Evidence map›Paper›PMID 34966973›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2021

Combination of portal vein embolization and neoadjuvant chemotherapy for locally advanced gallbladder cancer requiring extended hepatectomy - A novel approach.

Shivendra Singh, Shaifali Goel, Abhishek Aggarwal, Assif Iqbal, Dibyamohan Hazarika, Vineet Talwar

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Gallbladder cancer: Progress in the Indian subcontinent.World journal of clinical oncology · 2024
    Review
  4. Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Shivendra SinghDepartment of GI and HPB Oncosurgery, Rajiv Gandhi Cancer Institute and Research Center, Room No. 3168, 1st floor, D- Block, Sector -5, Rohini, New Delhi, 110 085, India. shiven_24@yahoo.co.in.ORCID http://orcid.org/0000-0002-8520-9545
Shaifali GoelDepartment of GI and HPB Oncosurgery, Rajiv Gandhi Cancer Institute and Research Center, Room No. 3168, 1st floor, D- Block, Sector -5, Rohini, New Delhi, 110 085, India.
Abhishek AggarwalDepartment of GI and HPB Oncosurgery, Rajiv Gandhi Cancer Institute and Research Center, Room No. 3168, 1st floor, D- Block, Sector -5, Rohini, New Delhi, 110 085, India.
Assif IqbalDepartment of GI and HPB Oncosurgery, Rajiv Gandhi Cancer Institute and Research Center, Room No. 3168, 1st floor, D- Block, Sector -5, Rohini, New Delhi, 110 085, India.
Dibyamohan HazarikaDepartment of Radiodiagnosis and Imaging, Rajiv Gandhi Cancer Institute and Research Center, Sector -5, Rohini, New Delhi, 110 085, India.
Vineet TalwarDepartment of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Center, Sector -5, Rohini, New Delhi, 110 085, India.
Rajiv Gandhi Cancer Institute and Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocally advanced gallbladder cancer (GBC) may require extended hepatectomy. Portal vein embolization (PVE) can lead to hypertrophy of future liver remnant (FLR), and neoadjuvant chemotherapy (NACT) can be used in this cohort, with additional advantage of downstaging tumors as well as preventing progression while waiting for liver regeneration. Here, we share our experience of combining NACT along with PVE in locally advanced GBC requiring major hepatectomy.

methodsRetrospective analysis of prospectively maintained database was conducted for patients with locally advanced GBC who underwent PVE and received NACT between 2012 and 2018.

resultsFourteen patients with locally advanced GBC underwent PVE and NACT. Median baseline FLR volume was 25.09% with a median degree of hypertrophy of 8.8% after PVE. Out of 14 patients, 7 (50%) underwent curative resection. Median overall survival in resectable and unresectable patients was 27 months and 15 months respectively.

conclusionPVE along with NACT made curative surgery feasible in half of the patients who were deemed unresectable initially.

Indexed as

Embolization, TherapeuticGallbladder NeoplasmsLiver NeoplasmsHepatectomyHumansHypertrophyNeoadjuvant TherapyPortal VeinRetrospective StudiesTreatment OutcomeBiliary malignancyCarcinoma gallbladderDownstagingExtended hepatectomy, Extended right hepatectomyGallbladder carcinomaHepatectomyLocally advanced gallbladder cancerNeoadjuvant chemotherapyPortal vein embolization

Identifiers

PMID34966973
OpenAlexW4200446839

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.