Accepting Our Technical Limitations: Intraoperative Bile Duct Margin in Perihilar Cholangiocarcinoma Reflects Disease Biology

Seth J Concors¹, Rebecca A Snyder^{2

3}

Affiliations

¹ Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA.
² Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA. rsnyder@mdanderson.org.
³ Department of Health Services Research, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA. rsnyder@mdanderson.org.

Editorial

Seth J Concors et al. Ann Surg Oncol. 2023 Jun.

. 2023 Jun;30(6):3180-3181.

doi: 10.1245/s10434-023-13200-4. Epub 2023 Feb 3.

Seth J Concors¹, Rebecca A Snyder^{2

3}

¹ Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA.
² Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA. rsnyder@mdanderson.org.
³ Department of Health Services Research, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1484, Houston, TX, 77030, USA. rsnyder@mdanderson.org.

No abstract available

References

1. Nagino M, Ebata T, Yokoyama Y, et al. Evolution of surgical treatment for perihilar cholangiocarcinoma: a single-center 34-year review of 574 consecutive resections. Ann Surg. 2013;258:129–40. - DOI - PubMed
1. Shinohara K, Ebata T, Shimoyama Y, et al. A study on radial margin status in resected perihilar cholangiocarcinoma. Ann Surg. 2021;273:572. - DOI - PubMed
1. Oguro S, Esaki M, Kishi Y, et al. Optimal indications for additional resection of the invasive cancer-positive proximal bile duct margin in cases of advanced perihilar cholangiocarcinoma. Ann Surg Oncol. 2015;22:1915–24. - DOI - PubMed
1. Zhang X-F, Squires MH, Bagante F, et al. The impact of intraoperative re-resection of a positive bile duct margin on clinical outcomes for hilar cholangiocarcinoma. Ann Surg Oncol. 2018;25:1140–9. - DOI - PubMed
1. Kawano F, Ito H, Oba A, et al. Role of intraoperative assessment of proximal bile duct margin status and additional resection of perihilar cholangiocarcinoma: can local clearance trump tumor biology? A retrospective cohort study. Ann Surg Oncol. 2023. https://doi.org/10.1245/s10434-023-13190-3 - DOI - PubMed