Evidence map›Paper›PMID 41273673›Full record

ArticleAnnals of surgical oncology2026

Thoracoscopic Liver Resection Combined with Laparoscopic Pringle Maneuver for Recurrent Tumor with Diaphragmatic Invasion and Intra-Abdominal Adhesions.

Kensuke Nakamura, Shinya Hayami, Atsushi Miyamoto, Yoshimitsu Hirai, Atsushi Shimizu, Yuji Kitahata, Akihiro Takeuchi, Hideki Motobayashi, Kyohei Matsumoto, Takahito Nakaya and 1 more

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In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

11 authors.

Kensuke NakamuraSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Shinya HayamiSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan. shin-8@wakayama-med.ac.jp.ORCID http://orcid.org/0000-0002-4177-6281
Atsushi MiyamotoSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Yoshimitsu HiraiFirst Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Atsushi ShimizuSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Yuji KitahataSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Akihiro TakeuchiSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Hideki MotobayashiSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Kyohei MatsumotoSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Takahito NakayaFirst Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Manabu KawaiSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic liver resection for tumors located just under the diaphragm at the right posterosuperior segments is technically challenging, especially repeat liver resection, due to severe intra-abdominal adhesions. CASE: A man in his 70s had two-time history of laparoscopic resection for liver metastases derived from sigmoid colon cancer, including segmentectomy VII. This time, a third occurrence of liver metastasis appeared around the site of previous resection at the edge of segment VII, and there was suspicion of diaphragm invasion. Severe adhesion was a concern, so we planned laparoscopy and thoracoscopy cooperative liver resection. SURGICAL PROCEDURE: First, only encirclement of the hepatoduodenal ligament for the total Pringle maneuver could be achieved by laparoscopy, so the thoracoscopic approach was started. The tumor could be easily identified through the diaphragm, and thoracoscopic liver resection was performed safely under the total Pringle maneuver. After liver resection, the diaphragmatic defect was repaired using barbed sutures. The amount of intraoperative bleeding was 420 mL and the operative time was 471 min. The patient was discharged on postoperative day 8 without any complications. R0 resection was pathologically confirmed.

conclusionsThis procedure can be a safe and useful option for specific cases.

Indexed as

DiaphragmLaparoscopyLiver NeoplasmsNeoplasm Recurrence, LocalThoracoscopyAgedColonic NeoplasmsHumansMaleTissue AdhesionsDiaphragmatic invasionMinimally invasive surgeryRepeat liver resectionRight posterosuperior segmentsThoracoscopic transdiaphragmatic liver resection

Identifiers

PMID41273673

What OpenQuestion holds

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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.