Improving actual survival after hepatectomy for intrahepatic cholangiocarcinoma—still a long way to go

Complete resection stands as the only potentially curative treatment. Being often late diagnosed, vascular and biliary structures are frequently involved owing to centrally located and/or large lesions at the time of diagnosis. Consequently, complete resection can require complex hepatectomy often on diseased liver, associated with important risks of mortality and morbidity while benefits in terms of prolonged survival remain often uncertain.