{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:57:51Z","timestamp":1785383871866,"version":"3.55.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Analysis of 6-segmentectomies coded H145678 or H123458 in the New World classification of liver resections using contemporary indicators to improve the shared surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary of background data:<\/jats:title>\n                    <jats:p>Specific reports on H145678 and H123458 have lacked granularity or have focused on perihilar cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective single-center analysis of consecutive patients who underwent H145678 or H123458 from 1993 to 2024. Surgical futility (90\u00a0d mortality), failure-to-rescue, oncological futility (early tumor recurrence), and outcome futility (surgical or oncologic futility) were evaluated. Textbook outcome achievement and the potential role of liver transplantation (LT) were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study population included 237 patients with perihilar cholangiocarcinoma (n=117, 49.4%), intrahepatic cholangiocarcinoma (n=39, 16.4%), hepatocellular carcinoma (n=17, 7.2%), colorectal cancer liver metastases (n=38, 16.0%), or miscellaneous tumors (n=26, 11%). H145678 and H123458 were performed in 166 (70.0%) and 71 (30.0%) patients, respectively. Combined vascular and bile duct reconstructions were performed in 46.4% (n=110) and 62.4% (n=148) of patients, respectively. Rates of surgical, failure-to-rescue, oncological, and outcome futility were 15.6% (n=37), 30.3% (n=37), 14.5% (n=29), and 27.8% (n=66), respectively. Textbook outcome was achieved in 30.8% (n=73). With a median follow-up of 26 months, 5-year overall-survival rates and disease-free survival rates were 30.8% and 18.9%. LT criteria were not met in 94.9% (n=225).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>H123458 and H145678 offer selected patients a chance for long-term survival. LT is not a therapeutic option for most patients, and targeted rescue strategies may improve failure-to-rescue rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/sla.0000000000007166","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:00:32Z","timestamp":1785297632000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Right (H145678) and Left (H123458) 6-Segmentectomies for Malignant Liver Tumors"],"prefix":"10.1097","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0932-0540","authenticated-orcid":false,"given":"Daniel","family":"Azoulay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pio","family":"Corleone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goudarz T.","family":"Passand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Golse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Antoine","family":"Allard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Pittau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Laroche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Anthony","family":"Chouillard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oriana","family":"Ciacio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pietrasz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Ichai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faouzi","family":"Saliba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Vibert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cherqui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Sa","family":"Cunha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilliano","family":"Gelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chady","family":"Salloum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,29]]},"container-title":["Annals of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/SLA.0000000000007166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:00:22Z","timestamp":1785380422000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/SLA.0000000000007166"}},"subtitle":["A Retrospective Analysis of 237 Cases Using Contemporary Surgery Quality Indicators"],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1097\/sla.0000000000007166","relation":{},"ISSN":["0003-4932","1528-1140"],"issn-type":[{"value":"0003-4932","type":"print"},{"value":"1528-1140","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"assertion":[{"value":"2026-02-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}