Evidence map›Paper›PMID 37927920›Full record

ReviewAnnals of gastroenterological surgery2023

Essential updates 2021/2022: Update in surgical strategy for perihilar cholangiocarcinoma.

Fumihiro Kawano, Ryuji Yoshioka, Hirofumi Ichida, Yoshihiro Mise, Akio Saiura

Open access · goldAbstract readReview
In one paragraph

Review in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Fumihiro KawanoDepartment of Hepatobiliary-Pancreatic Surgery Juntendo University Graduate School of Medicine Hongo, Tokyo Japan.
Ryuji YoshiokaDepartment of Hepatobiliary-Pancreatic Surgery Juntendo University Graduate School of Medicine Hongo, Tokyo Japan.
Hirofumi IchidaDepartment of Hepatobiliary-Pancreatic Surgery Juntendo University Graduate School of Medicine Hongo, Tokyo Japan.
Yoshihiro MiseDepartment of Hepatobiliary-Pancreatic Surgery Juntendo University Graduate School of Medicine Hongo, Tokyo Japan.
Akio SaiuraDepartment of Hepatobiliary-Pancreatic Surgery Juntendo University Graduate School of Medicine Hongo, Tokyo Japan.ORCID https://orcid.org/0000-0001-5600-2847
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resection is the only potential curative treatment for perihilar cholangiocarcinoma (PHC); however, complete resection is often technically challenging due to the anatomical location. Various innovative approaches and procedures were invented to circumvent this limitation but the rates of postoperative morbidity (20%-78%) and mortality (2%-15%) are still high. In patients diagnosed with resectable PHC, deliberate and coordinated preoperative workup and optimization of the patient and future liver remnant are crucial. Biliary drainage is recommended to relieve obstructive jaundice and optimize the clinical condition before liver resection. Biliary drainage for PHC can be performed either by endoscopic biliary drainage or percutaneous transhepatic biliary drainage. To date there is no consensus about which method is preferred. The volumetric assessment of the future remnant liver volume and optimization mainly using portal vein embolization is the gold standard in the management of the risk to develop post hepatectomy liver failure. The improvement of systemic chemotherapy has contributed to prolong the survival not only in patients with unresectable PHC but also in patients undergoing curative surgery. In this article, we review the literature and discuss the current surgical treatment of PHC.

Indexed as

biliary tract neoplasmperihilar cholangiocarcinomapreoperative treatmenttreatment strategy

Identifiers

PMID37927920
PMCPMC10623956
OpenAlexW4386571887

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.