Evidence map›Paper›PMID 40483651›Full record

ReviewAnnals of surgical oncology2025

Augmenting the Future Liver Remnant Prior to Major Hepatectomy: A Review of Options on the Menu.

Paul Wong, Peter Vien, Jonathan Kessler, Kelly Lafaro, Alice Wei, Laleh G Melstrom

Abstract readReview
In one paragraph

Review in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Improving surgical treatments for hepatocellular carcinoma.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. 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

6 authors.

Paul WongDivision of Surgical Oncology, Department of Surgery, City of Hope Medical Center, Duarte, CA, USA. paul.wong@ucsf.edu.
Peter VienDivision of Surgical Oncology, Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.
Jonathan KesslerDivision of Interventional Radiology, Department of Diagnostic Radiology, City of Hope Medical Center, Duarte, CA, USA.
Kelly LafaroDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Johns Hopkins University, Baltimore, USA.
Alice WeiHepato-Pancreato-Biliary Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Laleh G MelstromDivision of Surgical Oncology, Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.ORCID http://orcid.org/0000-0001-6279-7981

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The optimization of the future liver remnant (FLR) is paramount in improving outcomes for patients undergoing liver surgery, as post-hepatectomy liver failure remains a major source of postoperative morbidity and mortality. A wide collection of techniques has been introduced with the goal of augmenting the FLR prior to hepatectomy for primary and secondary liver malignancies, and these modalities include portal vein embolization (PVE), portal vein ligation (PVL), liver venous deprivation (LVD), associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), and radioembolization (e.g., Y-90). There are advantages and drawbacks for each of these methods regarding the capacity for FLR hypertrophy sufficient for resection, perioperative morbidity/mortality, and long-term oncologic outcomes. In the context of technical variations when performing the procedures, there have been comparative studies between the various methods of FLR optimization, however, not many in a controlled fashion. Results from ongoing and future randomized controlled trials will help refine these techniques, directly compare outcomes, and personalize strategies based on patient-specific factors. In this review, the benefits of the various FLR augmentation approaches are summarized and the current literature and trials are reviewed.

Indexed as

HepatectomyLiverLiver NeoplasmsEmbolization, TherapeuticHumansLigationPortal VeinPrognosisAssociating liver partition and portal vein ligation for staged hepatectomyFuture liver remnantHepatectomyLiver venous deprivationPortal vein embolizationPortal vein ligationRadioembolization

Identifiers

PMID40483651
PMCPMC12222409

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.