Evidence map›Paper›PMID 41023218›Full record

ArticleSurgical endoscopy2025

Feasibility and safety of ALPPS procedure: our experience.

S Caringi, A Delvecchio, M Dezio, A Casella, V Ferraro, R Filippo, M Stasi, S Marini, R Calbi, R Inchingolo and 3 more

Abstract readComparative Study
In one paragraph

Article in Surgical endoscopy, 2025. 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

13 authors.

S CaringiUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy. silvio.caringi@ptvonline.it.ORCID http://orcid.org/0009-0008-6007-8834
A DelvecchioUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
M DezioDepartment of Radiology, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
A CasellaUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
V FerraroUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
R FilippoUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
M StasiUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
S MariniDepartment of Radiology, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
R CalbiDepartment of Radiology, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
R InchingoloUnit of Interventional Radiology, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
T M ManziaDepartment of Surgery Sciences, Transplant and HPB Unit, University of Rome Tor Vergata, Rome, Italy.
M TedeschiUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.
R MemeoUnit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a surgical strategy for patients with advanced liver tumors and inadequate future liver remnants (FLR). This study compares post-operative outcomes between open (oALPPS) and robotic (rALPPS) ALPPS in our institution.

methodsThis retrospective monocentric study includes eleven patients who underwent ALPPS procedure between January 2023 and February 2024. Demographics, tumor characteristics, and intra- and post-operative outcomes were collected and analyzed.

resultsIn the first-stage ALPPS, the frequency of intermittent hilum clamp and the estimated blood loss were higher in the oALPPS group, while operative time and complications were similar, and total hospital stay was higher in the rALPPS group. In the second-stage ALPPS, the data regarding intraoperative and post-operative data were similar. In rALPPS, there were no post-discharge complications, readmissions, or deaths within 30 days.

conclusionThis single-center study has an exploratory setting given the small cohort, but if confirmed in larger studies, rALPPS could be a viable alternative to oALPPS.

Indexed as

HepatectomyLiver NeoplasmsPortal VeinRobotic Surgical ProceduresAdultAgedBlood Loss, SurgicalFeasibility StudiesFemaleHumansLength of StayLigationMaleMiddle AgedOperative TimePostoperative ComplicationsALPPSOpen liver resectionRobotic liver resection

Identifiers

PMID41023218
PMCPMC12708713

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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.