Evidence map›Paper›PMID 40135044›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2025

Indications and Outcomes of Hepatopancreatoduodenectomy for Gallbladder Carcinoma and Extrahepatic Cholangiocarcinoma: A Single Center Retrospective Study.

S D Adhikari, R Pahari, P Maharjan, Y Limbu, S Regmee, R Ghimire, D K Maharjan, S K Shrestha, P B Thapa

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

S D AdhikariDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.ORCID https://orcid.org/0009-0005-8137-3611
R PahariDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
P MaharjanDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
Y LimbuDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.ORCID https://orcid.org/0000-0001-7376-5926
S RegmeeDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
R GhimireDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
D K MaharjanDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
S K ShresthaDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
P B ThapaDepartment of GI and General Surgery Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hepatopancreatoduodenectomy (HPD) is the only definitive approach to achieve curative resection in locally advanced biliary tract cancers. The study intends to analyze outcomes of this complex surgery in a tertiary care center in Nepal. Methods: This retrospective study included all patients who underwent HPD for locally advanced biliary tract tumors in Kathmandu Medical College Teaching Hospital from January 1, 2019 to December 31, 2023. Intra-operative findings and postoperative outcomes were analyzed. Results: Over 5 years, eight patients underwent HPD. Mean age was 60 (45-69) years with a male-to-female ratio of 3:5. Locally advanced carcinoma of the gall bladder (Ca GB) comprised the majority of indications for HPD ( Conclusion: R0 resection with acceptable morbidity can be achieved in selected cases of Ca GB with conglomerated station 13 lymph nodes; however, R0 remains challenging in cases of biliary infiltration.

Indexed as

HPDlocally advanced biliary tract tumorslocally advanced carcinoma gall bladder

Identifiers

PMID40135044
PMCPMC11932881

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.