I had Gemzar/Gemcitibine before my transplant. It did cause me to have the "stabbing" pain in the liver area. Had my transplant August 5, 2013 and we learned that the gemzar did not work for me. The cholangiocarcinoma was still there in small amounts. Sounds like I have a resistance to Gemzar. HOWEVER, with that said my oncologist suggested that I do 24 treatments of Gemzar/Cisplatin combination now to decrease my chances of having a recurrence. Has anyone out there gone through this? Feeling alone. Wondering why the two types of chemo weren't done BEFORE the transplant. Now I have a healthy liver and have to put chemicals in it. Not very happy here in Wisconsin.