{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:40:39Z","timestamp":1789486839289,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intrahepatic cholangiocarcinoma (ICC) is a rare malignancy with rising incidence and poor prognosis. Surgical resection remains the only curative option, with outcomes driven by R0 margins and lymphadenectomy (LND). While open liver resection (OLR) is standard, laparoscopic (LLR) and robotic liver resection (RLR) are increasingly used, with concerns about their oncologic adequacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the association between composite surgical benchmark attainment (R0\u00a0+\u00a0LND) and short\u2010 and long\u2010term outcomes after ICC resection, stratified per surgical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective multicenter analysis was conducted including 240 patients treated from 2010 to 2024. The primary endpoint was achievement of both R0 resection and LND. Secondary endpoints included 90\u2010day mortality, overall (OS), and disease\u2010free survival (DFS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 240 included patients 38.8% met surgical benchmarks (R0\u00a0+\u00a0LND), with rates varying by approach: OLR\u00a051.1%, RLR 44.4%, and LLR 14.5% (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). 90\u2010day mortality was 5.0% (12\/240) overall, with no significant difference between surgical approaches (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.219). One and 3\u2010year overall survival was 79%\/30% for OLR, 95%\/89% for LLR, and 90%\/81% for RLR (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Multivariable analysis identified tumor multiplicity as an independent predictor of mortality (HR\u00a0=\u00a02.18,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003), while LLR was independently protective (HR\u00a0=\u00a00.15,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001); RLR showed a non\u2010significant protective trend.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although OLR and RLR more frequently met oncological benchmark criteria, only LLR was independently associated with improved overall survival, highlighting a potential disconnect between benchmark adherence and long\u2010term outcomes in ICC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70491","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:59:46Z","timestamp":1784901586000},"page":"2714-2725","source":"Crossref","is-referenced-by-count":0,"title":["Does Surgical Approach Influence Benchmark Attainment in Intrahepatic Cholangiocarcinoma?"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3542-6451","authenticated-orcid":false,"given":"Delphine","family":"Gastineau","sequence":"first","affiliation":[{"name":"Department of Digestive and Hepato\u2010pancreatic\u2010biliary Surgery DMU CARE, AP\u2010HP H\u00f4pitaux Universitaires Henri Mondor  Cr\u00e9teil France"},{"name":"Facult\u00e9 de Sant\u00e9 GRCT OPTIMA Univ Paris Est Cr\u00e9teil  Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Goumard","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Liver Transplantation Surgery AP\u2010HP H\u00f4pital Piti\u00e9 Salp\u00eatri\u00e8re, CRSA Sorbonne Universit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Doussot","sequence":"additional","affiliation":[{"name":"Department of Digestive and Surgical Oncology Liver Transplantation Unit CHU Besancon  Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3901-5632","authenticated-orcid":false,"given":"Marc\u2010Antoine","family":"Allard","sequence":"additional","affiliation":[{"name":"H\u00f4pital Paul Brousse Centre H\u00e9pato\u2010Biliaire AP\u2010HP  Villejuif France"},{"name":"Inserm Universit\u00e9 Paris\u2010Saclay UMRS 1193 FHU Hepatinov  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Venezia","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepato\u2010pancreatic\u2010biliary Surgery DMU CARE, AP\u2010HP H\u00f4pitaux Universitaires Henri Mondor  Cr\u00e9teil France"},{"name":"Facult\u00e9 de Sant\u00e9 GRCT OPTIMA Univ Paris Est Cr\u00e9teil  Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Langella","sequence":"additional","affiliation":[{"name":"Department of General and Oncological Surgery Ospedale Mauriziano  Torino Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6003-2188","authenticated-orcid":false,"given":"Guillaume","family":"Millet","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery and Transplantation Univ. Lille CHRU Lille  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Bustamante","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepato\u2010pancreatic\u2010biliary Surgery DMU CARE, AP\u2010HP H\u00f4pitaux Universitaires Henri Mondor  Cr\u00e9teil France"},{"name":"Facult\u00e9 de Sant\u00e9 GRCT OPTIMA Univ Paris Est Cr\u00e9teil  Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hobeika","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery APHP University Hospitals Paris Nord Val de Seine  Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Rhaiem","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Digestive Surgery Robert Debr\u00e9 University Hospital University Reims Champagne\u2010Ardenne  Reims 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