Evidence map›Paper›PMID 41097648›Full record

ReviewCancers2025

The Role of Perioperative Interleukin-6 Serum Levels on Liver Dysfunction and Infectious Complications After Hepatectomy-A Systematic Review.

Alexander Kofler, Marlene Trattner, Vivien Mairinger, Iveta Urban, Kjetil Søreide, Stefan Stättner, Florian Primavesi

Abstract readReview
In one paragraph

Review in Cancers, 2025. 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
–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

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.

Alexander KoflerDepartment of Visceral, Transplant and Thoracic Surgery, Center for Operative Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0009-0000-5900-9155
Marlene TrattnerDepartment of General, Visceral and Vascular Surgery, Salzkammergutklinikum Vöcklabruck, 4840 Vöcklabruck, Austria.
Vivien MairingerDepartment of General, Visceral and Vascular Surgery, Salzkammergutklinikum Vöcklabruck, 4840 Vöcklabruck, Austria.
Iveta UrbanDepartment of Surgery, Ordensklinikum Linz, 4010 Linz, Austria.
Kjetil SøreideDepartment of Gastrointestinal Surgery, Stavanger University Hospital, 4068 Stavanger, Norway.ORCID 0000-0001-7594-4354
Stefan StättnerDepartment of General and Visceral Surgery, Hepatobiliary Unit, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4021 Linz, Austria.ORCID 0000-0002-5226-7597
Florian PrimavesiDepartment of Visceral, Transplant and Thoracic Surgery, Center for Operative Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterleukin-6 (IL-6) is used as a marker for infection and inflammation. After liver surgery, IL-6 is also crucial for hepatic regeneration. The value of IL-6 serum-levels to differentiate infection from imminent post-hepatectomy liver failure (PHLF) remains unclear. This review focuses on IL-6 and complications after liver resections, specifically PHLF and infections.

methodsA systematic review was performed in the PubMed, Embase, and Cochrane libraries from January 2000 to June 2025 according to PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). All English language human data publications were assessed.

resultsOverall, 12 studies (

conclusionsIL-6 levels may have early diagnostic value regarding imminent infectious complications or PHLF early after liver resection, but the evidence is exploratory and limited by methodological weaknesses. At present, IL-6 as a single marker does not seem to show sufficient clinical discriminatory potential to differentiate between infection and impaired hepatic regeneration. Future studies should address confounding factors, ideal timepoints of assessment, different methods of serum IL-6 assays, specific cut-offs, and multi-marker combinations.

Indexed as

complicationsinfectioninterleukin-6liver dysfunctionpost-hepatectomy liver failure

Identifiers

PMID41097648
PMCPMC12524086

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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.