Evidence map›Paper›PMID 30843343›Full record

ReviewLiver international : official journal of the International Association for the Study of the Liver2019

Surgery for cholangiocarcinoma.

Umberto Cillo, Constantino Fondevila, Matteo Donadon, Enrico Gringeri, Federico Mocchegiani, Hans J Schlitt, Jan N M Ijzermans, Marco Vivarelli, Krzysztof Zieniewicz, Steven W M Olde Damink and 1 more

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Liver international : official journal of the International Association for the Study of the Liver, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06369480 (Prognostic Factors for Survival in Patients With Cholangiocarcinoma), which is not on this map. Cited by 202 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed, 8 pooled it
31.6field-weighted citation impact, top 1% of its field
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.

NCT06369480 unknown statusnot on this mapstarted 2024, after this paper: background citation

Prognostic Factors for Survival in Patients With Cholangiocarcinoma

TypeobservationalSponsorRigshospitalet, DenmarkRan2024 to 2024Enrolled2,000ConditionsCholangiocarcinomaArmsResection/Ablation of tumor, Palliative chemotherapy, Neoadjuvant chemotherapy, Stereotatic radiotherapy, Best supportive care
3 · Its place in the literature

Who cites it

202 citing papers in PubMed, 8 syntheses or guidelines pooled it, 333 citations in OpenAlex.

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  17. Advances in Immunotherapy for Intrahepatic Cholangiocarcinoma.International journal of molecular sciences · 2026
    Review
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142 more citing papers are in PubMed but not listed here.

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

11 authors at 8 institutions in 5 countries.

Umberto CilloDepartment of Surgery, Oncology and Gastroenterology, Hepatobiliary Surgery and Liver Transplantation Unit, Padova University Hospital, Padova, Italy.
Constantino FondevilaDepartment of General & Digestive Surgery, Institut de Malalties Digestives I Metabòliques (IMDiM), Hospital Clínic, University of Barcelona, Spain.
Matteo DonadonDepartment of Surgery, Division of Hepatobiliary and General Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Italy.
Enrico GringeriDepartment of Surgery, Oncology and Gastroenterology, Hepatobiliary Surgery and Liver Transplantation Unit, Padova University Hospital, Padova, Italy.
Federico MocchegianiHepatopancreatobiliary and Transplant Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy.
Hans J SchlittDepartment of Surgery, University Hospital Regensburg, Regensburg, Germany.
Jan N M IjzermansDepartment of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-3558-1039
Marco VivarelliHepatopancreatobiliary and Transplant Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy.
Krzysztof ZieniewiczDepartment of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland.
Steven W M Olde DaminkDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Bas Groot KoerkampDepartment of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-1917-6973
Erasmus MC · NLMarche Polytechnic University · ITUniversity of Padua · ITHumanitas University · ITMaastricht University · NLMedical University of Warsaw · PLUniversitat de Barcelona · ESUniversity Hospital Regensburg · DE

Funding

COST Association CA18122European Network for the Study of Cholangiocarcinoma (ENSCCA)
6 · The paper itself

Abstract

Surgical resection is the only potentially curative treatment for patients with cholangiocarcinoma. For both perihilar cholangiocarcinoma (pCCA) and intrahepatic cholangiocarcinoma (iCCA), 5-year overall survival of about 30% has been reported in large series. This review addresses several challenges in surgical management of cholangiocarcinoma. The first challenge is diagnosis: a biopsy is typically avoided because of the risk of seeding metastases and the low yield of a brush of the bile duct. However, about 15% of patients with suspected pCCA are found to have a benign diagnosis after resection. The second challenge is staging; even with the best preoperative imaging, a substantial percentage of patients has occult metastatic disease detected at staging laparoscopy or early recurrence after resection. The third challenge is an adequate volume and function of the future liver remnant, which may require preoperative biliary drainage and portal vein embolization. The fourth challenge is a complete resection: a positive bile duct margin is not uncommon because the microscopic biliary extent of disease may be more extensive than perceived on imaging. The fifth challenge is the high post-operative mortality that has decreased in very high volume Asian centres, but remains about 10% in many Western referral centres. The sixth challenge is that even after a complete resection most patients develop recurrent disease. Recent randomized controlled trials found conflicting results regarding the benefit of adjuvant chemotherapy. The final challenge is to determine which patients with cholangiocarcinoma should undergo liver transplantation rather than resection.

Indexed as

HepatectomyLiver TransplantationLymph Node ExcisionBile Duct NeoplasmsCholangiocarcinomaDrainageEmbolization, TherapeuticHumansNeoadjuvant TherapyNeoplasm Recurrence, LocalNeoplasm StagingPatient SelectionRandomized Controlled Trials as TopicRisk FactorsTreatment OutcomeTumor Burdencholangiocarcinomahepatectomyklatskin tumorliver transplantationsurgery

Identifiers

PMID30843343
PMCPMC6563077
OpenAlexW2921127436

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.