Assessment of the Lymph Node Status in Patients Undergoing Liver Resection for Intrahepatic Cholangiocarcinoma: the New Eighth Edition AJCC Staging System.
Identifieur interne : 000E32 ( PubMed/Curation ); précédent : 000E31; suivant : 000E33Assessment of the Lymph Node Status in Patients Undergoing Liver Resection for Intrahepatic Cholangiocarcinoma: the New Eighth Edition AJCC Staging System.
Auteurs : Fabio Bagante [Italie] ; Gaya Spolverato [Italie] ; Matthew Weiss [États-Unis] ; Sorin Alexandrescu [Roumanie] ; Hugo P. Marques [Portugal] ; Luca Aldrighetti [Italie] ; Shishir K. Maithel [États-Unis] ; Carlo Pulitano [Australie] ; Todd W. Bauer [États-Unis] ; Feng Shen [République populaire de Chine] ; George A. Poultsides [États-Unis] ; Oliver Soubrane [France] ; Guillaume Martel [Canada] ; B. Groot Koerkamp [Pays-Bas] ; Alfredo Guglielmi [Italie] ; Endo Itaru [Japon] ; Timothy M. Pawlik [États-Unis]Source :
- Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [ 1873-4626 ] ; 2017.
Abstract
The role of routine lymphadenectomy for intrahepatic cholangiocarcinoma (ICC) is still controversial. The AJCC eighth edition recommends a minimum of six harvested lymph nodes (HLNs) for adequate nodal staging. We sought to define outcome and risk of death among patients who were staged with ≥6 HLNs versus <6 HLNs.
DOI: 10.1007/s11605-017-3426-x
PubMed: 28424987
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Bauer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Virginia, Charlottesville, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, University of Virginia, Charlottesville, VA</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Feng" sort="Shen, Feng" uniqKey="Shen F" first="Feng" last="Shen">Feng Shen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Poultsides, George A" sort="Poultsides, George A" uniqKey="Poultsides G" first="George A" last="Poultsides">George A. Poultsides</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Stanford University, Stanford, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Stanford University, Stanford, CA</wicri:regionArea></affiliation></author><author><name sortKey="Soubrane, Oliver" sort="Soubrane, Oliver" uniqKey="Soubrane O" first="Oliver" last="Soubrane">Oliver Soubrane</name><affiliation wicri:level="1"><nlm:affiliation>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy</wicri:regionArea></affiliation></author><author><name sortKey="Martel, Guillaume" sort="Martel, Guillaume" uniqKey="Martel G" first="Guillaume" last="Martel">Guillaume Martel</name><affiliation wicri:level="1"><nlm:affiliation>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON</wicri:regionArea></affiliation></author><author><name sortKey="Groot Koerkamp, B" sort="Groot Koerkamp, B" uniqKey="Groot Koerkamp B" first="B" last="Groot Koerkamp">B. Groot Koerkamp</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Erasmus University Medical Centre, Rotterdam</wicri:regionArea></affiliation></author><author><name sortKey="Guglielmi, Alfredo" sort="Guglielmi, Alfredo" uniqKey="Guglielmi A" first="Alfredo" last="Guglielmi">Alfredo Guglielmi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Verona, Verona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, University of Verona, Verona</wicri:regionArea></affiliation></author><author><name sortKey="Itaru, Endo" sort="Itaru, Endo" uniqKey="Itaru E" first="Endo" last="Itaru">Endo Itaru</name><affiliation wicri:level="1"><nlm:affiliation>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama</wicri:regionArea></affiliation></author><author><name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M" last="Pawlik">Timothy M. Pawlik</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, The Urban Meyer III and Shelley Meyer Chair in Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, 43210, USA. tim.pawlik@osumc.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, The Urban Meyer III and Shelley Meyer Chair in Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, 43210</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28424987</idno><idno type="pmid">28424987</idno><idno type="doi">10.1007/s11605-017-3426-x</idno><idno type="wicri:Area/PubMed/Corpus">000E35</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000E35</idno><idno type="wicri:Area/PubMed/Curation">000E32</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000E32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Assessment of the Lymph Node Status in Patients Undergoing Liver Resection for Intrahepatic Cholangiocarcinoma: the New Eighth Edition AJCC Staging System.