Evidence map›Paper›PMID 41198575›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2026

Effect of unplanned conversion to open surgery on resection margins and postoperative complications in minimally-invasive resection of colorectal liver metastases: A systematic review and meta-analysis with meta-regression.

Shahab Hajibandeh, Shahin Hajibandeh, Savvas Tsaramanidis, Amarah Shakeel Mirza, Ajith Kumar Siriwardena, Saurabh Jamdar, Nicola de Liguori Carino, Thomas Satyadas

Abstract read
In one paragraph

Article in Annals of hepato-biliary-pancreatic surgery, 2026. 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

8 authors.

Shahab HajibandehDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0002-3294-4335
Shahin HajibandehDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0001-6159-1068
Savvas TsaramanidisDepartment of Surgery, Hippocrates General Hospital of Thessaloniki, Central Macedonia, Greece.ORCID https://orcid.org/0000-0001-6408-5494
Amarah Shakeel MirzaDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0002-7581-8304
Ajith Kumar SiriwardenaDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0001-8004-0560
Saurabh JamdarDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0001-5149-4993
Nicola de Liguori CarinoDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0001-6780-372X
Thomas SatyadasDepartment of Hepatobiliary and Pancreatic Surgery, Manchester Royal Infirmary Hospital, Manchester, UK.ORCID https://orcid.org/0000-0001-7341-670X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds/Aims: To evaluate the impact of unplanned conversion to open surgery on resection margin status and postoperative complications in patients undergoing minimally-invasive resection of colorectal liver metastases (CRLM). Methods: This study performed a proportion meta-analysis and meta-regression using random-effects modelling in accordance with PRISMA guidelines. Studies with at least 15 patients that reported conversion to open surgery in individuals receiving minimally-invasive CRLM resection were included. The association of unplanned conversion with postoperative outcomes was analyzed. Results: Eighty-six studies encompassing 18,138 patients were analyzed. The overall conversion rate was 5.8% (95% CI 5%-6.6%). Conversion was associated with improved R0 resection rates (coefficient: 2.167, Conclusions: Unplanned conversion to open may carry prognostic and oncological implications for minimally-invasive resection of CRLM. Although conversion due to bleeding and iatrogenic injury is routinely considered, conversion prompted by technical difficulties or oncological concerns should not be considered failure, as it may be associated with improved patient outcomes.

Indexed as

Colorectal cancerConversion to open surgeryHepatectomyMorbidityMortality

Identifiers

PMID41198575
PMCPMC12958839

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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.