Evidence map›Paper›PMID 34359560›Full record

ReviewCancers2021

Current Surgical Management of Peri-Hilar and Intra-Hepatic Cholangiocarcinoma.

Andrea Lauterio, Riccardo De Carlis, Leonardo Centonze, Vincenzo Buscemi, Niccolò Incarbone, Ivan Vella, Luciano De Carlis

Abstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Outcomes of Liver Transplant Versus Partial Hepatectomy for Perihilar Cholangiocarcinoma Patients Requiring Arterial Reconstruction.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Regional Liver Function Assessment UsingAnnals of surgical oncology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Andrea LauterioDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0001-6110-8582
Riccardo De CarlisDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0003-3697-1653
Leonardo CentonzeDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0001-9371-7411
Vincenzo BuscemiDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0002-2225-543X
Niccolò IncarboneDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.
Ivan VellaDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0002-4946-512X
Luciano De CarlisDepartment of General Surgery and Transplantation, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.ORCID 0000-0002-9133-8220

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cholangiocarcinoma accounts for approximately 10% of all hepatobiliary tumors and represents 3% of all new-diagnosed malignancies worldwide. Intrahepatic cholangiocarcinoma (i-CCA) accounts for 10% of all cases, perihilar (h-CCA) cholangiocarcinoma represents two-thirds of the cases, while distal cholangiocarcinoma accounts for the remaining quarter. Originally described by Klatskin in 1965, h-CCA represents one of the most challenging tumors for hepatobiliary surgeons, mainly because of the anatomical vascular relationships of the biliary confluence at the hepatic hilum. Surgery is the only curative option, with the goal of a radical, margin-negative (R0) tumor resection. Continuous efforts have been made by hepatobiliary surgeons in order to achieve R0 resections, leading to the progressive development of aggressive approaches that include extended hepatectomies, associating liver partition, and portal vein ligation for staged hepatectomy, pre-operative portal vein embolization, and vascular resections. i-CCA is an aggressive biliary cancer that arises from the biliary epithelium proximal to the second-degree bile ducts. The incidence of i-CCA is dramatically increasing worldwide, and surgical resection is the only potentially curative therapy. An aggressive surgical approach, including extended liver resection and vascular reconstruction, and a greater application of systemic therapy and locoregional treatments could lead to an increase in the resection rate and the overall survival in selected i-CCA patients. Improvements achieved over the last two decades and the encouraging results recently reported have led to liver transplantation now being considered an appropriate indication for CCA patients.

Indexed as

associating liver partition and portal vein ligation for staged hepatectomy (ALPPS)cholangiocarcinomaextended liver resectionintra-hepatic cholangiocarcinoma (i-CCA)liver transplantationneoadjuvant chemoradiationperi-hilar cholangiocarcinoma (h-CCA)portal vein embolization (PVE)radioembolizationtrans-arterial chemoembolization (TACE)

Identifiers

PMID34359560
PMCPMC8345178

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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.