, Torbay and South Devon National Health Services (NHS) Foundation Trust, Torquay, GBR.
Mark AbdelmaseehGeneral Surgery, Faculty of Medicine, Assuit University, Assuit, EGY.
Mazin AbdallaGeneral Surgery, Kingston Hospital National Health Services (NHS) Foundation Trust, Kingston, GBR.
Eiad ElmahiGeneral Surgery, Lincoln County Hospital, Lincoln, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver resection is a pivotal treatment for various liver diseases, and the choice between laparoscopic (LR) and open (OR) methods is debatable. This study aims to compare their respective complications and hepatic outcomes comprehensively, providing critical insights to guide clinical decisions and optimize patient results. We conducted a comprehensive review across PubMed, SCOPUS, WOS, and the Cochrane Library until September 2023. Randomized controlled trials (RCTs) comparing laparoscopic (LR) and open (OR) liver resections were included. Data screening, extraction, and quality assessments utilized the Risk of Bias (ROB-2). We conducted our analysis using Review Manager (RevMan 5.4) software, and the data were presented as risk ratios (RR) and mean differences (MD) with 95% confidence intervals (CI). Our comprehensive research yielded 3,192 relevant records, and 9 RCTs were finally included. LR exhibited reduced operative bleeding (MD = -82.87 ml, 95% CI: -132.45 to -33.30, P=0.001) and shorter hospital stays (MD = -2.32 days, 95% CI: -3.65 to -0.98, P=0.0007). The risk of complications was significantly lower in the LR group (RR = 0.57, 95% CI: 0.43-0.76, P<0.0001), especially in Clavian-Dindo classification degree 1 and 2 complications (RR = 0.47, 95% CI: 0.28-0.79, P=0.005). LR patients also had lower postoperative AST levels at one day (MD = -123.16 U/L, 95% CI: -206.08 to -40.24, P=0.004) and three days (MD = -35.95 U/L, 95% CI: -65.83 to -6.06, P=0.02). These findings underscore LR's superiority, emphasizing its potential to significantly enhance patient outcomes, reduce complications, and improve recovery in liver resection procedures.

Indexed as

hepatectomy complicationslaparoscopic liver resectionopen liver resection“post-hepatectomy bleeding”systematic review

Identifiers

PMID37859673
PMCPMC10584273

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Registered trials

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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.