Evidence map›Paper›PMID 38755463›Full record

ArticleSurgical endoscopy2024

Caudo-dorsal approach combined with the occlusion of right hepatic vein and Pringle maneuver in laparoscopic anatomical resection of segment 7.

Wugui Yang, Yufu Peng, Yubo Yang, Bin Liang, Bo Li, Yonggang Wei, Fei Liu

Abstract read
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Article in Surgical endoscopy, 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

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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

7 authors.

Wugui Yang *Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Yufu Peng *Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Yubo YangDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Bin LiangDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Bo LiDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Yonggang WeiDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China.
Fei LiuDivision of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guoxuegang, Chengdu, 610041, Sichuan, China. liufei8306@163.com.ORCID 0000-0002-4373-1554

Funding

Science and Technology Department of Sichuan Province No. 2023YFQ0094
6 · The paper itself

Abstract

backgroundLaparoscopic anatomical resection of segment 7 (LARS7) remains a technically challenging procedure due to the deep anatomical location and the potential risk of injury to the right hepatic vein (RHV). Herein, we initiated an innovative technique of caudo-dorsal approach combined with the occlusion of the RHV and Pringle maneuver for LARS7 and presented the outcomes of our initial series.

methodSince January 2021, the patients who underwent LARS7 by using this novel technique were enrolled in this study. The critical aspect of this technique was the interruption of communication between the RHV and the inferior vena cava. Meanwhile, the Pringle maneuver was adopted to control the hepatic inflow.

resultA total of 11 patients underwent LARS7 by using this novel technique, which included 8 hepatocellular carcinoma, 2 bile duct adenocarcinoma and one focal nodular hyperplasia. The median operative time was 199 min (range of 151-318 min) and the median blood loss was 150 ml (range of 50-200 ml). The main trunk of the RHV was fully exposed on the cutting surface in all cases and no patient received perioperative blood transfusion. No procedure was converted to open surgery. Of note, no indications of CO

conclusionThe caudo-dorsal approach combined with the occlusion of RHV and the Pringle maneuver may be a feasible and expected technique for safe exposure of RHV in LARS7. Further validation of the feasibility and efficacy of this technique is needed.

Indexed as

Carcinoma, HepatocellularHepatectomyHepatic VeinsLaparoscopyLiver NeoplasmsAdenocarcinomaAdultAgedBile Duct NeoplasmsBlood Loss, SurgicalFemaleFocal Nodular HyperplasiaHumansMaleMiddle AgedOperative TimeAnatomical resectionDouble occlusionLaparoscopic liver resectionOcclusion of right hepatic veinPringle maneuver

Identifiers

PMID38755463

What OpenQuestion holds

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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.