Evidence map›Paper›PMID 40502515›Full record

ReviewWorld journal of gastrointestinal surgery2025

Liver transplantation for combined hepatocellular cholangiocarcinoma: Current evidence, selection criteria, and therapeutic controversies.

Rui-Quan Zhou, Pei-Jun Yang, Tian-Tong Liu, Dong-Dong Han, Xiao-Lei Liu, Li-Guo Liu, Shuang Si, Shi-Wei Yang, Shuai-Shuai Xu, Yi-Wen Guo and 1 more

Abstract readReview
In one paragraph

Review in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
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

11 authors.

Rui-Quan ZhouSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Pei-Jun YangSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Tian-Tong LiuSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Dong-Dong HanSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Xiao-Lei LiuSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Li-Guo LiuSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Shuang SiSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Shi-Wei YangSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Shuai-Shuai XuSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Yi-Wen GuoSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Hai-Dong TanSecond Department of Hepatopancreatobiliary Surgery, China-Japan Friendship Hospital, Beijing 100029, China. hpblt_cjfh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Combined hepatocellular cholangiocarcinoma (cHCC-CCA) is a rare and aggressive primary liver malignancy characterized by features of both HCC and CCA. Preoperative diagnosis remains challenging because of overlapping imaging and histopathological features, which often lead to misclassification. Although liver resection is the primary curative therapy, the efficacy of liver transplantation (LT) remains controversial. Historically, LT has been considered contraindicated owing to the poor prognosis, high recurrence rate of cHCC-CCA, and the potential for organ wastage. Recent studies have suggested that LT may benefit carefully selected patients, particularly those with early-stage tumors or cirrhosis. However, there is no consensus on the criteria for LT in patients with cHCC-CCA. Lymphadenectomy and vascular resection strategies were discussed along with locoregional and systemic therapies. This review synthesized the current evidence on surgical strategies for cHCC-CCA, focusing on evolving LT criteria and outcomes.

Indexed as

Combined hepatocellular cholangiocarcinomaLiver resectionLiver transplantationLocoregional therapyLymphadenectomyMilan criteriaSystemic treatmentVascular resection

Identifiers

PMID40502515
PMCPMC12149955

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.