Evidence map›Paper›PMID 38269320›Full record

SynthesisFrontiers in medicine2023

A systematic review and meta-analysis of liver venous deprivation versus portal vein embolization before hepatectomy: future liver volume, postoperative outcomes, and oncological safety.

Mohamed Ali Chaouch, Alessandro Mazzotta, Adriano Carneiro da Costa, Mohammad Iqbal Hussain, Amine Gouader, Bassem Krimi, Fabrizio Panaro, Boris Guiu, Olivier Soubrane, Hani Oweira

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  16. Arterial embolization of focal nodular hyperplasia of the liver: A case report.International journal of surgery case reports · 2024
    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

10 authors.

Mohamed Ali ChaouchDepartment of Visceral and Digestive Surgery, Fattouma Bourguiba Hospital, University of Monastir, Monastir, Tunisia.
Alessandro MazzottaDepartment of Visceral and Digestive Surgery, Institute Mutualist of Montsouris, University of Paris, Paris, France.
Adriano Carneiro da CostaDepartment of Visceral and Digestive Surgery, Institute Mutualist of Montsouris, University of Paris, Paris, France.
Mohammad Iqbal HussainDepartment of General Surgery, Great Western Hospitals NHS Foundation Trust, Swindon, United Kingdom.
Amine GouaderDepartment of Surgery, Perpignan Hospital Center, Perpignan, France.
Bassem KrimiDepartment of Surgery, Perpignan Hospital Center, Perpignan, France.
Fabrizio PanaroDepartment of HPB Surgery and Transplantation, St-Eloi University Hospital, Montpellier, France.
Boris GuiuDepartment of Radiology, St-Eloi University Hospital, Montpellier, France.
Olivier SoubraneDepartment of Visceral and Digestive Surgery, Institute Mutualist of Montsouris, University of Paris, Paris, France.
Hani OweiraDepartment of Surgery, Universitäts Medizin Mannheim, Heidelberg University, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This systematic review aimed to compare liver venous deprivation (LVD) with portal vein embolization (PVE) in terms of future liver volume, postoperative outcomes, and oncological safety before major hepatectomy. Methods: We conducted this systematic review and meta-analysis following the PRISMA guidelines 2020 and AMSTAR 2 guidelines. Comparative articles published before November 2022 were retained. Results: The literature search identified nine eligible comparative studies. They included 557 patients, 207 in the LVD group and 350 in the PVE group. This systematic review and meta-analysis concluded that LVD was associated with higher future liver remnant (FLR) volume after embolization, percentage of FLR hypertrophy, lower failure of resection due to low FLR, faster kinetic growth, higher day 5 prothrombin time, and higher 3 years' disease-free survival. This study did not find any difference between the LVD and PVE groups in terms of complications related to embolization, FLR percentage of hypertrophy after embolization, failure of resection, 3-month mortality, overall morbidity, major complications, operative time, blood loss, bile leak, ascites, post hepatectomy liver failure, day 5 bilirubin level, hospital stay, and three years' overall survival. Conclusion: LVD is as feasible and safe as PVE with encouraging results making some selected patients more suitable for surgery, even with a small FLR. Systematic review registration: The review protocol was registered in PROSPERO before conducting the study (CRD42021287628).

Indexed as

hepatectomyliver failureliver venous deprivationportal embolizationremnant liver volumesurgery

Identifiers

PMID38269320
PMCPMC10806199

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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.