Abstract
Due to the special location and biological characteristics, the therapy of hilar cholangiocarcinoma is still challenging. Curative resection can offer a better chance for long-term survival than any other therapeutic modalities for hilar cholangiocarcinoma. To meet the demand of precise surgery, the knowledge of anatomy, biological characteristics and liver functional reserve is needed and the technical aspects of pre-surgical intervention, liver resection and reconstruction of vessels are also very important. This review highlights recent improvements in hilar cholangiocarcinoma management, with special attention to the new staging system for hilar cholangiocarcinoma, the perioperative management and the accurate dissection approach to achieve more adequate tumor-free resection margin. Overall, the precise surgical strategy and appropriate surgical techniques may provide an increased chance to cure patients with hilar cholangiocarcinoma. Key words: Bile duct neoplasms; Surgical procedures, operative; Staging; Precise surgery
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