Evidence map›Paper›PMID 40914781›Full record

ArticleAnnals of surgical oncology2025

Cone Unit-Based Anatomical Liver Resection Guided by Preoperative Embolization and ICG Fluorescence: A Novel Surgical Strategy.

Fumihiro Kawano, Megan A Lim, Helen J Kemprecos, Kathryn Tsai, Daniel Cheah, Annie Tigranyan, Kanakaraju Kaviamuthan, Arundhati Pillai, Jaime Chen, Gregory Polites and 8 more

Abstract read
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In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Fumihiro KawanoCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Megan A LimCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Helen J KemprecosCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Kathryn TsaiCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Daniel CheahCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Annie TigranyanCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Kanakaraju KaviamuthanCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Arundhati PillaiCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Jaime ChenCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Gregory PolitesCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Tim BrummettCenter for Innovation in Teaching & Learning University of Illinois Urbana-Champaign, Champaign, USA.
Killivalavan SolaiCenter for Innovation in Teaching & Learning University of Illinois Urbana-Champaign, Champaign, USA.
Michel BelliniCenter for Innovation in Teaching & Learning University of Illinois Urbana-Champaign, Champaign, USA.
Yoshihiro MiseJuntendo University Hospital, Tokyo, Japan.
Leandro LeiteCambridge Health Alliance, Harvard Medical School, Boston, MA, USA.
Mark CohenCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA.
Akio SaiuraJuntendo University Hospital, Tokyo, Japan.
Claudius ConradCarle Illinois College of Medicine University of Illinois Urbana-Champaign, 509 W University Ave, Urbana, IL, 61801, USA. cc@claudiusconrad.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe liver cone unit (Tokyo 2020 terminology) of the peripheral portal vein territory represents the smallest anatomical and functional unit of the liver.

resultsCone unit-based planning and targeted embolization enabled accurate localization and resection of the tumor-bearing area. Despite impaired ICG uptake due to cirrhosis, fluorescence imaging provided visualization for precise anatomical transection with minimal bleeding.

conclusionsThis case demonstrates a novel combined interventional radiology/surgical approach for precise cone unit resection, leading to minimal intraoperative blood loss and function-preserving hepatectomy in a patient with advanced cirrhosis. This conceptional framework can serve as a complement to ultrasound guided cone unit identification in patients with advanced cirrhosis, which can be highly challenging intraoperatively.

Indexed as

Cone unit conceptFluorescence guided surgeryLiver tumorRobotic

Identifiers

What OpenQuestion holds

Textmetadata
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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.