Evidence map›Paper›PMID 38702732›Full record

ReviewWorld journal of surgical oncology2024

Surgical management of right hepatectomy after coronary artery bypass grafting using the right gastroepiploic artery: a case report and literature review.

Nao Kawaguchi, Shun Kizawa, Masahiro Daimon, Hiroki Minami, Yasuhiko Ueda, Atsushi Tomioka, Koji Komeda, Mitsuhiro Asakuma, Hideki Tomiyama, Sang-Woong Lee

Abstract readCase ReportsReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Nao KawaguchiDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan. nao.kawaguchi@ompu.ac.jp.
Shun KizawaDepartment of Cardiology, Takatsuki Red Cross Hospital, 1-1-1 Abuno, Takatsuki, 569- 1096, Osaka, Japan.
Masahiro DaimonDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Hiroki MinamiDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Yasuhiko UedaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Atsushi TomiokaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Koji KomedaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Mitsuhiro AsakumaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Hideki TomiyamaDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.
Sang-Woong LeeDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University , 2-7 Daigaku-machi, Takatsuki, 569-8686, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA) is a well-established, safe procedure. However, problems with RGEA grafts in subsequent abdominal surgeries can lead to fatal complications. This report presents the first case of right hepatectomy for hepatocellular carcinoma after CABG using the RGEA. CASE PRESENTATION: We describe a case in which a right hepatectomy for an 81-year-old male patient with hepatocellular carcinoma was safely performed after CABG using a RGEA graft. Preoperatively, three-dimensional computed tomography (3D- CT) images were constructed to confirm the run of the RGEA graft. The operation was conducted with the standby of a cardiovascular surgeon if there was a problem with the RGEA graft. The RGEA graft had formed adhesions with the hepatic falciform ligament, necessitating meticulous dissection. After the right hepatectomy, the left hepatic lobe descended into the vacated space, exerting traction on the RGEA. However, this traction was mitigated by suturing the hepatic falciform ligament to the abdominal wall, ensuring stability of the RGEA. There were no intraoperative or postoperative complications.

conclusionIt is crucial to confirm the functionality and anatomy of the RGEA graft preoperatively, handle it gently intraoperatively, and collaborate with cardiovascular surgeons.

Indexed as

Carcinoma, HepatocellularCoronary Artery BypassGastroepiploic ArteryHepatectomyLiver NeoplasmsAged, 80 and overHumansImaging, Three-DimensionalMalePostoperative ComplicationsPrognosisTomography, X-Ray ComputedCoronary artery bypass graftingHepatic falciform ligamentRight gastroduodenal artery graftRight hepatectomy

Identifiers

PMID38702732
PMCPMC11067127

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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.