</title><author><name sortKey="Bagante, Fabio" sort="Bagante, Fabio" uniqKey="Bagante F" first="Fabio" last="Bagante">Fabio Bagante</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Verona, Verona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, University of Verona, Verona</wicri:regionArea></affiliation></author><author><name sortKey="Spolverato, Gaya" sort="Spolverato, Gaya" uniqKey="Spolverato G" first="Gaya" last="Spolverato">Gaya Spolverato</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Verona, Verona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, University of Verona, Verona</wicri:regionArea></affiliation></author><author><name sortKey="Weiss, Matthew" sort="Weiss, Matthew" uniqKey="Weiss M" first="Matthew" last="Weiss">Matthew Weiss</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins Hospital, Baltimore, MD</wicri:regionArea></affiliation></author><author><name sortKey="Alexandrescu, Sorin" sort="Alexandrescu, Sorin" uniqKey="Alexandrescu S" first="Sorin" last="Alexandrescu">Sorin Alexandrescu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Fundeni Clinical Institute, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Surgery, Fundeni Clinical Institute, Bucharest</wicri:regionArea></affiliation></author><author><name sortKey="Marques, Hugo P" sort="Marques, Hugo P" uniqKey="Marques H" first="Hugo P" last="Marques">Hugo P. Marques</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Curry Cabral Hospital, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Department of Surgery, Curry Cabral Hospital, Lisbon</wicri:regionArea></affiliation></author><author><name sortKey="Aldrighetti, Luca" sort="Aldrighetti, Luca" uniqKey="Aldrighetti L" first="Luca" last="Aldrighetti">Luca Aldrighetti</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Ospedale San Raffaele, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Ospedale San Raffaele, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Maithel, Shishir K" sort="Maithel, Shishir K" uniqKey="Maithel S" first="Shishir K" last="Maithel">Shishir K. Maithel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Emory University, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Emory University, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Pulitano, Carlo" sort="Pulitano, Carlo" uniqKey="Pulitano C" first="Carlo" last="Pulitano">Carlo Pulitano</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney</wicri:regionArea></affiliation></author><author><name sortKey="Bauer, Todd W" sort="Bauer, Todd W" uniqKey="Bauer T" first="Todd W" last="Bauer">Todd W. Bauer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Virginia, Charlottesville, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, University of Virginia, Charlottesville, VA</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Feng" sort="Shen, Feng" uniqKey="Shen F" first="Feng" last="Shen">Feng Shen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Poultsides, George A" sort="Poultsides, George A" uniqKey="Poultsides G" first="George A" last="Poultsides">George A. Poultsides</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Stanford University, Stanford, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Stanford University, Stanford, CA</wicri:regionArea></affiliation></author><author><name sortKey="Soubrane, Oliver" sort="Soubrane, Oliver" uniqKey="Soubrane O" first="Oliver" last="Soubrane">Oliver Soubrane</name><affiliation wicri:level="1"><nlm:affiliation>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy</wicri:regionArea></affiliation></author><author><name sortKey="Martel, Guillaume" sort="Martel, Guillaume" uniqKey="Martel G" first="Guillaume" last="Martel">Guillaume Martel</name><affiliation wicri:level="1"><nlm:affiliation>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON</wicri:regionArea></affiliation></author><author><name sortKey="Groot Koerkamp, B" sort="Groot Koerkamp, B" uniqKey="Groot Koerkamp B" first="B" last="Groot Koerkamp">B. Groot Koerkamp</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Erasmus University Medical Centre, Rotterdam</wicri:regionArea></affiliation></author><author><name sortKey="Guglielmi, Alfredo" sort="Guglielmi, Alfredo" uniqKey="Guglielmi A" first="Alfredo" last="Guglielmi">Alfredo Guglielmi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Verona, Verona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, University of Verona, Verona</wicri:regionArea></affiliation></author><author><name sortKey="Itaru, Endo" sort="Itaru, Endo" uniqKey="Itaru E" first="Endo" last="Itaru">Endo Itaru</name><affiliation wicri:level="1"><nlm:affiliation>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama</wicri:regionArea></affiliation></author><author><name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M" last="Pawlik">Timothy M. Pawlik</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, The Urban Meyer III and Shelley Meyer Chair in Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, 43210, USA. tim.pawlik@osumc.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, The Urban Meyer III and Shelley Meyer Chair in Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, 43210</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract</title><idno type="eISSN">1873-4626</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The role of routine lymphadenectomy for intrahepatic cholangiocarcinoma (ICC) is still controversial. The AJCC eighth edition recommends a minimum of six harvested lymph nodes (HLNs) for adequate nodal staging. We sought to define outcome and risk of death among patients who were staged with ≥6 HLNs versus <6 HLNs.