Evidence map›Paper›PMID 42359329›Full record

ArticleFrontiers in surgery2026

Long-term results after surgical resection of intrahepatic cholangiocarcinoma before and since the BILCAP era.

Fabian Bartsch, Constantin Scholz, Lisa-Katharina Gröger, Lara Bachmann, Janine Baumgart, Ann-Kathrin Lederer, Jens Mittler, Maria Hoppe-Lotichius, Beate K Straub, Friedrich Foerster and 3 more

Abstract read
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Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Fabian BartschDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Constantin ScholzDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Lisa-Katharina GrögerDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Lara BachmannDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Janine BaumgartDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Ann-Kathrin LedererDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Jens MittlerDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Maria Hoppe-LotichiusDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Beate K StraubDepartment of Pathology, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Friedrich Foerster1st Department of Internal Medicine, Gastroenterology and Hepatology, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Arndt Weinmann1st Department of Internal Medicine, Gastroenterology and Hepatology, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Evangelos TagkalosDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.
Hauke LangDepartment of General, Visceral and Transplant Surgery, University Medical Center of The Johannes Gutenberg-University Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since the first data of the BILCAP trial was presented in 2017, capecitabine became standard adjuvant treatment for intrahepatic cholangiocarcinoma (ICC). For ICC, the efficacy of capecitabine on survival outcomes remains unresolved as the BILCAP trial included all entities of biliary tract cancer. The aim of this study was to evaluate the influence of adjuvant therapy with capecitabine on long-term outcome in a large German single-center cohort. Methods: All patients who underwent surgical resection of ICC between January 2008 and December 2023 were divided into a pre-BILCAP (2008-2017) and a post-BILCAP group (2018-2023). For further homogenization both groups underwent a propensity score matching (PSM) in a 1:1 fashion. Survival analysis was conducted using Kaplan Meier model. Results: In total 334 patients were included, 254 (76%) underwent resection while 80 (24%) were irresectable. After PSM two comparable groups of 75 patients were generated. Median overall survival was 20.5 months for the pre- and 29.1 months for the post-BILCAP group ( Conclusion: Although there was a trend to longer survival, we could not demonstrate a significant effect of adjuvant therapy with capecitabine on an intention to treat basis after resection of intrahepatic cholangiocarcinoma. Nevertheless, a significant influence on time to recurrence and recurrence-free survival could be demonstrated. Further observation is necessary to detect the potential benefit of decreased RFS/TTR in the future.

Indexed as

adjuvant therapyBILCAPcapecitabinecholangiocarcinomaintrahepatic cholangiocarcinomaliver surgeryoverall survivalrecurrence

Identifiers

PMID42359329
PMCPMC13290846

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