Abstract
Appropriate Extension of Combined Hepatectomy for Radical Resection of Hilar Cholangiocarcinoma
Highlights
Hilar cholangiocarcinoma is a malignant tumor of the bile duct that affects bile duct confluence and its bifurcation
Because the biological characteristics of the tumor are growing along the long axis of the bile duct and infiltrating surrounding tissues, surgeons began to recognize that hilar cholangiocarcinoma should be regarded as a regional disease rather than a local lesion as early as in the 1980s
Several retrospective studies from a single center have shown that the proportion of patients undergoing combined hepatectomy progressively increased over time with increased rate of R0 resection and improved survival rate [2,3,4,5,6]
Summary
Hilar cholangiocarcinoma is a malignant tumor of the bile duct that affects bile duct confluence and its bifurcation. Appropriate Extension of Combined Hepatectomy for Radical Resection of Hilar Cholangiocarcinoma Most surgeons believe that extensive hepatectomy especially trisectionectomy can remove longer bile duct far from the tumor edge, increasing the R0 rate [9].
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