Evidence map›Paper›PMID 38948419›Full record

ArticleWorld journal of experimental medicine2024

Hepatic grooves: An observational study at laparoscopic surgery.

Shamir O Cawich, Dexter A Thomas, Fawwaz Mohammed, Michael T Gardner, Marlene Craigie, Shaneeta Johnson, Ramnanand S Kedambady

Abstract read
In one paragraph

Article in World journal of experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shamir O CawichDepartment of Surgery, University of the West Indies, St Augustine 000000, Trinidad and Tobago. socawich@hotmail.com.
Dexter A ThomasDepartment of Surgery, Port of Spain General Hospital, Port of Spain 000000, Trinidad and Tobago.
Fawwaz MohammedDepartment of Surgery, University of the West Indies, St Augustine 000000, Trinidad and Tobago.
Michael T GardnerSection of Anatomy, Basic Medical Sciences, University of the West Indies, Kingston 000000, Jamaica.
Marlene CraigieDepartment of Radiology, University of the West Indies, Kingston 000000, Jamaica.
Shaneeta JohnsonDepartment of Surgery, Morehouse School of Medicine, Atlanta, GA 30310, United States.
Ramnanand S KedambadySection of Anatomy, Department of Basic Medical Sciences, University of the West Indies, Kingston KIN7, Jamaica.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn traditional descriptions, the upper surface of the liver is smooth and convex, but deep depressions are variants that are present in 5%-40% of patients. We sought to determine the relationship between surface depressions and the diaphragm.

aimTo use exploratory laparoscopy to determine the relationship between surface depressions and the diaphragm.

methodsAn observational study was performed in all patients undergoing laparoscopic upper gastro-intestinal operations between January 1, 2023 and January 20, 2024. A thirty-degree laparoscope was used to inspect the liver and diaphragm. When surface depressions were present, we recorded patient demographics, presence of diaphragmatic bands, rib protrusions and/or any other source of compression during inspection.

resultsOf 394 patients, 343 had normal surface anatomy, and 51 (12.9%) had prominent surface depressions on the liver. There was no significant relationship between the presence of surface depressions and gender nor the presence of rib projections. However, there was significant association between the presence of surface depressions and diaphragmatic muscular bands (

conclusionWith these data, the diaphragmatic-band theory has gained increased importance over other theories for surface depressions. Further studies are warranted using cross sectional imaging to confirm relationships with intersectional planes as well as beta-catenin assays in the affected liver parenchyma.

Indexed as

HepaticLiverSurgeryVariantVein

Identifiers

PMID38948419
PMCPMC11212742

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