Evidence map›Paper›PMID 40873236›Full record

ArticleANZ journal of surgery2025

Very Early Recurrence Following Liver Resection for Intrahepatic Cholangiocarcinoma: Is It Predictable by Clinical Preoperative Factors?

Francesco Ardito, Francesco Razionale, Andrea Campisi, Çınar Turgay, Alessandro Coppola, Simone Vani, Maria Vellone, Felice Giuliante

Abstract read
In one paragraph

Article in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Francesco ArditoHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Francesco RazionaleHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Andrea CampisiHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Çınar TurgayHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Alessandro CoppolaDepartment of Surgery, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-5550-1756
Simone VaniHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Maria VelloneHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Felice GiulianteHepatobiliary Surgery Unit, Foundation Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately one-quarter of patients undergoing resection for intrahepatic cholangiocarcinoma (ICC) experience very early recurrence (within 6 months after liver resection), which is associated with a poor prognosis. Identifying factors associated with very early recurrence may help optimize patient selection for surgery and avoid futile, high-risk hepatectomies. The aim of this study was to assess whether preoperative clinical factors alone can reliably predict very early recurrence following curative liver resection for ICC.

methodsA retrospective analysis was conducted on 83 patients who underwent liver resection between 2010 and 2020.

resultsThe 5-year overall survival (OS) rate for the entire cohort was 51.4%. Recurrence occurred in 54 patients (65.1%), with 17 (20.5%) experiencing very early recurrence. The 5-year OS for patients with very early recurrence was significantly lower than for those without it (0% vs. 48.7%, respectively; p = 0.013). Preoperative clinical prognostic factors failed to identify patients at high risk of very early recurrence, which occurred in 21% of patients classified as low risk.

conclusionsPreoperative clinical factors alone are insufficient for accurate risk stratification. Integrating clinicopathological data with molecular classifications of ICC is urgently needed to enable a more personalized oncological approach for these patients.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaHepatectomyNeoplasm Recurrence, LocalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPreoperative PeriodPrognosisRetrospective StudiesRisk FactorsSurvival Rateintrahepatic cholangiocarcinomaliver resectionoverall survivalpersonalized medicineprognostic factorsvery early recurrence

Identifiers

PMID40873236
PMCPMC12641336

What Socratic holds

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LicenceCC BY
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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 Socratic graph.