Evidence map›Paper›PMID 38640453›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Laparoscopic Versus Open Hemihepatectomy: The ORANGE II PLUS Multicenter Randomized Controlled Trial.

Robert S Fichtinger, Luca A Aldrighetti, Mohammed Abu Hilal, Roberto I Troisi, Robert P Sutcliffe, Marc G Besselink, Somaiah Aroori, Krishna V Menon, Bjørn Edwin, Mathieu D'Hondt and 26 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
18.9field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Laparoscopic or Open Liver Resection Versus Multibipolar Radiofrequency Ablation of HCC Within Milan Criteria on Cirrhosis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  12. Article
  13. LaparoscopicAnnals of surgical treatment and research · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. The Cost of Progress that Pays Off.Annals of surgical oncology · 2026
    Article
  18. Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026
    Review
  19. Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026
    Review
  20. 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

36 authors at 17 institutions in 6 countries.

Robert S FichtingerDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-9143-8213
Luca A AldrighettiHepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy.
Mohammed Abu HilalDepartment of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, United Kingdom.ORCID 0000-0002-3162-4639
Roberto I TroisiDivision of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Transplantation Service, Federico II University, Naples, Italy.ORCID 0000-0001-6280-810X
Robert P SutcliffeDepartment of Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0002-1881-7655
Marc G BesselinkDepartment of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-2650-9350
Somaiah ArooriDepartment of Surgery, Plymouth Hospitals NHS Trust, Plymouth, United Kingdom.ORCID 0000-0002-5613-6463
Krishna V MenonDepartment of Surgery, King's College Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0000-0002-8193-4889
Bjørn EdwinIntervention Center and Department of Hepatic, Pancreatic and Biliary Surgery, Oslo University Hospital and Institute of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-3137-6225
Mathieu D'HondtDepartment of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge, Kortrijk, Belgium.ORCID 0000-0001-5542-3017
Valerio LucidiDepartment of Digestive Surgery, Unit of Hepatobiliary Surgery and Transplantation, Hôpitaux Universitaires de Bruxelles, Hôpital Erasme, Brussels, Belgium.ORCID 0000-0001-7347-9727
Tom F UlmerDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0003-0602-7207
Rafael Díaz-NietoDepartment of Hepato-Biliary Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Zahir SoonawallaDepartment of Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.ORCID 0000-0002-4213-4723
Steve WhiteDepartment of Surgery, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, United Kingdom.
Gregory SergeantDepartment of Digestive and Hepatobiliary/Pancreatic Surgery, Jessa Hospital, Hasselt, Belgium.ORCID 0000-0001-8846-3824
Bram OlijDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-1027-8685
Francesca RattiHepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy.ORCID 0000-0002-8108-9064
Christoph KuemmerliDepartment of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, United Kingdom.ORCID 0000-0002-7109-3545
Vincenzo ScuderiDepartment of General, Hepatobiliary and Liver Transplantation Surgery, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-0490-7780
Frederik BerrevoetDepartment of General, Hepatobiliary and Liver Transplantation Surgery, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-3575-5345
Aude VanlanderDepartment of Surgery, Free University Hospital, AZ Jette Hospital, Brussels, Belgium.ORCID 0000-0002-4457-4255
Ravi MarudanayagamDepartment of Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0002-0640-3535
Pieter TanisDepartment of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-3146-3310
Maxime J L DewulfDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-1945-5481
Cornelis H C DejongDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.
Zina EmintonSouthampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom.ORCID 0009-0001-2747-4279
Merel L KimmanDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-5717-5704
Lloyd BrandtsDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-0620-1271
Ulf P NeumannDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0002-3831-8917
Åsmund A FretlandIntervention Center and Department of Hepatic, Pancreatic and Biliary Surgery, Oslo University Hospital and Institute of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-0945-5189
Siân A PughDepartment of Oncology, Addenbrooke's Hospital, Cambridge, United Kingdom.ORCID 0000-0002-1866-8338
Gerard J P van BreukelenDepartment of Methodology and Statistics, CAPHRI Care and Public Health Research Institute Maastricht University, Maastricht, the Netherlands.ORCID 0000-0003-0949-0272
John N PrimroseDepartment of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, United Kingdom.ORCID 0000-0002-2069-7605
Ronald M van DamDepartment of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0001-8415-5090
ORANGE II PLUS Collaborative
Maastricht University · NLGhent University Hospital · BEUniversity Hospital Southampton NHS Foundation Trust · GBAmsterdam University Medical Centers · NLOslo University Hospital · NOUniversity Hospitals Birmingham NHS Foundation Trust · GBVita-Salute San Raffaele University · ITAZ Groeninge · BEErasmus Hospital · BEKing's College Hospital NHS Foundation Trust · GBOxford University Hospitals NHS Trust · GBPlymouth Hospital · GBUniversity of Liverpool · GBUniversity of Southampton · GBJessa Hospital · BENewcastle upon Tyne Hospitals NHS Foundation Trust · GBAddenbrooke's Hospital · GB

Funding

Cancer Research UK 16248
6 · The paper itself

Abstract

purposeTo compare outcomes after laparoscopic versus open major liver resection (hemihepatectomy) mainly for primary or metastatic cancer. The primary outcome measure was time to functional recovery. Secondary outcomes included morbidity, quality of life (QoL), and for those with cancer, resection margin status and time to adjuvant systemic therapy. PATIENTS AND

methodsThis was a multicenter, randomized controlled, patient-blinded, superiority trial on adult patients undergoing hemihepatectomy. Patients were recruited from 16 hospitals in Europe between November 2013 and December 2018.

resultsOf the 352 randomly assigned patients, 332 patients (94.3%) underwent surgery (laparoscopic, n = 166 and open, n = 166) and comprised the analysis population. The median time to functional recovery was 4 days (IQR, 3-5; range, 1-30) for laparoscopic hemihepatectomy versus 5 days (IQR, 4-6; range, 1-33) for open hemihepatectomy (difference, -17.5% [96% CI, -25.6 to -8.4];

conclusionAmong patients undergoing hemihepatectomy, the laparoscopic approach resulted in a shorter time to functional recovery compared with open surgery. In addition, it was associated with a better QoL, and in patients with cancer, a shorter time to adjuvant systemic therapy with no adverse impact on cancer outcomes observed.

Indexed as

HepatectomyLaparoscopyLiver NeoplasmsQuality of LifeAdultAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsTreatment Outcome

Identifiers

PMID38640453
PMCPMC11107897
OpenAlexW4394947854

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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.