The role of minimally invasive hepatectomy for hilar and intrahepatic cholangiocarcinoma: A systematic review of the literature

• Published in: Journal of surgical oncology Vol. 121; no. 5; pp. 863 - 872
• Main Authors: Shiraiwa, Daniel K., Carvalho, Parisina F. D. C., Maeda, Carlos T., Silva, Luciana C., Forones, Nora M., Lopes‐Filho, Gaspar J., Linhares, Marcelo M., Araujo, Raphael L. C.
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01-04-2020
• Subjects: Bile Duct Neoplasms - surgery; biliary tumors; Blood Loss, Surgical; Cholangiocarcinoma; Cholangiocarcinoma - surgery; Hepatectomy; Hepatectomy - methods; Humans; Laparoscopy; Liver cancer; liver resections; Lymph Node Excision; Lymphatic system; Oncology; Systematic review; laparoscopy; liver resections; hepatectomy; biliary tumors; cholangiocarcinoma
• ISSN: 0022-4790; 1096-9098
• DOI: 10.1002/jso.25821

Despite the fact laparoscopic liver resections (LLR) for cholangiocarcinoma is still limited, this systematic review addressed surgical and oncological outcomes of LLR to treat both perihilar cholangiocarcinoma (pCCA) and intrahepatic cholangiocarcinoma (iCCA). Five comparative and 20 noncomparative studies were found. Regarding iCCA, LLR had lower blood loss and less need for Pringle maneuver. However, open liver resections (OLR) were performed more for major hepatectomies, with better lymphadenectomy rates and higher number of harvested lymph nodes. High heterogeneity and selection bias were suggested for iCCA studies.