Laparoscopic or open liver resection for intrahepatic cholangiocarcinoma: A meta-analysis and systematic review

Zhao, Xin; Gao, Fengwei; Jiang, Kangyi; Yang, Jie; Xie, Qingyun; Gong, Jie; Yang, Meiyin; Mao, Tian-yang; Lei, Zehua

doi:10.3389/fonc.2023.1096714

Cited by 8 publications

(3 citation statements)

References 53 publications

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“…По этому формальному и достаточно трудно достижимому в условиях местнораспространенной опухоли признаку резекция в объеме R0 была выполнена 7 пациентам. Необходимо отметить, что большинство метаанализов демонстрирует преимущество лапароскопических резекций перед откры тыми операциями по этому параметру, но, учитывая достоверно меньшие размеры опухо лей в лапароскопических группах, нельзя исключить влияние отбора пациентов на этот параметр [6].…”

Section: Discussionunclassified

“…В свою очередь, это ограничивает применение мини-инвазивного доступа при внутрипеченочном ХЦР. Опубликованные к настоящему времени мета анализы подтверждают неизбежный отбор пациентов для минимально инвазивной операции с меньшими размерами опухоли, что реализовывалось в меньшей частоте обширных резекций [5,6]. Помимо этого, лапароскопические резекции сопровождались достоверным уменьшением частоты регионарной лимфаденэктомии [7].…”

Section: вве де ниеunclassified

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Robot-assisted liver resections in locally advanced intrahepatic cholangiocarcinoma

Efanov,

Britskaia,

Tarakanov

et al. 2023

Ann. hir. gepatol.

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Aim. To evaluate the immediate results of robot-assisted liver resections in locally advanced intrahepatic cholangiocarcinoma.Materials and methods. The research methodology involved the analysis of intraoperative and direct results of robotassisted liver resections from 2015 to June 2023.Results. Total of 89 patients with intrahepatic cholangiocarcinoma underwent surgery. Open liver resection was performed in 59 cases (66.3%), laparoscopic resection – in 22 cases (24.7%), robot-assisted resection – in 8 cases (8.9%). The share of massive liver resections accounted for 83%. The average duration of robot-assisted liver resection amounted to 545 (327–640) minutes, blood loss volume – 300 (100–750) ml, number of resected lymph nodes – 7 (5–11), resection margin width – 6 (5–14) mm. All patients underwent extensive resection with elements of vascular or biliary resection. Severe complications developed only in half of the patients. No deaths or liver failures were reported. The average duration of hospital stay after surgery amounted to 11 (6–15) days.Conclusion. Robot-assisted liver resections expand the indications for minimally invasive surgeries in intrahepatic cholangiocarcinoma due to patients with locally advanced forms. Satisfactory immediate results justify further accumulation and evaluation of the experience of such interventions.

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Section: Discussionunclassified

Section: вве де ниеunclassified

Robot-assisted liver resections in locally advanced intrahepatic cholangiocarcinoma

Efanov,

Britskaia,

Tarakanov

et al. 2023

Ann. hir. gepatol.

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“…Several recent studies analyzed the impacts of laparoscopic surgery on the short-term and oncological outcomes of iCCA [66][67][68][69].…”

Section: Minimally Invasive Surgerymentioning

confidence: 99%

New Insights into Surgical Management of Intrahepatic Cholangiocarcinoma in the Era of “Transplant Oncology”

Melandro,

Ghinolfi,

Gallo

et al. 2023

Gastroenterology Insights

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Intrahepatic cholangiocarcinoma (iCCA) represents the second most frequent type of primary liver neoplasm. The diagnosis and treatment of patients with iCCA involves many challenges. To date, surgical resection with negative margins is the main curative option, achieving an acceptable long-term survival. Despite enabling a considerable improvement in the outcome, iCCA recurrence after surgery is still common. Tumor extension and the histological subtype, as well as vascular and lymph node involvements, are key factors used to define the prognosis. In this narrative review, we aimed to discuss the potential benefits of using different surgical strategies in the field of iCCA, including vascular resection, the mini-invasive approach, liver transplantation, the mechanism used to enable future liver remnant augmentation, and lymph node dissection. We also discussed the new protocols developed in the field of systemic treatment, including immunotherapy and molecular targeted therapy. Recent advancements in the diagnosis, surgical treatment, and understanding of tumor biology have changed the landscape in terms of treatment options. Creating a multidisciplinary tumor board is essential to achieving the best patient outcomes. Further investigational trials are required with the intent of tailoring the treatments and establishing the right patient population who would benefit from the use of new therapeutics algorithms.

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Textbook oncologic outcomes among patients undergoing laparoscopic, robotic and open surgery for intrahepatic and perihilar cholangiocarcinoma

Munir,

Dillhoff,

Tsai

et al. 2024

HPB

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Laparoscopic or open liver resection for intrahepatic cholangiocarcinoma: A meta-analysis and systematic review

Cited by 8 publications

References 53 publications

Robot-assisted liver resections in locally advanced intrahepatic cholangiocarcinoma

Robot-assisted liver resections in locally advanced intrahepatic cholangiocarcinoma

New Insights into Surgical Management of Intrahepatic Cholangiocarcinoma in the Era of “Transplant Oncology”

Textbook oncologic outcomes among patients undergoing laparoscopic, robotic and open surgery for intrahepatic and perihilar cholangiocarcinoma

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