Evidence map›Paper›PMID 36826620›Full record

ArticleLangenbeck's archives of surgery2023

Can repeated surgical resection offer a chance of cure for recurrent cholangiocarcinoma?

Andrea Laurenzi, Giovanni Brandi, Federica Greco, Enrico Prosperi, Andrea Palloni, Matteo Serenari, Giorgio Frega, Matteo Ravaioli, Alessandro Rizzo, Matteo Cescon

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In one paragraph

Article in Langenbeck's archives of surgery, 2023. 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
1.9field-weighted citation impact, top 15% 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, 6 citations in OpenAlex.

  1. AJournal of gastrointestinal oncology · 2026
    Article
  2. Article
  3. New trends in diagnosis and management of gallbladder carcinoma.World journal of gastrointestinal oncology · 2024
    Review
  4. Article
  5. Article
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

10 authors at 1 institution in 1 country.

Andrea LaurenziHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Giovanni BrandiMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Federica GrecoHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Enrico ProsperiHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Andrea PalloniMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Matteo SerenariHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Giorgio FregaMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Matteo RavaioliHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Alessandro RizzoMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy.
Matteo CesconHepatobiliary Surgery and Organ Transplantation, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Via Giuseppe Massarenti 9, Bologna, Italy. matteo.cescon@unibo.it.
Azienda USL di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence of cholangiocarinoma (CCA), as well as the related mortality rate, has progressively increased over the last decades. Nevertheless improvement in patient management, diagnosis and therapies, recurrence rate remains high (50-70%) with a low 5-year survival (7-20%). Palliative chemotherapy and best supportive care are the treatment of choice in case of recurrence. In recent years, some reports have been published on repeated resection suggesting a survival benefit. The aim of this study was to evaluate the long-term outcome of all repeated resections for recurrent CCA in our institution. MATERIALS AND

methodsWe performed a retrospective analysis of all data recorded in our prospective maintained database of all patients who underwent repeated resection for recurrence of any type of CCA (intrahepatic, perihilar, distal, and gallbladder) with curative intent in our institution.

resultsBetween 1997 and 2017, twenty-six patients underwent repeated surgical resection for recurrent CCA. Median time to first recurrence was 20 months. Site of recurrence was liver in 18 patients (70%), lymph nodes in 6 (23%), and lungs in 2 (7%). Twenty-five patients (96%) underwent upfront surgical resection of the recurrence, while one received preoperative chemotherapy. Median overall and disease-free survival from repeated surgical resection was 21 and 18 months with a 1-, 3-, and 5-year survival of 87, 41, 29% and 75%, 27%, and 17% respectively. Five patients (21%) did not experience recurrence after repeated surgical resection after a median follow-up of 73 months.

conclusionsRepeated surgical resection of recurrent CCAs is feasible with good postoperative results and can lead to an increase in survival.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaBile Ducts, IntrahepaticHepatectomyHumansNeoplasm Recurrence, LocalProspective StudiesRetrospective StudiesSurvival RateTreatment OutcomeCholangiocarcinomaLiver resectionLong-term outcomeRecurrent cholangiocarcinomaRepeated liver resection

Identifiers

PMID36826620
OpenAlexW4321749500

What OpenQuestion holds

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Read underepoch 390

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.