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Vascular Resection for Intrahepatic Cholangiocarcinoma: Current Considerations
| Content Provider | MDPI |
|---|---|
| Author | Alikhanov, Ruslan Dudareva, Anna Trigo, Miguel Ángel Serrablo, Alejandro |
| Copyright Year | 2021 |
| Description | Intrahepatic cholangiocarcinoma (iCCA) accounts for approximately 10% of all primary liver cancers. Surgery is the only potentially curative treatment, even in cases of macrovascular invasion. Since resection offers the only curative chance, even extended liver resection combined with complex vascular or biliary reconstruction of the surrounding organs seems justified to achieve complete tumour removal. In selected cases, the major vascular resection is the only change to try getting the cure. The best results are achieved by the referral centre with a wide experience in complex liver surgery, such as ALPPS procedure, IVC resection, and ante-situ and ex-situ resections. However, despite aggressive surgery, tumour recurrence occurs frequently and long-term oncological results are very poor. This suggests that significant progress in prognosis cannot be expected by surgery alone. Instead, multimodal treatment including neoadjuvant chemotherapy, radiotherapy, and subsequent adjuvant treatment for iCCA seem to be necessary to improve results. |
| Starting Page | 3829 |
| e-ISSN | 20770383 |
| DOI | 10.3390/jcm10173829 |
| Journal | Journal of clinical medicine |
| Issue Number | 17 |
| Volume Number | 10 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-08-26 |
| Access Restriction | Open |
| Subject Keyword | Journal of clinical medicine Journal of Clinical Medicine Gastroenterology and Hepatology Cholangiocarcinoma Liver Resection Intrahepatic Cholangiocarcinoma Survival Vascular Resection |
| Content Type | Text |
| Resource Type | Article |