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28424987</PMID><DateCreated><Year>2017</Year><Month>04</Month><Day>20</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4626</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Apr</Month><Day>19</Day></PubDate></JournalIssue><Title>Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract</Title><ISOAbbreviation>J. Gastrointest. Surg.</ISOAbbreviation></Journal><ArticleTitle>Assessment of the Lymph Node Status in Patients Undergoing Liver Resection for Intrahepatic Cholangiocarcinoma: the New Eighth Edition AJCC Staging System.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11605-017-3426-x</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The role of routine lymphadenectomy for intrahepatic cholangiocarcinoma (ICC) is still controversial. The AJCC eighth edition recommends a minimum of six harvested lymph nodes (HLNs) for adequate nodal staging. We sought to define outcome and risk of death among patients who were staged with ≥6 HLNs versus <6 HLNs.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients undergoing hepatectomy for ICC between 1990 and 2015 at 1 of the 14 major hepatobiliary centers were identified.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among 1154 patients undergoing hepatectomy for ICC, 515 (44.6%) had lymphadenectomy. On final pathology, 200 (17.3%) patients had metastatic lymph node (MLN), while 315 (27.3%) had negative lymph node (NLN). Among NLN patients, HLN was associated with 5-year OS (p = 0.098). While HLN did not impact 5-year OS among MLN patients (p = 0.71), the number of MLN was associated with 5-year OS (p = 0.02). Among the 317 (27.5%) patients staged according the AJCC eighth edition staging system, N1 patients had a 3-fold increased risk of death compared with N0 patients (hazard ratio 3.03; p < 0.001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Only one fourth of patients undergoing hepatectomy for ICC had adequate nodal staging according to the AJCC eighth edition. While the six HLN cutoff value impacted prognosis of N0 patients, the number of MLN rather than HLN was associated with long-term survival of N1 patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bagante</LastName><ForeName>Fabio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Verona, Verona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spolverato</LastName><ForeName>Gaya</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Verona, Verona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weiss</LastName><ForeName>Matthew</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alexandrescu</LastName><ForeName>Sorin</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Surgery, Fundeni Clinical Institute, Bucharest, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marques</LastName><ForeName>Hugo P</ForeName><Initials>HP</Initials><AffiliationInfo><Affiliation>Department of Surgery, Curry Cabral Hospital, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aldrighetti</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Surgery, Ospedale San Raffaele, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maithel</LastName><ForeName>Shishir K</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>Department of Surgery, Emory University, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pulitano</LastName><ForeName>Carlo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bauer</LastName><ForeName>Todd W</ForeName><Initials>TW</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Virginia, Charlottesville, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>Feng</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Poultsides</LastName><ForeName>George A</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Department of Surgery, Stanford University, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soubrane</LastName><ForeName>Oliver</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martel</LastName><ForeName>Guillaume</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Groot Koerkamp</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guglielmi</LastName><ForeName>Alfredo</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Verona, Verona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Itaru</LastName><ForeName>Endo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pawlik</LastName><ForeName>Timothy M</ForeName><Initials>TM</Initials><AffiliationInfo><Affiliation>Department of Surgery, The Urban Meyer III and Shelley Meyer Chair in Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, 43210, USA. tim.pawlik@osumc.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Gastrointest Surg</MedlineTA><NlmUniqueID>9706084</NlmUniqueID><ISSNLinking>1091-255X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ICC</Keyword><Keyword MajorTopicYN="N">Nodal status</Keyword><Keyword MajorTopicYN="N">Staging</Keyword><Keyword MajorTopicYN="N">Surgery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>04</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28424987</ArticleId><ArticleId IdType="doi">10.1007/s11605-017-3426-x</ArticleId><ArticleId IdType="pii">10.1007/s11605-017-3426-x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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