Abstract

Background: Hilar cholangiocarcinoma accounts for 60% of cholangiocarcinomas from an anatomic point of view, followed by 30% of extrahepatic and 10% of intrahepatic. Curative resection represents the only hope for cure; however, more than 60% patients diagnosed of hilar cholangiocarcinoma were deemed unresectable, many with insufficient future liver remnant (FLR). We present a case underwent hepatico-pancreaticoduodenectomy (HPD) who had received neoadjuvant chemotherapy while waiting for an optimal hypertrophy of FLR after percutaneous transhepatic portal vein embolization (PTPE).

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