Evidence map›Paper›PMID 42536535›Full record

ArticleMedicine2026

Application of robotic-assisted hepatopancreatoduodenectomy in non-jaundiced gallbladder cancer patient with invasion of the common bile duct: A case report.

Kai Xu, Guodong Chen, Chen Liu, Wanghong Li, Xin Li, Guilin Cao, Longhua Zhang, Jintian Tang, Chao Yi, Feng Xue and 3 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Kai XuDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Guodong ChenDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Chen LiuDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Wanghong LiDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Xin LiDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Guilin CaoDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Longhua ZhangDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Jintian TangDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Chao YiDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Feng XueDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Liping LiangDepartment of Pathology, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Deliang CaoHunan Engineering Research Center for Early Diagnosis and Treatment of Liver Cancer, Hunan Province Key Laboratory of Tumor Cellular and Molecular Pathology, Cancer Research Institute, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Boqing WangDepartment of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.ORCID 0000-0002-8470-4149

Funding

Aid Xinjiang and Flexible Aid Xinjiang Expert Talent Project 202431156Health Technology Promotion Project of Xinjiang Uygur Autonomous Regio SYTG-Y20242Regional Collaborative Innovation Special Fun echnology Support for Xinjiang Project No.2024E0205the Central Government Guided Local Science and Technology Development Fund of Xinjiang Uygur Autonomous Region ZYYD2024CG17the Hunan Province Innovation Ecological Construction Plan Science and Technology Assistance Project in Xinjiang Uygur Autonomous Region 2024WK4008
6 · The paper itself

Abstract

rationaleHepatopancreatoduodenectomy (HPD) is a surgical procedure utilized for the curative-intent resection of biliary tract malignancies. However, there is a paucity of literature documenting the application of robotic-assisted HPD in case of gallbladder cancer (GBC) with invasion into the common bile duct (CBD) in patients who had no jaundice. PATIENT CONCERNS: One week before admission, a 58-year-old female suffered from paroxysmal diarrhea and vomiting without any apparent cause. DIAGNOSES: Preoperative computed tomography (CT) and magnetic resonance imaging revealed GBC with dilation of the CBD and common hepatic duct. Intraoperative choledochoscopy revealed a soft tissue mass (0.5-1 cm) at the distal CBD near the duodenal papilla with circumferential involvement. Given the primary GBC, metastatic involvement of the distal CBD was suspected.

interventionsAfter discussion, robotic-assisted HPD by the da Vinci Xi system was performed. The surgery lasted 580 minutes with 200 mL of blood loss. Postoperative pathology indicated malignant tumors of the gallbladder and bile duct. OUTCOMES: The patient's postoperative vital signs were stable. The CT scan results from the one-year postoperative follow-up showed no signs of tumor recurrence or metastasis. LESSONS: This case supports the viability and safety of the robotic approach to HPD for complex biliary malignancies, establishing it as a feasible minimally invasive strategy in well-selected cases, contingent upon surgical expertise.

Indexed as

Common Bile DuctGallbladder NeoplasmsHepatectomyPancreaticoduodenectomyRobotic Surgical ProceduresFemaleHumansMiddle AgedNeoplasm InvasivenessTomography, X-Ray ComputedCBD invasion and case reportda Vinci Xi systemhepatopancreatoduodenectomyminimally invasive surgerynon-jaundiced gallbladder cancerrobot-assisted HPD

Identifiers

PMID42536535
PMCPMC13433023

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.