Table 1.
Type of resection | (extended) Hemihepatectomy or external bile duct resection, since resection planes are not identical in these two treatments |
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Surgical specimen’s orientation marks | As provided by the surgeon: provided or not provided. Orientation marks are usually not provided for the liver parenchyma and periductal dissection plane |
The tumor’s gross features | Size in mm |
The liver parenchyma’s microscopic features | Inflammation, fibrosis, steatosis, (secondary) sclerosing cholangitis due to obstruction |
Tumor’s microscopic features | Histological subtype, differentiation grade, and perineural growth. Vasoinvasive growth was subdivided in major vessel involvement or microscopic vessel involvement. Major vessel involvement was determined as invasion of the lumen of the portal vein and/or hepatic artery. Involvement of only the media was determined as negative involvement, since the biological implications of vessel involvement are mainly dependent on intraluminal tumor growth |
Lymph nodes | Total amount of derived lymph nodes and ratio of positive lymph nodes |
Frozen sections |
Frozen sections of the proximal and distal bile duct resection plane, hepatic artery, portal vein, lymph nodes, and other biopsies or lesions It was noted whether frozen sections were concordant or discordant with the final histological diagnosis |
Surgical specimen’s resection planes | Common bile duct, segmental branches, portal vein and hepatic artery, liver parenchyma, periductal dissection margin |
Residual disease based on resection margins | Positive frozen section, positive resection plane in the surgical specimen, or a resection plane with a margin of < 1 mm |